Embryology Flashcards
What is the first organ in the body to develop?
The heart (functions at 4th week) as the rapidly growing embryo requires more nutrition that placenta can provide
What week does the heart tube begin to form?
3rd week
How does the heart tube form?
- Angiogenic cell (blood) islands collect in the lateral plate mesoderm (splanchnic)
- Moves towards midline of the body and coalesce to form two endocardial heart tubes
- After lateral folding, fusion of the endocardial tubes to form the primitive heart tube
- Cranial folding brings the heart tube dorsal to the pericardial cavity
How does the pericardium form?
Serous pericardium (parietal layer) formed from the somatic mesoderm Serous pericardium (visceral layer) formed from the splanchnic mesoderm Pericardial cavity formed from intra-embryonic coelom
What is the pericardial cavity derived from?
Into-embryonic coelom
What occurs at 21 days?
Fused primitive heart tube divides into primitive chambers separated by grooves
What are the 5 sections to the primitive heart tube?
Truncus arteriosus Bulbis cordis Ventricle Atrium Sinus venous
What does the trunchus arterioles divide into?
Two pairs of aortic arches
Describe the structure trunchus arteriosus
Continues cranially with the aortic sac (where aortic arches arise) and terminates in the dorsal aorta and terminates in the dorsal aorta
What 3 veins drain into the horns of the sinus venosus?
Vitelline vv.
Umbilical vv.
Common cardinal vv.
Where does the vitelline vein drain blood from?
Poorly oxygenated blood from the yolk sac
Where does the umbilical vv. drain blood from?
Well oxygenated blood from the placenta
Where does the common cardinal vv. drain blood from?
Returns poorly oxygenated blood from the body of the embryo
Main venous drainage of embryo
Anterior, poster and common cardinal veins drain into the sinus venosus of heart tube
Explain the formation of the cardiac loop
Bubus cordis and ventricle grow faster than other regions from a U-shaped bulboventricular loop - the differential growth rates causes folding to the right
What is the abnormality in Dextrocardia?
Heart tube loops to the left instead of right, so it faces the right instead of the left, so apex beat is on the right
Usually occurs in situs inverses (when all organs reversed)
Describe the steps in the positioning of the primordial heart
- Endocardial cushion formation - separates R and L atrioventricular opening -> R and L AV canals
- Septum formation: separated R + L atria and ventricles
How does the partitioning or the primordial atria occur?
- Septum primum grows from the atria roof and forms Foramen Primum with end. cushion
- Part of septum primum moves down and fuses with endo. cushion between the septum - forms foramen secundum
- Septum secundum forms on the right for septum primum, and overlaps the foramen secundum as it grows towards the endo. cushion
- Foramen ovale formed
Where is the foramen secundum found?
Between septum primum
Where is the foramen ovale found?
Between septum secundum and endocushion
What happens to the foramen ovale after birth?
Close as there is increased pulmonary flow and there is a shift of pressure to the LV
Septum primum and secundum fuse
Becomes fossa ovalis
What is the role of the foramen ovale in the embryo?
Blood bypasses the lungs and moves straight from the RA to the LA as the lungs are not functioning
Prevents back flow of blood
What does the bulbis cordis become in the adult?
Aorta
What does the truncus arterioles become in the adults?
Pulmonary trunk
What does partitioning of the BC and TA occur?
5th week
What are the stages in partitioning of the BC and TA?
- Proliferation of mesenchymal cells (neural crest) in the walls of BC and TA
- Bulbar ridges and truncal ridges form
- They undergo 180 spiralling in formation of aorticopulmonary septum
This septum divides BC and TA into aorta and pulmonary trunk