Cardiovascular Embryology 1 Flashcards

1
Q

Outline the development of the primordial heart tube

A

3rd-4th week

Lateral plate splanchnic mesoderm forms cardiovascular system

Angioblastic cords canalise and coalesce into heart tubes

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2
Q

What type of cells collect into islands and where do they move?

A

Angioblastic cells form islands and move towards the midline

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3
Q

Why does the primordial heart form so early?

A

Embryo needs transportation of nutrients as it gets bigger

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4
Q

Describe the formation of the pericardium

A

Derived from intra-embryonic coelom

Parietal and fibrous - somatic mesoderm

Visceral formed from splanchnic mesoderm

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5
Q

How is the primordial heart orientated dorsal to the pericardial cavity?

A

Cranial folding of embryo

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6
Q

Describe the regions of the primordial heart tube?

A
Truncus arteriosus 
Bulbs cordis 
Ventricle 
Atrium 
Sinus venosus
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7
Q

What is the growth rate of the bulbus cordis and ventricle?

A

Faster than the rest - forming U-shaped tube called the bulboventricular loop

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8
Q

When does atrial and ventricular separation occur?

A

27th to 37th day

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9
Q

Separation includes two actively growing masses - what are they?

A

Endocardial cushion and septum formation

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10
Q

What does the endocardial cushion separate?

A

Let and right atrioventricular openings

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11
Q

Describe the process of atrial septation

A

Septum primum forms across foramen primum -then septum secundum develops across foramen secumdum

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12
Q

Where does the septum secundum form with respect to the septum primum

A

On the right

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13
Q

Describe ventricular septation

A

Muscular septum forms
Leaves IV foramen
Membranous septum closes IV foramen

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14
Q

Outline the partition of bulbus cordis and truncus arteriosus

A

Proliferation of mesenchymal cells at 5th week septates the tube - blood flow causing helication and ultimately divides into pulmonary trunk and aorta

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15
Q

What is the pathophysiology behind SIDS?

A

Abnormalities of conducting tissue in heart

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16
Q

What three main pathologies arise from incorrect development of the heart?

A

Dextrocardia - heart tube loops to left

Transposition of great vessels - causes infantile cyanotic disease associated with ASD and VSD

Tetralogy of Fallot

17
Q

What is the tetralogy of Fallot?

A
  • Pulmonary stenosis
  • VSD
  • Dextroposition of aorta
  • RVH
18
Q

What are the potential causes of the TOF?

A
  • Failure of aorticopulmonary septum to take spiral course

- Defective migration of neural crest cells