2.5 Cardiovascular embryology Flashcards
What are the 3 stages of heart formation?
- Formation of primitive heart tube.
- Cardiac looping.
- Cardiac septation.
Describe what happens in the formation of the primitive heart tube.
Two endocardial tubes form (day 19). The tubes fuse together and the heart beats (day 22).
Describe what happens in cardiac looping.
Nodes secrete nodal, this circulates to the left due to ciliary movement. Nodal causes a cascade of transcription factors that transduce looping.
Describe what happens in cardiac septation.
Endocardial cushions form. Fuse at mid-line to form atrio-ventricular septum. Muscular ridge in the floor of the primitive ventricle migrates to endocardial cushions forming interventricular septum.
What does the ecoderm (outer layer) form?
Skin, nervous system, and neural crest (which contribute to cardiac outflow and coronary arteries).
What does the mesoderm (middle layer) form?
All types of muscles, most systems, kidneys, blood, bone
What does the endoderm (inner layer) form?
gastro-intestinal tract (including liver and pancreas but not smooth muscle) and endocrine glands.
The cardiovascular system is derived from cells situated in…
The mesoderm
and some contribution from the neural crest in the ectoderm
What layer of the tri-laminar disc forms the cardiovascular system?
Mesoderm
What does the first heart field produce?
The left ventricle
What does the second heart field produce?
The right ventricle, atria and outflow tracts.
What are the 3 types of capillaries
Continuous (most common),
Fenestrated (kidneys, small intestines and endocrine glands),
discontinuous (liver sinusoids)
What is the ligamentum teres a remnant of?
The umbilical vein.
What is the ligamentum venosus a remnant of?
The ductus venosus.
Briefly describe foetal circulation.
Maternal circulation - umbilical vein (oxygenated blood) - ductus venosus - IVC - RA - LA/RV - aorta - umbilical artery (deoxygenated blood) - maternal circulation.
What does the sinus venosus form?
The coronary sinus and RA.
What does the primitive atrium form?
RA and LA.
What does the primitive ventricle form?
Forms most of LV.
What does the bulbus cordis form?
Part of the ventricles.
What does the truncus arteriosus form?
The aorta and pulmonary trunk.
What do the 1st and 2nd aortic arches form?
Minor vessels in the head.
What does the 3rd aortic arch form?
The common carotid arteries.