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Pericardial Influences on the Right Heart

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The Right Ventricle

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 83))

Abstract

In this chapter the important structural features of the pericardium that influence the anatomy and function of the right ventricle will be summarized. The subject of ventricular interaction will be dealt with only in so much as it is modulated by the pericardium, other aspects of this subject being covered by Dr. Smith and Tyberg in Chapter 3. Likewise, since certain aspects of infarction of the right ventricle may bear a striking resemblance to chronic constrictive pericarditis, this subject will not be dealt with in detail because it is the subject of Chapter 6 by Dr. Isner. The complex shape of the right ventricle complicates analysis of the influence of the pericardium on its size and function. The reader of this chapter therefore needs familiarity with the material contained in the first chapter of this book.

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References

  1. Holt JP, Rhode EA, Kines H: Pericardial and ventricular pressure. Circ Research 8:1171–1181, 1960.

    CAS  Google Scholar 

  2. Hess OM, Bhargava V, Ross J Jr, Shabetai R: The role of the pericardium in interactions between the cardiac chambers. Am Heart J 106:1377–1383, 1983.

    Article  PubMed  CAS  Google Scholar 

  3. Lee MC, LeWinter ML, Freeman G, Shabetai R, Fung YC: Biaxial mechanical properties of the pericardium in normal and volume overload dogs. Am J Physiol 249:H222–H230, 1985.

    PubMed  CAS  Google Scholar 

  4. Lee JM, Bouchner DR: Tissue mechanics of canine pericardium in different environments. Circ Res 49:453–544, 1981.

    Google Scholar 

  5. Rabkin SW, Berghause DG, Bauer HF: Mechanical properties of isolated canine pericardium. J Appl Physiol 36:69–73, 1974.

    PubMed  CAS  Google Scholar 

  6. Martin CJ, Hilderbrandt JH, Fukaya H: Stress-strain relations of tissue sheets undergoing uniform two dimensional stretch. J Appl Physiol 27:758–762, 1969.

    PubMed  Google Scholar 

  7. Rabkin SW, Hsu PH: Mathematical and mechanical modeling of stress-strain relationship of pericardium. Ain} Physiol 229:896–900, 1975.

    CAS  Google Scholar 

  8. Lee JM, Bouchner DR: Mechanical properties of human pericardium: Differences in viscoelastic response when compared with canine pericardium Circ Res 55:475–481, 1985.

    Google Scholar 

  9. Wiegner AW, Bing OH, Borg TK, Caulfield JB: Mechanical and structural correlates of canine pericardium. Circ Res 49:807–814, 1981.

    PubMed  CAS  Google Scholar 

  10. Yen F, personal communication.

    Google Scholar 

  11. Lee MC, Fung YC, Shabetai R, LeWinter MM: Biaxial mechanical properties of the human pericardium. Circ Res, in press, 1986.

    Google Scholar 

  12. Mann D, Lew W, Ben-Hayashi E, Shabetai R, Waldman L, LeWinter MM: In vivo mechanical behavior of canine pericardium. Am J Physiol, in press, 1986.

    Google Scholar 

  13. Mangano DT, Van Dyke, Hickey RF, Ellis RJ: Significance of the pericardium in human subjects: Effects on left ventricular volume, pressure and ejection. J Am Coll Cardiol 6:290–295, 1985.

    Article  PubMed  CAS  Google Scholar 

  14. Tyson GS, Maier GW, Olsen Co, Davis JW, Rankin JS: Pericardial influences on ventricular filling in the conscious dog. An analysis based on pericardial pressure. Circ Res 54:173–184, 1984.

    PubMed  Google Scholar 

  15. Assanelli D, Lew W, LeWinter M: Comparative effects of pericardiectomy on left and right ventricular pressure-segment length relations. J Am Coll Cardiol 7 (Suppl 2):205A, 1986 (abstract).

    Google Scholar 

  16. Smiseth OA, Frais MA, Kingma I, Smith ER, Tyberg JV: Assessment of pericardial constraint in dogs. Circulation 71:158–164, 1985.

    Article  PubMed  CAS  Google Scholar 

  17. Hoit B, Lew W, LeWinter M: Regional variation in pericardial contact pressure. Am Coll Cardiol 7:205A, 1986 (abstract).

    Google Scholar 

  18. Prindle KH, Gold HK, Beiser GD, Marcus ML, Epstein SE: Influence of pericardiectomy on cat right ventricular function after pulmonary arterial constriction. Am J Cardiol 31:260–264, 1973.

    Article  PubMed  Google Scholar 

  19. Starr I, Jeffers WA, Meade RH Jr: The absence of conspicuous increments of venous pressure after severe damage to the right ventricle of the dog with a discussion of the relation between clinical congestive heart failure and heart disease. Am Heart} 26:291–301, 1943.

    Article  Google Scholar 

  20. Tani M: Role of the right ventricular free wall and ventricular septum in right ventricular performance and influence of the parietal pericardium during right ventricular failure in dogs. AmJ Cardiol 52:196–202, 1983.

    Article  CAS  Google Scholar 

  21. Barde SH, Hermann HJ: Acute mitral regurgitation in man. Hemodynamic evidence and observations indicating an early role for the pericardium. Circulation 36:839–851, 1967.

    Google Scholar 

  22. Freeman G, LeWinter MM: Role of the parietal pericardium in acute mitral regurgitation in dogs. Am J Cardiol 54:217–219, 1984.

    Article  PubMed  CAS  Google Scholar 

  23. Boltwood CM, Shah PM: The pericardium in health and disease. Current Problems in Cardiology 9:10–62, 1984.

    Article  Google Scholar 

  24. Janicki JS, Weber KT: The pericardium and ventricular interaction, distensibility and function. Am J Physiol 238:H494–HSO3, 1980.

    PubMed  CAS  Google Scholar 

  25. Glantz SA, Misbach GA, Moores WY, Mathey DG, Lekven J, Stowe DF, Parmley WW, Tyberg JV: The pericardium substantially affects the left ventricular diastolic pressure-volume relationship in the dog. Circ Res 42: 433–441, 1978.

    PubMed  CAS  Google Scholar 

  26. Fowler NO, Shabetai R, Braunstein JR: Trans-mural ventricular pressures in experimental cardiac tamponade. Circ Res 7:733–739, 1959.

    PubMed  CAS  Google Scholar 

  27. Shabetai R, Fowler NO, Guntheroth WG: The hemodynamics of cardiac tamponade and constrictive pericarditis. AmJ Cardiol 26:480–489, 1970.

    Article  CAS  Google Scholar 

  28. Craig RJ, Whalen RE, Behar VS, McIntosh HD: Pressure and volume changes of the left ventricle in acute pericardial tamponade. Am J Cardiol 22:65–74, 1968.

    Article  PubMed  CAS  Google Scholar 

  29. Grose R, Greenburg M, Steingart R, Cohen MV: Left ventricular volume and function during relief of cardiac tamponade in man. Circulation 66:149–155, 1982.

    Article  PubMed  CAS  Google Scholar 

  30. Ditchey R, Engler R, LeWinter MM, Pavelec R, Bhargava V, Covell J, Moores W, Shabetai R: The role of the right heart in acute cardiac tamponade in dogs. Circ Res 48:701–710, 1981.

    PubMed  CAS  Google Scholar 

  31. Fowler NO, Gabel M: The hemodynamic effects of cardiac tamponade: Mainly the result of atrial not ventricular compression. Circulation 71: 154–157, 1985.

    Article  PubMed  CAS  Google Scholar 

  32. Shabetai R, Fowler NO, Fenton JC, Masangkay M: Pulsus paradoxus. J Clin Invest 44:1882–1898, 1965.

    Article  PubMed  CAS  Google Scholar 

  33. Schiller NB, Botvinick EH: Right ventricular compression as a sign of cardiac tamponade. An analysis of echocardiographic ventricular dimensions and their clinical implications. Circulation 56:774–779, 1977.

    PubMed  CAS  Google Scholar 

  34. Shabetai R, Mangiardi L, Bhargava V, Ross J Jr, Higgins CB: The pericardium and cardiac function. Progress in Cardiovasc Disease 22:107–133, 1979.

    Article  CAS  Google Scholar 

  35. Lendrum BL, Monokar AM, Harris JB, Smulevitz B, Carr I: Respiratory variation in echocardiographic dimensions of left and right ventricles in normal children. The role of the interventricular septum. Pediatric Cardiology 1:39–45, 1979.

    Article  Google Scholar 

  36. Brenner JI, Waugh RA: Effect of phasic respiration on left ventricular dimensions and performance in a normal population. Circulation 57: 122–127, 1978.

    PubMed  CAS  Google Scholar 

  37. Brinker JA, Weiss JL, Lappe DL, Rabson JL, Summer WR, Permutt S, Weisfeldt ML: Leftward septal displacement during right ventricular loading in man. Circulation 61:626–633, 1980.

    PubMed  CAS  Google Scholar 

  38. Settle HP, Adolph RJ, Fowler NO, Engel P, Arguss NS, Levenson NI: Echocardiographic study of cardiac tamponade. Circulation 56:951–959, 1977.

    PubMed  CAS  Google Scholar 

  39. Katz LN, Gauchat HW: Observations on pulsus paradoxus (with special reference to pericardial effusions). Arch Int Med 33:371–393, 1924.

    Google Scholar 

  40. Dornhorst AC, Leathart GL: Pulsus paradoxus. Lancet 1:746–748, 1952.

    Article  PubMed  CAS  Google Scholar 

  41. Cohn JN, Pinkerson AL, Tristani FE: Mechanism of pulsus paradoxus in clinical shock. J Clin Invest 46:1744–1755, 1967.

    Article  PubMed  CAS  Google Scholar 

  42. Goldblatt A, Harrison DC, Glick G, Braunwald E: Studies on cardiac dimensions in intact un-anesthetized man. Circ Res 13:455–460, 1963.

    Google Scholar 

  43. Hoit B, Sahn DJ, Shabetai R: Doppler-detected paradoxus of mitral and tricuspid valve flows in chronic lung disease. JACC 8:706–709, 1986.

    PubMed  CAS  Google Scholar 

  44. Settle HP, Jr, Engel P, J, Fowler NO, Allen JM, Vassallo CL, Hackworth JN, Adolph RJ, Eppert DC: Echocardiographic study of the paradoxical arterial pulse in chronic obstructive lung disease. Circulation 62:1297–1307, 1980.

    PubMed  Google Scholar 

  45. Gilliam LD, Guyer D, Gibson TC, King ME, Marshall J, Wyman AE: Hemodynamic compression of the right atrium: A new echocardiographic sign of cardiac tamponade. Circulation 68:294–301, 1983.

    Article  Google Scholar 

  46. Martin RP, Rakowski H, French J, Popp RL: Localization of pericardial effusion with wide angle phased array echocardiography. Am J Cardiol 42:904–912, 1978.

    Article  PubMed  CAS  Google Scholar 

  47. Armstrong WF, Schilt BF, Helper DJ, Dillon JC, Feigenbaum H: Diastolic collapse of the right ventricle with cardiac tamponade: An echocardiographic study. Circulation 65:1491–1496, 1982.

    Article  PubMed  CAS  Google Scholar 

  48. Leimbgruber PP, Klopfenstein S, Wann SL, Brooks HL: The hemodynamic derangement associated with right ventricular diastolic collapse in cardiac tamponade: An experimental echo-cardiographic study. Circulation 68:612–620, 1983.

    Article  Google Scholar 

  49. Klopfenstein S, Schuchard GH, Wann SL, Palmer TE, Hartz AJ, Gross CM, Singh S, Brooks HL: The relative merits of pulsus paradoxus and right ventricular diastolic collapse in the early detection of cardiac tamponade: An experimental echocardiographic study. Circulation 71:829–833,1985.

    Article  PubMed  CAS  Google Scholar 

  50. Klopfenstein S, Cogswell TL, Bernath GA, Wann S, Tipton RK, Hoffman RG, Brooks H, Janzer DJ, Peterson DM: Alterations in intravascular volume affect the relation between right ventricular diastolic collapse and the hemodynamic severity of cardiac tamponade. JACC 6:1057–1063, 1985.

    PubMed  CAS  Google Scholar 

  51. Singh S, Wann S, Schuchard GH, Klopfenstein SH, Leimgruber PP, Keelan MH, Brooks H: Right ventricular and right atrial collapse with cardiac tamponade: A combined echocardiographic and hemodynamic study. Circulation 70:966–971, 1984.

    Article  PubMed  CAS  Google Scholar 

  52. Hansen AT, Eskildsen P, Gotzsche H: Pressure curves from the right atrium and right ventricle in chronic constrictive pericarditis. Circulation 3:881–888, 1951.

    PubMed  CAS  Google Scholar 

  53. Marsa R, Mehta S, Willis W, Bailey L: Constrictive pericarditis after myocardial revascularization. Report of three cases. AmJ Cardiol 44:177–183, 1979.

    Article  CAS  Google Scholar 

  54. Schrire V, Gotsman MS, Beck W: Unusual diastolic murmurs in constrictive pericarditis and constrictive endocarditis. Am Heart J 76: 4–12, 1968.

    Article  PubMed  CAS  Google Scholar 

  55. McGaff GJ, Haller JA Jr, Leight L, Towery BT: Subvalvular pulmonary stenosis due to constriction of the right ventricular outflow tract by a pericardial band. AmJ Med 34:142–146, 1963.

    Article  Google Scholar 

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Authors
  1. Ralph Shabetai
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Editor information

Editors and Affiliations

  1. Tufts University School of Medicine, 750 Washington Street, 02111, Boston, MA, USA

    Marvin A. Konstam M.D. (Associate Professor of Medicine and Radiology, Director) & Jeffrey M. Isner M.D. (Associate Professor of Medicine and Pathology, Associate Director) (Associate Professor of Medicine and Radiology, Director) &  (Associate Professor of Medicine and Pathology, Associate Director)

  2. Adult Cardiac Catheterization and Cardiac Nuclear Medicine Laboratories, New England Medical Center, 750 Washington Street, 02111, Boston, MA, USA

    Marvin A. Konstam M.D. (Associate Professor of Medicine and Radiology, Director) (Associate Professor of Medicine and Radiology, Director)

  3. Adult Cardiac Catheterization Laboratory, New England Medical Center Hospitals, 750 Washington Street, 02111, Boston, MA, USA

    Jeffrey M. Isner M.D. (Associate Professor of Medicine and Pathology, Associate Director) (Associate Professor of Medicine and Pathology, Associate Director)

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© 1988 Kluwer Academic Publishers

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Shabetai, R. (1988). Pericardial Influences on the Right Heart. In: Konstam, M.A., Isner, J.M. (eds) The Right Ventricle. Developments in Cardiovascular Medicine, vol 83. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-1773-9_4

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  • DOI: https://doi.org/10.1007/978-1-4613-1773-9_4

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4612-8994-4

  • Online ISBN: 978-1-4613-1773-9

  • eBook Packages: Springer Book Archive

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