Embryology 2 Flashcards
What is the dorsal mesocardium?
Double layer of splanchnic mesoderm that connects heart to posterior body wall
What is dextrocardia?
Bulboventricular loop bends to the L. instead of the R.
When does the atrioventricular canal form?
5th week
What are endocardial cushions from and what do they form?
Mesoderm, atrioventricular canal
What causes the endocardial cushions to grow together and what is the growth dependent on?
Neural crest cells
Retinoic Acid
What forms the membranous portion of the interventricular septum?
endocardial cushions (mesoderm) and R./L. bulbar ridges (neural crest)
Besides separating the R. and L. ventricles, what else does the interventricular septum separate?
L. ventricle from R. atrium
What two things cause a patent ductus arteriosus, is it cyanotic/acyanotic, and how is it treated?
Cause = low O2, high PGE2
Acyanotic
Tx = COX2 inhibitor (NSAIDS)
What is the most common atrial septal defect, is it cyanotic/acyanotic, and what are 2 MOA’s?
Ostium secundum
Acyanotic
MOA’s = increased apoptosis, decreased development of septum secundum
What is the MOA of a ventricular septal defect and is it cyanotic/acyanotic?
Membranous portion doesn’t fuse (failed neural crest)
Acyanotic
What is the cause of an atrioventricular septal defect and in what population is it commonly seen?
Endocardial cushions didn’t fuse
Downs Syndrome
What are the characteristics of a complete ASD?
Cyanotic, primum ASD and VSD
What are the characteristics of a partial ASD?
Acyanotic, primum ASD
What causes a “corrected” transposition of the great vessels and is it cyanotic/acyanotic?
Neural crest didn’t spiral and bulboventricular fold fell to left
Acyanotic
What causes transposition of the great vessels and is it cyanotic/acyanotic?
Neural crest didn’t spiral
Cyanotic