Development of heart and great vessels Flashcards
Where do the blood islands lie?
In mesoderm
on both sides
What are the blood islands surrounded by?
Cavity
What do the blood islands initially form?
Endocardial tubes
What do the blood islands eventually form?
Blood cells
Small vessels
Heart
What does the cavity form?
The pericardium
What happens to the endocardial tubes?
They meet each other in the midline
fuse together
to form the primitive heart tube
by lateral folding of the embryo
What are the zones of the primitive heart tube?
Sinus venosus Atrium Ventricle Bulbous cordis Truncus arteriosus Aortic roots
What is the direction of blood flow in the primitive heart tube?
From the sinus venosus to the aortic roots
What happens to the primitive heart tube after it has formed?
Undergoes cardiac looping
Why does cardiac looping occur?
Primitive heart tube is growing within pericardial sac
not enough space for it to keep growing vertically
folds up to maximise its use of space in the pericardial sac
How does cardiac looping occur?
Sinus venosus and atrium move superior and posteriorly
Ventricle, bulbous cordis, truncus arteriosus, aortic roots all move anteriorly and inferiorly
What has cardiac looping done to the position of the atrium, ventricle, inflow and outflow vessels?
Placed them at correct orientation to each other
What happens to the primitive heart tube after cardiac looping?
Needs to be divided into four chambers, two atria and two ventricles
Inflow and outflow tracts need to be remodelled
What does the right atrium develop from?
Most of the primitive atrium
Small part of sinus venosus
What does the left atrium develop from?
Small part of primitive atrium
Mostly from proximal part of primitive pulmonary veins
What is the texture of the right atrium? And the left atrium?
Rough and trabeculated
Left atrium is smooth
Why is the left atrium smooth compared to the right atrium?
Because the left atrium has developed mostly from blood vessels
which have smooth walls
What forms the endocardial cushions? Where do they come from?
Neural crest cells
Migrate into the heart from elsewhere
Where are the endocardial cushions located in the heart?
Base of atrium
in middle
What is the function of the endocardial cushions?
To act as scaffold
used to form the septum
How does the septum primum form?
Grows downwards from roof of atrium to endocardial cushion
What shape is the septum primum?
Crescent shaped - contains opening
What is the name of the opening in the septum primum?
The ostium primum
What happens to the ostium primum?
The septum primum continuing to grow downwards
closing up the ostium primum
What happens before the ostium primum is closed?
Upper septum primum
cells die by apoptosis
creating a second opening
What is the second opening in the septum primum called?
The ostium secundum
How does the septum secundum form?
Grows downwards from atrium to endocardial cushions
Where does the septum secundum lie relative to the septum primum?
Are adjacent to each other
What does the septum secundum contain? What is an important feature of this structure?
Contains an opening
Importantly, it does not line up with the ostium secundum
The opening in the septum secundum and the ostium secundum form what?
The foramen ovale
What keeps the foramen ovale open in the foetus?
Blood flowing through it
pushes the septum primum and septum secundum apart
What is the ventricular septum made up of? Which component forms most of the septum?
Muscle - forms most of the septum
Membrane
How does the muscular portion of the septum grow?
Muscular septum grows up from near apex of ventricle
to endocardial cushion
leaves small gap
What is the name of the small gap between the endocardial cushion and the muscular septum?
Primary interventricular foramen