Right ventricle

Dr Daniel J Bell and Dr Craig Hacking et al.

The right ventricle (RV) is the most anterior of the four heart chambers. It receives deoxygenated blood from the right atrium (RA) and pumps it into the pulmonary circulation. During diastole, blood enters the right ventricle through the atrioventricular orifice through an open tricuspid valve (TV). During systole, blood is ejected through the open pulmonary valve (PV) into the pulmonary trunk.

The right ventricle projects to the left of the right atrium and when viewed in the cardiac short axis plane, is semilunar in shape wrapping around the anterolateral aspect of the left ventricle (LV). It has thinner walls than the left ventricle due to lower right sided pressures compared to the left ventricle. It forms almost all of the anterior and inferior borders of the heart. It is separated from the left ventricle by the interventricular (IV) septum, which is concave in shape (i.e. bulges into the right ventricle). It has three walls named anterior, inferior, and septal.

The interior ventricular surface has irregular muscular ridges known as trabeculae carneae. A prominent trabecula, the supraventricular crest, separates the trabeculated inferior ventricle from the smooth wall of the right ventricular outflow tract. It acts to redirect blood approximately 140° from the inflow tract to the outflow tract.

The inflow part of the ventricle receives blood from the right atrium via the tricuspid valve. The fibrous ring surrounding the valve forms part of the fibrous skeleton of the heart. Superiorly the chamber tapers as the funnel-shaped outflow tract, known as the conus arteriosus (or infundibulum), which lack trabeculae and continues beyond the pulmonary valve as the pulmonary trunk.

There are three papillary muscles that attach to the leaflets of the tricuspid valve:

  • anterior (largest), with chordae tendineae which attach to the anterior and posterior cusps of the tricuspid valve
  • posterior (smallest), with chordae tendineae which attach to the posterior and septal cusps of the tricuspid valve
  • septal, with chordae tendineae which attach to the anterior and septal cusps of the tricuspid valve

Arising from the apical aspect of the IV septum, the septomarginal trabecula (or moderator band) extends to the anterior papillary muscle and contains the right branch of the atrioventricular (AV) bundle.

On contrast-enhanced chest CT and cardiac MRI, the right ventricle when measured on axial slices can be considered enlarged when the transverse diameter is ≥60 mm (male) and ≥57 mm (female) 4.

On transthoracic echocardiography the right ventricle can be considered enlarged when 5:

  • the basal diameter exceeds 42 mm
  • the mid-cavity diameter exceeds 35 mm
  • the longitudinal diameter exceeds 86 mm
  • the proximal outflow tract diameter exceeds 35 mm
  • the distal outflow tract diameter exceeds 27 mm

Anatomy: Thoracic
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Article information

rID: 50134
System: Cardiac, Chest
Section: Anatomy
Tag: heart
Synonyms or Alternate Spellings:
  • Right ventricles
  • Right ventricle (RV)

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Cases and figures

  • Figure 1: sectional cardiac anatomy
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  • Figure 2: cardiac anatomy
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