Development of the Great Vessels Flashcards

1
Q

what helps with vessel repair?

A

angiogenesis

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2
Q

what do aortic arches arise from

A

aortic sac (appear cranial->caudal), not simultaneously

  • terminate in the R and L dorsal aorta
  • begin appearing around week 4
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3
Q

arch I derivatives

A

maxillary a

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4
Q

arch II derivatives

A

stapedial a (middle ear)

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5
Q

arch III derivatives

A

common, int, and ext carotid a

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6
Q

arch IV derivatives

A

L: part of aortic arch
R: prox portion of subclavian

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7
Q

arch VI derivatives

A

L: L pulm a and ductus arteriosus (shunts blood from pulm vasc to aortic vasc)
R: R pulm a

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8
Q

arch VII derivatives

A

L: L subclavian a
R: R distal portion of subclavian a

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9
Q

what is the L horn of aortic sac

A

prox portion of aortic a

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10
Q

when are all great vessels developed and assembled by

A

week 8

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11
Q

path of R and L recurrent laryngeal nn

A

R: loops under R subclavian
L: loops under arch of aorta

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12
Q

what do most somatic aa of trunk develop from

A

intersegmental aa from dorsal aa

  • develop 1. intercostal aa
    2. lumbar aa
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13
Q

vitelline a

A
  • initially are number if paired vessels supplying the yolk sac and initiate there
  • develop 1. cilia a (tr) 2. superior mesenteric a
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14
Q

umbilical a

A
  • initially paired ventral brs off dorsal aorta, course to placenta from embryo
  • develops 1. inf mesenteric a 2. forms secondary connection with dorsal aorta->common iliac a
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15
Q

coronary aa

A

derived from epicardium

-connection to aorta is formed by ingrowth of arterial endothelial cells

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16
Q

embryonic venous system

A

3 pairs of major vv

  1. vitelline vv: drains GI tract and gut derivatives
  2. umbilical vv: oxygenated blood from placenta to embryo
  3. cardinal vv: draining head, neck, and body wall
17
Q

vitelline vv

A
  • forms plexus around duodenum and pass thru septum transversum before entering sinus venosus
  • liver chords growing into septum interrupt the course and form hepatic sinusoids
  • network around duodenum wall form a single vessle->hepatic portal v
18
Q

what happens when the L sinus horn reduces

A
  1. rechannels blood from L side of liver to R
  2. R vitelline duct enlarges (forms part of IVC, sup mesenteric v)
  3. R-L anastamoses remodel to drain into portal v as splenic v and inf mesenteric v
19
Q

umbilical vv

A

-R will regress and obliterate
L witll lose connection to sinus horn and form ductus venosus (bypass sinusoidal plexus of the liver, drain blood directly into the IVC)

20
Q

cardinal vv

A
  • drains embryo “proper”

- consists of ant (drains cephalic pt), post (drains rest of embryo), and common cardinal vv

21
Q

what supplements and then replaces post cardinal vv

A

sub/supracardinal vv

22
Q

what does caudal remnant of post cardinal vv develop into

A

common iliac v and sacral portion of IVC

23
Q

ant cardinal vv

A
  • cranial portions give rise to IJVs
  • capillary plexus in face rise to EJVs
  • forms brachiocephalic vv
  • sup vena cava formed by R common cardinal and prox portion of R ant cardinal
24
Q

abdominal portion of supracardinal vv

A
  • inf portion of L obliterates

- R and subcardinal anastamose to form a segment of IJV

25
Q

thoracic portion of supracardinal vv

A

L thor supracardinal = hemiazygos v

-remaining portion of inf R supracard drains to heart (azygos v)

26
Q

subcardinal vv

A
  • forms renal vv and gonadal vv
  • longitudinal segments of L regress after forming anastamoses
  • R forms portion of renal segment of IVC
27
Q

6 primary lymphatic sacs

A

2 jugular
2 iliac
1 retroperitoneal
1 cisterna chyli

28
Q

development of lymphatic system

A
  • vessels will connect to the sac and pass along main vv
  • R and L thoracic ducts initially connect the jugular sacs with cisterna chyli
  • thoracic duct = caudal R lymphatic duct and anastamosis of R and L cranial thor ducts
  • R lymphatic duct = cranial portion of the R thor duct