Cardiovascular System Flashcards
What is derived from the splanchnic mesoderm
Primordium of heart
What is derived from the paraxial and later mesoderm
Internal ears
What develops from the neural crest cells
Region between the optic vesicles and the caudal limits of teh third pair of somites
Development of the intraembryonic coelom
Spaces appear in the later mesoderm and coalesce to form the intraembryonic coelom
What does the intraembryonic coelom divide
Divides the intraembryonic mesoderm into somatic and splanchnic layers
Vasculogenesis
Formation of new vascular channels by assembly of individual cell precursors called angioblasts
Angiogenesis
Formation of new vessels by budding and branching from preexisting vessels
Primary cardiogenic field
Atrium, left ventricle, portion of right ventricle
Secondary cardiogenic field
Rest of rig t ventricle, bulbous cordis, truncus arteriosus
What do blood islands differentiate
Differentiate mesodermal cells under fgf, form blood vessels via. Vasculogenesis
Vitelline veins
Return poorly oxygenated blood from the umbilical vesicle via the omphaloenteric duct. Veins enter the sinus venosus, left side degenerates while the right side forms the hepatic portal system
Umbilical veins
Carry well oxygenated blood from the chorion to the sinus venosus, right side and cranial part of the left uv between the liver and sinus venosus degenerates. Caudal part of the left uv becomes the umbilical vein, which carries all the blood from the placenta to the embryo
Cardinal veins
Main venous drainage system of the embryo, anterior drains the cranial embryo, posterior drains the caudal embryo. Both join the common cardinal veins which enter the sinus venous.Return poorly oxygenated blood from the embryo, left (posterior) side degenerates, right (anterior) side becomes the brachiocephalic vein
Left right left
Vitelline, umbilical, common cardinal
Sinus venosus
Veinous end of the heart
What does the right vitelline vein become
Hepatic portal system
Ductus venosus
Large venous shunt, develops within the liver and connects the umbilical vein with the inferior vena cava
What forms the left brachiocephalic vein
In week 8 the anterior cardinal veins become connected by and anastomosis which shunts blood from the left to the right when the caudal av degenerates
Ivc
Inferior vena cava
When does the ivc form
Forms during a series of changes on the primordial veins of the trunk that occur as blood, returning from the caudal embryo, is shifted from left to right
Hepatic segment
Segment of the ivc , derived from the hepatic vein and hepatic sinusoids
Prerenal segment
Segment of the ivc, Derived from the right sub cardinal vein
Renal segment
Segment of the ivc, derived from the sub cardinal-supracardinal vein
Post rental segment
Segment of the ivc, derived from the right supracardinal vein
When do the pharyngeal arch arteries form
Week 4/5
Pharyngeal arch arteries
Supply blood to the pharyngeal arches, arise from the aortic sac and terminate in the dorsal aorta
Dorsal aorta
Initially run the entire embryo length, caudal portions fuse to form a single lower thoracic/abdominal aorta. Right regresses, left becomes primordial aorta
What forms the primordial aorta
Left dorsal aorta
Intersegmental arteries
Branches of the dorsal aorta, roughly 30 ia’s pass between and carry blood to the somites and their derivatives, for, the vertebral artery in the neck, for, the intercostal arteries in the thorax
What forms the vertebral artery
Intersegmental arteries in the neck join
What forms the intercostal arteries
Intersegmental arteries in the thorax
What do the abdominal inter segmental arteries becomes
Lumber arteries, the 5th pair of lumbar ias re aims as the common iliac arteries
What forms the common iliac arteries
The 5th Lauren of lumbar intersegmental arteries
What forms the sacral arteries
Sacral region of the intersegmental arteries
Fate of the vitelline arteries
Pass to the vesicle and later the primordial gut, which forms the incorporated part of the umbilical vesicle
What vitelline arteries persist
Celiac arterial trunk, superior mesenteric artery, inferior mesenteric artery
What brings blood to the foregut
Celiac arterial trunk
What brings blood to midgut
Superior mesenteric artery
What brings blood to hindgut
Inferior mesenteric artery
Fate of the umbilical arteries
Proximal part becomes internal iliac arteries and superior vesicle arteries, whereas the distal part becomes medial umbilical ligament
When does heart development begin
End of week 3 with a condensation of mesoderm ventral to the intraembryonic coelom - the cardiogenic region condenses
Development of the heart tube
Starts with the condensation of the cardiogenic area, forms 2 angioblastic cords that canalize to become heart tubes. Lateral body folding causes tubes to fuse into a single heart tube.
What does the wall of the heart tube consist of
Endothelium, cardiac jelly, myocardium, epicardium
What forms the endocardium
Endothelium of the heart tube
What becomes the subendocardial CT
Cardiac jelly
What becomes the cardiac muscle
Myocardium of the heart tube
What forms the epicardium
Mesothelial cells
What are the five heart tube dilations
Truncus arteriosus, bulbous cordis, ventricle, atrium, sinus venosus
What suspends the heart from the dorsal wall
Dorsal mesocardium
Transverse pericardial sinus
Communication between the right and left sides of the pericardial. Formed when the central part of the dorsal mesocardium degenerates
What end of the heart I fixed in position
Arterial and venous ends
Bulboventricular loop
Forms as the bulbous cordis and the ventricle grow, causing the heartube to fold upon itself
What part of the heart tube moves
Atrium and sinus venosus move dorsally and to the left
When does contraction of the year begin
Day 22
When does blood begin to circulate
Week 4
What transcription factor causes the atrium and sinus venosus to move
PTX2
How does blood return to the sinus venosus
Cardiac, umbilical, and vitelline veins
What is the order of blood flow in the heart
Sinus venosus, atrium, ventricle, bulbous cordis, truncus arteriosus, aortic sac, aortic arches, dorsal aorta
What arteries carry blood from the dorsal aorta
Intersegmental arteries, umbilical arteries, vitelline arteries
When does the partitioning of the heart begin
Week 8
When does the partitioning of the heart end
Week 8
What is the purpose of the partitioning of the heart
Stops the mixing of oxygenated and deoxygenated blood
Atrioventral canal
Separates the atrium from the ventricles and the left and right side of the heart
Formation of the av canal
Endocardial cushions form on the ventral and dorsal walls, they grow and fuse which divides the AV canal into the left and right AV canals. Following inductive signals from the myocardium, a segment of the inner endocardial cells undergoes epithelial mesenchymal transformation which then invades the extracellular matrix
EMT
Epithelial mesenchymal transformation
Factors for EMT
TGF-B1, TGF-B2, BMP-2A, BMP-4, the zinc finger slug and activin-receptor-like kinase (ChALK2)
Artrial septal defects
Result from excessive resorption of the septum primmer and defective development of the septum secendum
Ventricular septal defects
Most common, results in a patent interventricular foremen
Transposition of the great arteries
Results when the aorticopulmonary septum doesnt spiral and the origin of great arteries is reversed
Umbilical vein derivative
Ligamentum teres
Ductus venosus derivative
Ligamentum venosus
Umbilical arteries derivatives
Medial umbilical ligaments andvesicular arteries
Foramen ovals derivative
Fossa oval is
Ductus arteriosus derivative
Ligamentum arteriosum
What marks the division of the primitive atrium
formation of the septa primum and septum secendum
Foramen ovale
opening between the bottom of the septum primum and the endocardial cushions
when does the foramen primum disappear
when the septum primum fuses with the endocardial cushions
What divides the primitive ventricle
muscular rige grows upwards from the floor of the ventricle to form the interventricular septum
When does the IV septum completely form
week 7
What does the fusion of the IV foramen result from
fusion of tissues from 3 sources, right bulbar ridge, left bulbar ridge, endocardial cushion
What occurs after the closure of the IV foramen
Pulmonary trunk is in communication with the right ventricle and the aorta communicates with the left ventricle
Changes to the sinus venosus (left to right)
right horn increases and left horn decreases, orifice moves to the right and opens into the right atrium, right horn of sinus venosus is incorporated into the wall of the right atrium, left horn of sinus venosus becomes the coronary sinus
Primordial pulmonary vein
incorporates into the wall of the left atrium as it expands, forming four pulmonary veins as a result
Aorticopulmonary septum
forms as a result of the fusion of the muscular bulbar and truncal ridges, spiral partition that divides the bulbus cordus and truncus arteriosus into the pulmonary trunk and the aorta
Bulbar and truncal ridges
Derived from neural crest mesenchyme, neural crest cells migrate through the primordial pharynx and pharyngael arches to reach the ridges.
fate of bulbus cordis
incorporated into the walls of the definitive ventricles, becomes the conus arteriosus in the right ventricle and the walls of the aortic vestibule in the left ventricle
Conus arteriosus
Infundibulum, gives rise to the pulmonary trunk in the right ventricle
Aortic Vestibule
Part of the ventricular cavity just inferior to the aortic valve
Atrial Septal Defects
among the most common congenital heart defects, result from excessive resorption of the septum primum or development of the septum secendum, can result in patent foramen ovale or patent foramen primum
Ventricular septal defects
Most common congenital heart defects, usually involve membranous part of the septum, results in a patent interventricular foramen
Transposition of the Great Arteries
results when aorticopulmonary septum doesn’t spiral and origin of great arteries is reversed
Why is prenatal circulaton dfferent
lungs are nonfunctional, placenta serves in gas exchange
Umbilical vein derivative
ligamentum teres
ductus venous derivative
ligamentum venosum
umbilical arteries derivative
medal umbilical ligaments and vescular arteries
Formen ovale derivative
fossa ovalis
Ductus arteriosus derivative
arteriosum
Patent ductus arteriosus
occurs commonly in premature babies
patent foramen ovale
results in blood flowing from LA into RA, and decreases cardiac output
Breached fetus
improperly positioned upon birth
Biggest issues in preterm babies
immature lungs, underdeveloped immune system,
Nitric Oxide
Vesodilator