Fibrous rings of heart

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]


The right and left fibrous rings of heart (anulus fibrosus cordis) surround the atrioventricular and arterial orifices, and are stronger upon the left than on the right side of the heart. The right fibrous ring is known as the anulus fibrosus dexter cordis, and the left is known as the anulus fibrosus sinister cordis.

The atrioventricular rings serve for the attachment of the muscular fibers of the atria and ventricles, and for the attachment of the bicuspid and tricuspid valves.

The left atrioventricular ring is closely connected, by its right margin, with the aortic arterial ring; between these and the right atrioventricular ring is a triangular mass of fibrous tissue, the trigonum fibrosum, which represents the os cordis seen in the heart of some of the larger animals, as the ox and elephant.

Lastly, there is the tendinous band, already referred to, the posterior surface of the conus arteriosus.

The fibrous rings surrounding the arterial orifices serve for the attachment of the great vessels and semilunar valves.

Each ring receives, by its ventricular margin, the attachment of some of the muscular fibers of the ventricles; its opposite margin presents three deep semicircular notches, to which the middle coat of the artery is firmly fixed.

The attachment of the artery to its fibrous ring is strengthened by the external coat and serous membrane externally, and by the endocardium internally.

From the margins of the semicircular notches the fibrous structure of the ring is continued into the segments of the valves.

The middle coat of the artery in this situation is thin, and the vessel is dilated to form the sinuses of the aorta and pulmonary artery.

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