L28: Mediastinum IV Flashcards

1
Q

The atrioventricular canal is divided by the development of ____

A

two mesenchymal masseSfi

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2
Q

finihs 1

A
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3
Q

Mesenchyme that remains around the atrioventricular orifices after fusion of the ____ become
___ except for ____

A

cushions

separated from the main ventricular wall as the trabeculae form

one primary connection

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4
Q

connection

A

muscular cord

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5
Q

finish 2

A
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6
Q

cardiac septa formation

A

Neural crest cells (!) form opposite spiral ridges in the truncus arteriosus and the conus cordis

Conotruncal ridges

ridges enlarge towards each other and grow distally until they fuse into a spiral septum

conotruncal septum

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7
Q

cardiac septa 2

A

muscular portion of the intrventricular septum develops as a ridge that increases in prominence as the ventricles continue to expand

muscular interventricular septum does not grow to contact the endocardial cushions

interventricular foramen

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8
Q

cardiac septa 3

A

as the conotruncal septum fuses, the inferior endocardial cushion proliferates to close the interventricular foramen

membranous portion of the interventricular septum

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9
Q

septal defects

A

endocardial cushions are centrally placed (abnormalities can have wide ranging impacts)

ventricular septal defects (VSD) are most common cogenital malformation of the heart
- membranous (patent interventricular foramen)
-muscular (will often heal with post-natal development

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10
Q

septal defects 2

A

conotruncal septal defects (often asociated with facial defects)

transposition of the great vessels

tetralogy of Fallot

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11
Q

tetralogy of fallot

A

pulmonary infundibular stenosis

ventricular septal defect

overriding aorta

hypertrophy of the right ventricular wall

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12
Q

cardiac septa 4

A

thin membrous crescent begins to grow between the left and right halves of the atrium toward the atrioventricular canal

septum primum

a cap remains between the inferior margin of the septum primum and the endocardial cushions
ostium primum

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13
Q

ostium secundum

A

As the ostium primum is closed by
fusion with the endocardial cushions
cell death produces a second gap in
the septum primum

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14
Q

septum secundum

A

A second, thicker and more muscular
septum begins to grow to the right of
the septum primum

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15
Q

foramen ovale

A

when fully formed the septum secundum leaves a gap offset from the ostium secumdum

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16
Q

high pressure blood from the right atrium can flow through the foramen ovale and ostium secundum to the left atrium. high pressure blood cannot flow from left to right

A

fix

17
Q

septal defects

A

atrial septal defects usually result from insufficient development of one or both septa

Excessive resorption of septum primum results
in a oval foramen that is large and fully open

Failure of the septum secondum results in the
ostium secundum remaining as a large defect
in the interatrial wall

Absence of any septa almost always
associated with other also severe heart
abnormalities

mesoderm/endoderm

18
Q

slide 16-22

A