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Published on: February 17, 2023
Morphogenetic aspects of the septomarginal trabecula in the human heart
Adam Kosiński1, Dariusz Kozłowski, Janusz Nowiński
1Department of Clinical Anatomy, Medical University of Gdansk, Poland.
Insights
The septomarginal trabecula, a key heart structure, was studied in 220 human hearts. Researchers identified four distinct types, with Type III being the most common, offering insights into cardiac development.
Area of Science:
- Cardiovascular Anatomy
- Human Embryology
Background:
- The septomarginal trabecula connects the interventricular septum to the right ventricle's anterior wall.
- Its precise structure and functional significance in cardiac hemodynamics and electrical conduction remain subjects of ongoing research.
Purpose of the Study:
- To conduct a detailed anatomical and topographical study of the septomarginal trabecula.
- To investigate its relationship with the anterior papillary muscle.
Main Methods:
- Examination of 220 human hearts.
- Detailed analysis of the structure and topography of the septomarginal trabecula.
- Assessment of its relationship with the anterior papillary muscle.
Main Results:
- The septomarginal trabecula was present in all hearts studied, exhibiting significant morphological diversity.
- Four distinct types (I-IV) were classified based on their course and relationship with the anterior papillary muscle.
- Type III, an undivided trabecula closely associated with the anterior papillary muscle, was the most frequently observed type.
Conclusions:
- The study proposes a hypothesis regarding the developmental origins (genesis) of the septomarginal trabecula.
- A potential sequence of evolutionary changes during human ontogenesis and primate phylogenesis is suggested.
Introduction:
The septomarginal trabecula is a constant element of the anatomy of the human heart, which connects the interventricular septum and the anterior wall of the right ventricle. Considering the diversity of opinions about the structure and numerous studies suggesting its important role in haemodynamics and conduction of electrical impulses in the heart, we decided to study this element in detail.
Material And Methods:
The research was conducted on 220 human hearts. Attention was mainly paid to the structure and topography of the trabecula. Its relation to the anterior papillary muscle was also a part of the study.
Results:
The presence of this morphologically diverse element was confirmed in each of the studied hearts. In most cases the trabecula originated from the upper part of the interventricular septum, separating at an angle increasing proportionally to the number of branches of the crista supraventricularis as well as the number of secondary trabeculae. The criteria established for the study, which included the course of the trabecula in the lumen of the right ventricle and its relation to the anterior papillary muscle, let us distinguish 4 types of septomarginal trabecula (I, II, III, IV). The most common was type III, the undivided trabecula, tightly connecting with the anterior papillary muscle.
Conclusions:
Based on the results of the following study we propose a hypothesis on the genesis of respective parts of the septomarginal trabecula and a plausible sequence of changes they undergo during human ontogenesis and phylogenesis of the primates.
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