de Oliveira J A
Department of Pathology, School of Medicine of Ribeirão Preto, University of São Paulo, Brazil.
Int J Cardiol. 1997 Oct 31;62(1):23-9. doi: 10.1016/s0167-5273(97)00129-0.
This prospective study of 120 autopsy collected human hearts correlates the "Right Ventricle/Left Ventricle" free walls mass ratio and the ventricular mass fraction supplied by the right coronary ("Right Coronary/Ventricular Weight"). Different coloured gel injected through both coronary artery's capillary beds allowed ventricular myocardium separation to obtain the weights. In hearts without hypertrophy, mean +/- standard deviation of the "Right Ventricle/Left Ventricle" mass ratio was 0.54 +/- 0.09 for males and 0.62 +/- 0.23 for females; "Right Coronary/Ventricular Weight" mass ratios were 0.39 +/- 0.08 and 0.39 +/- 0.04, respectively. Mean +/- standard deviation of the "Right Ventricle/Left Ventricle" and "Right Coronary/Ventricular Weight" ratios were 0.37 +/- 0.05 and 0.36 +/- 0.10, respectively in hearts with "Left Ventricle Hypertrophy"; 0.56 +/- 0.07 and 0.38 +/- 0.11 in hearts "Without Hypertrophy"; 0.54 +/- 0.08 and 0.39 +/- 0.08 in hearts with "Biventricular Hypertrophy"; 0.89 +/- 0.16 and 0.49 +/- 0.06 in hearts with "Right Ventricle Hypertrophy". Means and variances are narrower for the "Right Coronary/Ventricular Weight" than that observed for the "Right Ventricle/Left Ventricle" mass ratio. It is due to the special double coronary arrangement in which every artery irrigates both ventricles. These results suggest that the usual pattern of the human coronary arteries' anatomy acts as a buffer for the ventricular mass distribution to be irrigated by both arteries in hypertrophy.
这项对120例尸检采集的人体心脏进行的前瞻性研究,将“右心室/左心室”游离壁质量比与右冠状动脉供应的心室质量分数(“右冠状动脉/心室重量”)进行了关联。通过两条冠状动脉的毛细血管床注入不同颜色的凝胶,以分离心室心肌从而获得重量。在无肥厚的心脏中,男性“右心室/左心室”质量比的均值±标准差为0.54±0.09,女性为0.62±0.23;“右冠状动脉/心室重量”质量比分别为0.39±0.08和0.39±0.04。在“左心室肥厚”的心脏中,“右心室/左心室”和“右冠状动脉/心室重量”比值的均值±标准差分别为0.37±0.05和0.36±0.10;“无肥厚”的心脏中为0.56±0.07和0.38±0.11;“双心室肥厚”的心脏中为0.54±0.08和0.39±0.08;“右心室肥厚”的心脏中为0.89±0.16和0.49±0.06。“右冠状动脉/心室重量”的均值和方差比“右心室/左心室”质量比的更窄。这是由于特殊的双冠状动脉排列,即每条动脉都为两个心室供血。这些结果表明,人类冠状动脉解剖的通常模式在肥厚时可作为一种缓冲,使两个动脉供血的心室质量分布得以平衡。