Assessment of the Right Ventricle

  • Denisa MuraruEmail author
  • Monica Luiza de Alcantara
  • Elena Surkova
  • Basma Elnagar


Right ventricular (RV) size and function have been found to be important predictors of cardiovascular morbidity and mortality in patients with various clinical conditions. However, assessment of the RV using conventional two-dimensional echocardiography is a challenging task due to the complex anatomy and the location of the RV in the chest. Although cardiac magnetic resonance is considered a “gold standard” for RV assessment, the development of three-dimensional echocardiography (3DE) opened new exciting opportunities in RV imaging. 3DE has proven accurate in measuring RV volumes and ejection fraction when compared with cardiac magnetic resonance. During the last decade, the added prognostic value of using 3DE to assess RV geometry and function over conventional two-dimensional and Doppler echocardiography has been increasingly reported.


Right ventricular volume Right ventricular ejection fraction Right ventricular shape Three-dimensional echocardiography Reference values Normal values 

Supplementary material

Video 17.1

Multislice (12-slice) display of transthoracic 3DE data set of the right ventricle. LV left ventricle, RV right ventricle, RVOT right ventricular outflow tract (AVI 14842 kb)

Video 17.2

Triplane display of the right ventricle (AVI 8325 kb)

Video 17.3a

Longitudinal cut plane of a volume-rendered transthoracic data set of the right ventricle to appreciate its anatomy and complex geometry (AVI 9582 kb)

Video 17.3b

Transversalcut plane of a volume-rendered transthoracic data set of the right ventricle to appreciate its anatomy and complex geometry. AW right ventricular anterior wall, IW right ventricular inferior wall, LV left ventricle, RV right ventricle, RVOT right ventricular outflow tract, TV tricuspid valve (AVI 11485 kb)

Video 17.4

Longitudinal cropping of the 3DE right ventricular data set allows to assess the detailed anatomy of the right ventricular cavity and its three components: (1) Inlet; (2) apical trabecular; and (3) outlet. Ao aorta, IVSm membranous interventricular septum, MB moderator band, PV pulmonary valve, RA right atrium, TV tricuspid valve (AVI 600 kb)


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Denisa Muraru
    • 1
    Email author
  • Monica Luiza de Alcantara
    • 2
  • Elena Surkova
    • 3
  • Basma Elnagar
    • 4
    • 5
  1. 1.University of Milano-Bicocca, and Istituto Auxologico Italiano, IRCCS, San Luca HospitalMilanoItaly
  2. 2.Department of EchocardiographyEcocardiografia Americas Medical City, Hospital Samaritano and Cardiologia ProechoRio de JaneiroBrazil
  3. 3.Department of Echocardiography, Cardiac DivisionRoyal Brompton Hospital, Royal Brompton and Harefield NHS Foundation TrustLondonUK
  4. 4.Tanta Faculty of MedicineTanta UniversityTantaEgypt
  5. 5.Department of CardiologyTanta University HospitalTantaEgypt

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