Heart Development - WTF Flashcards

1
Q

Before birth, how is blood shunted?

A

From right to left atrium

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2
Q

When does heart formation begin and when does heart start beating?

A

3 weeks

4 weeks

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3
Q

Initial function of heart

A

One way pump to transport O2 blood from placenta to the embryo

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4
Q

Umbilical vein function

A

Carries blood from placenta to embryo

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5
Q

Umbilical arteries functionm

A

Carry blood from embryo to placenta

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6
Q

Cardiogenic region…where is it and what happens?

A

At the rostral end…mesodermal cells aggregate to form longitudinal cellular strands (angioblastic cords)

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7
Q

What germ layer is the majority of the heart composed from?

A

Splanchnic mesoderm

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8
Q

How is primitive heart tube formed?

A

Angioblastic cords hollow out to form endocardial heart tubes

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9
Q

What does longitudinal folding accomplish for the heart?

A

Positions it in the thorax

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10
Q

Embryonic folding brings

A

Two endocardial tubes into the thorax where they meet along midline and fuse to form a single tube

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11
Q

Fused endocardial tubes form the ______

A

Inner lining of the heart

Endocardium

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12
Q

What happens to mesoderm below pericardial coelom as heart tube fuses?

A

Forms cardiac jelly and myocardium

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13
Q

Pericardial coelom is the future _______

A

pericardial cavity

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14
Q

Cardiac jelly

A

Thick, inner gelatinous mix

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15
Q

Myocardium

A

Muscular layer

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16
Q

Parietal pericardium is from ______ mesoderm

A

Somatic

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17
Q

Visceral pericardium from ______ mesoderm

A

Somatic

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18
Q

Dorsal mesocardium does what and then leaves what remnant?

A

Anchors heart at the beginning and goes away to form transverse pericardial sinus

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19
Q

Flow through the parts of pirmitive heart tube

A

Sinus venosus——atrium—–ventricle——bulbis cordis——–truncus arteriosis———aortic arch vessels

These are caudal to rostral

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20
Q

Pericardial sac from what parts of the primitive heart tube?

A

Ventricle
Bulbis cordis
Truncus arteriosis

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21
Q

Truncus arteriosis becomes

A

Pulmonary trunk

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22
Q

How does sinus venosus receive blood

A
Common cardinal veins (body)
Umbilical veins (placenta)
Vitelline veins (yolk sac)
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23
Q

Blood flows from the aortic arches into the _________ to reach the body, placenta, and yolk sac

A

DOrsal aortae

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24
Q

Dextrocardia`

A

Heart abnormally positioned on the right side of the thorax

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25
Dextrocardia with situs inversus
No cardiac abnormality because inversion of all organs
26
Four sets of partitions of primitive heart
Atria and ventricles R and L atria R and L ventricle Pulmonary trunk and ascending aorta
27
Atrioventricular canal and what develops there during week 4
Between pirmitive atrium and ventricle | Endocardial cushions
28
Endocardial cushions grow together to create
Atrioventricular septum
29
Septum primum grows how?
From roof of atrium and extends toward endocardial cushions
30
Ostium primum
Opening between sptum primum and the endocardial cushions
31
How does septum secundum grow?
From roof immediately to the right of the septum primum
32
Part septum secundum and the septum primum grows to touch the
Endocardial cushions that formed the membranous portion of IV septum
33
Blood circulation before birth
Foramen ovale shunts blood entering the right atriumn into the left atrium and prevents passage moving oppostie way
34
After birth, what happens to foramen ovale?
Septum primum and secundum pressed together to form fossa ovalis
35
What causes foramen ovale closure?
Decreased RA pressure and increased LA pressure
36
Atrial septal defects
INcomplete anatomical fusion of septum primum and secundum
37
How does right atrium remodel its wall?
Right side of sinus venosus incorporated into the side of the atrium
38
Sinus venarum
Part of atrium that contains incorporated sinus venosus
39
Original right side of primitive atrium becomes
Right auricle
40
Left atrium wall remodeling
Incorporation of pulmonary vein
41
Pulmonary vein divids to produce ____
4 pulmonary veins
42
4 pulmonary veins anastomose with
Veins developing in mesoderm around bronchial buds
43
Left side of primitive atrium becomes the
Left auricle
44
What must be partitioned to create pulmonary trunk and ascending aorta and what are their parts called
Bulbis cordis and truncus arteriosis | Truncal and bulbar ridges
45
Formation of aorticopulmonary trunk creates
two outflow paths
46
Truncal and bulbar ridges made from
neural crest cells
47
Shape of wall of aorticopulmonary segment
Spiraling
48
Two sections of IV septum
Membranous - from endocardial cushions | Muscular -
49
Persistant truncus arteriosis
Abnormal neural crest cell migration so only partial AP septum ONly a large vessel leaves the heart and receives blood from both Cyanosis
50
Transpotion of great arteries
Aorticopulmonary septum is straight line rather than spiral Aorta is from RV and pulmonary trunk from LV Fatal unless patent ductus arteriosis Most common cause
51
Tetraology of Fallot
Abnormla neural crest cell migration Truncus arteriosis not divided equally Pulmonary stenosis and overriding aorta Results in VSD
52
Pulmonary stenosis and overriding aorta
Small pulmonary trunk diameter | Aorta large diameter
53
4 signs of tetraology of fallot (actually 5)
``` Pulmonary stenosis Right ventricle hypertrophy Overriding aorta VSD Cyanosis ```
54
Most VSDs shunt blood from
Left to right
55
Result of VSD
pulmonary hypertension
56
types of VSD
Membranous (most common) Muscular Common ventricle
57
Persistent atrioventricular canal is a result of
Endocardial cushions failing to fuse to atrial and ventricular septa
58
Primitive atria becomces
Auricles of right and left atria
59
Right horn of sinus venosus becomes
Smooth part of right atrium (sinus venarum)
60
Left horn of sinus venosus becomes
Coronary sinus
61
Primitive pulmonary veins becomes
Smooth part of left atrium
62
Conus cordis becomes
``` Outflow for both ventricles Conus arteriosis (RV) Aortic vestibule (LV) ```
63
Bulbis cordis becomes
Trabeculated RV
64
Primitive ventricle becomes
Trabeluated LV
65
Truncus arteriosis becomes
Ascending aorta and pulmonary track
66
Ductus arteriosis shunts blood from
Pulmonary artery to the aorta
67
Foramen ovale shunts blood from the
Right atrium to the left atrium