Abstract
Dr. Eldon Smith has just pointed out that the interventricular septum is a compliant membrane during diastole. Although stiffer during systole, the shape and position of the septum is also determined by the instantaneous transseptal pressure gradient. I’ll try to show that contractions of septal muscle fibers influence cardiac pump-function depending on the end-diastolic position of the septum and illustrate this by presenting examples from selective right- and left ventricular volume loading. The experiments I’ll refer to were performed at the Institute for Experimental Medical Research, University of Oslo, Norway. The results have been published by Dr. Molaug and co-workers. We used mongrel dogs, anesthetized with sodium pentobarbital. The chest was opened and segment lengths were recorded in the right and left ventricular free walls and the interventricular septum. Pairs of piezoelectric crystals were sewn into midwall positions, and segment lengths were recorded by an ultrasonic technique.
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References
Molaug, M., Geiran, O. and Kiil, F.: Compensatory cardiac mechanisms evoked by septal ischemia in dogs. Am. J. Cardiol. 51: 201–206,1983.
Molaug, M., Stokland, O., Ilebekk, A., Lekven, J. and Kiil, F.: Myocardial function of the interventricular septum. Effects of right and left ventricular pressure loading before and after pericardiotomy in dogs. Circ. Res. 49: 52–61,1981.
Molaug, M., Geiran, O., Stokland, O., Thorvaldson, J. and Ilebekk, A.: Dynamics of the interventricular septum and free ventricular walls during blood volume expansion and selective right ventricular volume loading in dogs. Acta. Physiol. Scand. 116: 245–256,1982.
Molaug, M., Geiran, O. and Kiil, F.: Dynamics of the interventricular septum and free ventricular walls during selective left ventricular volume loading in dogs. Acta. Physiol. Scand. 119: 81–91,1983.
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© 1987 Martinus Nijhoff Publishers, Dordrecht
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Ilebekk, A. (1987). Mechanics of the interventricular septum. In: Ter Keurs, H.E.D.J., Tyberg, J.V. (eds) Mechanics of the Circulation. Developments in Cardiovascular Medicine, vol 69. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-3311-8_16
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DOI: https://doi.org/10.1007/978-94-009-3311-8_16
Publisher Name: Springer, Dordrecht
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