Embryology Flashcards
When does the Vascular system start to form?
In the middle of the Third Week
Where do Progenitor Heart cells lie?
EPIBLAST- immediately adjacent to the cranial end of the primitive streak.
What structures derive from the Primary Heart Field(PMF)?
The atria
Left ventricle
Most of the right ventricle
What structure derives from Secondary Heart Fields(SHF)?
Part of the right ventricle
Outflow tract (conus cordis and truncus arteriosus)
When is the Primary Heart Field formed?
Days 16-18
When is the Secondary Heart Field formed?
Days 20-21
What is the master gene of left-sidedness?
PITX2
What substance results in the expression of PITX2?
Serotonin ( 5HT)
What is the laterality pathway ?
This pathway specifies the left side of the body and also programs heart cells in the primary and SHFs
Where is the laterality pathway expressed?
The pathway is expressed in lateral plate mesoderm on the left side.
Where does the Secondary Heart Field reside?
The splanchnic mesoderm posterior to the pharynx
What heart defects can arise as a result of a disruption in the laterality pathway?
*Dextrocardia (right -sided heart)
*Ventricular Septal Defects(VSD’s)
*Atrial Septal Defects ( ASD’s)
*Double outlet right ventricle ( DORV- both aorta and pulmonary artery exit via the left ventricle)
*Outflow tract defects
What substance is the cardiac - jelly rich in?
Hyaluronic acid
What is the function of the Cardiac Jelly?
It separates the myocardium from the endocardium
Which layer of the heart is responsible for the formation of the coronary arteries , including their endothelial lining & smooth muscle?
The Epicardium or Visceral pericardium
What is the lengthening process?
This lengthening process is essential for normal formation of part of the right ventricle and the outflow tract region and for the looping process.
What issues can develop as a defect in the lengthening process?
DORV (both the aorta and pulmonary artery arise from the right ventricle)
VSD’s
Tetralogy of Fallot
Pulmonary atresia
Pulmonary stenosis