Exam 2 - Lecture 29 (Cardio & Urinary Systems) Flashcards
What is the purpose of atrial partitioning?
To initially allow blood flow in utero from R –> L, but eventually shut that flow off postnatally.
How many septa and foramina form during atrial partitioning?
2 septa
3 foramina
What develops first in atrial partitioning?
septum 1
What is the opening between septum 1 and the endocardial cushion?
foramen 1
What are the 6 steps in atrial partitioning?
- Septum 1 forms on dorsal side w/foramen 1 between it and the endocardial cushion
- Septum 1 grows ventrally to meet the endocardial cushion
- FORAMEN 1 IS OBLITERATED!!!
- Foramen 2 forms as a result of apoptosis to keep flow of atrial blood from R –> L
- Septum 2 forms and grows ventrally
- Foramen ovale forms within septum 2
After atrial partitioning, what is the flow of blood from R atrium to L atrium?
R atrium –> oval foramen –> between septums 1 and 2 –> foramen 2 –> L atrium
What 2 things are formed during outflow separation?
- Aorta
2. Pulmonary trunk
From where are the aorta and pulmonary trunk derived?
Trucus arteriosus and small part of bulbus cordis
What divides the outflow of blood during outflow separation?
Spiral septum
What are the 2 steps of outflow partitioning?
- Cushions on periphery of truncus arteriosus grow together and fuse (@ different locations)
- Spiral septum forms to divide outflow
Why do the aorta and pulmonary trunk wind around each other?
Because of spiral septum formation
What is the division between the L and R ventricles during partitioning?
interventricular septum
What is the space between the IV septum and the endocardial cushion during partitioning?
interventricular foramen
What 3 things must happen during ventricular partitioning?
- IV septum projects dorsally
- Endocardial cushion grows ventrally
- Spiral septum projects to close IV foramen
What are the 4 examples of heart malformations discussed in lecture?
- Ectopic cordis
- Dextrocardia (situs inversus)
- Valvular defects (stenosis, insufficiency, dysplasia)
- Partitioning
What is ectopic cordis?
Heart is in an abnormal location
What is dextrocardia?
Situs inversus; adult heart is a mirror image of normal
What is valvular stenosis?
Narrowing across the heart valve