What Does the Right Side of the Heart Do?

The heart operates as the central engine of the circulatory system, functioning effectively as two separate pumps working in precise coordination, separated by a dividing wall called the septum. This design allows for the efficient management of two distinct circulatory paths. The left side of the heart is responsible for sending oxygen-rich blood to the entire body, known as systemic circulation. Conversely, the right side of the heart manages the flow of blood to the lungs, a process termed pulmonary circulation.

The Primary Function: Initiating Pulmonary Circulation

The fundamental purpose of the right side of the heart is to accept all returning deoxygenated blood from the body and push it toward the lungs for a vital exchange of gases. The entire process begins when the two largest veins, the superior vena cava and the inferior vena cava, deliver this oxygen-poor blood directly into the heart’s first receiving chamber. The superior vena cava returns blood from the head, neck, arms, and chest, while the inferior vena cava collects blood from the abdomen, pelvic region, and lower limbs. Once collected in the initial upper chamber, the blood is then guided downward into the primary pumping chamber of the right heart, which contracts forcefully, initiating the journey to the respiratory system.

The blood is ejected from this strong, lower chamber through a major vessel that quickly branches, leading directly to the lungs. This entire low-pressure pathway constitutes the pulmonary circuit. Once the blood reaches the lungs, it passes through capillaries surrounding the air sacs, or alveoli. Here, carbon dioxide is released and oxygen is rapidly absorbed, transforming the blood from oxygen-poor to oxygen-rich. The newly oxygenated blood then returns to the left side of the heart, ready to be pumped back out to the rest of the body.

Key Chambers and Valves of the Right Heart

The right side is composed of two chambers and two valves that work together to ensure blood moves in a single, forward direction. The upper receiving chamber is the right atrium, which serves as the reservoir for all the deoxygenated blood flowing back from the systemic veins. This atrium contracts to push blood down into the muscular right ventricle, the primary pump for the pulmonary circuit. Blood flows from the atrium to the ventricle through the tricuspid valve, which acts as a one-way inlet. The tricuspid valve is named for its three flexible flaps, or cusps, that prevent backward flow into the atrium when the ventricle contracts. The blood is then propelled out of the right ventricle through the pulmonary valve and into the pulmonary artery, which closes immediately to ensure the blood does not fall back into the ventricle as it relaxes.

Pressure Differences and Deoxygenated Blood

A notable difference between the right and left sides of the heart is the muscular thickness of their respective ventricles. The right ventricle has significantly thinner walls, typically measuring about 3 to 4 millimeters. This reduced muscle mass reflects the low-pressure nature of the pulmonary circulation it serves. Since the lungs are located nearby and offer minimal resistance, less force is needed to push blood through that circuit. In contrast, the left ventricle must generate enough pressure to send blood through the entire systemic circulation, resulting in a left ventricular wall that is considerably thicker, often measuring between 6 and 11 millimeters.

Despite this difference in pumping force, both ventricles must pump the same volume of blood with every beat. The blood handled by the right heart is specifically deoxygenated blood, meaning it is low in oxygen content and high in carbon dioxide waste. This blood is often represented as blue in diagrams to distinguish it from the oxygen-rich, or red, blood circulating on the left side.