test 3 Flashcards

1
Q

Vascular Development occurs in what two mechanisms

A

 Vasculogenesis
- making of new blood vessels
 Angiogenesis
- vessels sprout from existing vessels

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2
Q

3 weeks of development

A

 1st blood islands appear in mesoderm
 Surrounding wall of yolk sac
 Arise from mesoderm cells
 Induced for form hemangioblasts
 Precursor to vessels and blood formation

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3
Q

Hematopoietic stem cells

A

 Come from mesoderm surrounding aorta near kidney
 Colonize liver (source of first blood cells
 Becomes hematopoietic organ of the embryo and fetus
 2-7 months gestation
 Stem cells from liver colonize bone marrow (@ 7th month bones start to form)
 Liver loses RBC making function.

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4
Q

Major vessels (Dorsal aorta, cardinal vein) for via

A

 Form via Vasculogensis

- making of new blood vessels

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5
Q

Remainder of vascular system other than the major vessels form via

A

 Angiogensis

 Sprout off existing blood vessels

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6
Q

The major arterial conduits in the early embryo

A

 dorsal aortas
 Simply a continuation of the endocardial tubes.
 Arise from the Aortic Sac (Distal most part of the truncus arteriosus)

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7
Q

Cranial portions of the Dorsal aortas become

A

 first pair of aortic

arches.

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8
Q

How many aortic arch systems are there

A

 There are six pairs of aortic arches present at some point during development, but the 5th aortic arch is only transient.
 5th Aortic Arch never forms or forms incompletely and regresses
 Arches are numbered I, II, III, IV, and VI
 As they develop, some become modified and other regress

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9
Q

3 mm Embryo

A
  • The first pair of arches is large
  • Second pair is just forming
  • All the other arches develop from the region of the aortic sac.
  • Distally (not shown here), the dorsal aortas fuse to form a single vessel.
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10
Q

4 mm Embryo – Day 27

A
  • Aortic arch I has largely disappeared
    * Part of it remains - becomes the Maxillary Artery. (goes to the front of your face)
  • Aortic arch II is regressing.
    * Remnants of arch II – becomes the Stapedial Artery. (to your ear)
  • Aortic arch III is already large and well developed.
  • Aortic arches IV and VI are being formed as ventral and dorsal sprouts.
    * aortic arch VI already has a sprouting branch of the primitive pulmonary artery
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11
Q

10mm Embryo – Day 29

A
  • The first two aortic arches have disappeared
  • Aortic arches III, IV, and VI are quite large.
  • The truncoaortic sac has been divided
    * Arch VI is now continuous with the pulmonary trunk.
  • Starting to lose symmetry
  • The intersegmental arteries will be important in the formation of the subclavian arteries.
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12
Q

14mm Embryo

A
  • The symmetrical pattern is largely gone.
  • There is further division of the aorta and pulmonary artery.
  • Arch III forms the common carotid artery and first part of the internal carotid artery
  • Arch IV stays on each side but becomes different structures.
  • Left Arch IV – part of Aortic arch between LCC and L. Subclavian
  • Right Arch IV – Proximal R. Subclavian
  • Intersegmental arteries have migrated upward to become the subclavian arteries.
  • **Remember the Arch V never forms
  • Arch VI (aka. Pulmonary Arch)
    * Gives off branches that grows toward the developing lung buds
    * The dorsal portion of the right arch VI has disappeared and the left arch VI will become the ductus arteriosus.
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13
Q

17mm Embryo

A
  • A portion of the vessel that was formerly the right dorsal aorta disappears.
  • Proximal portion persists and becomes the right subclavian artery.
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14
Q

At Birth

A
  • At birth, the distal part of the left sixth aortic arch (the ductus arteriosus) normally obliterates
    * ligamentum arteriosum.
  • The adult aortic arch system is now established.
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15
Q

Sinus Venosus

A
  • The sinus venosus is the major point of entry into the common atria.
    * Remains paired until the embryo is 4mm
    * Even after the endocardial tubes fuse.
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16
Q

In a 4 mm embryo, there is a

distinguishable (venous)

A
  • Central (unpaired) portion,
  • Transverse portion
  • Right and left sinus horns.
17
Q

Mid 4th week (venous)

A

 Sinus venosus receives blood from the right and left sinus horns.
 Each horn receives blood from 3 veins
 Vitelline vein
 Umbilical vein
 Common Cardinal vein
 Communication between sinus and atrium is wide open
 Communication will eventually shift to the right
 Caused by shift in blood in venous system
 Occurs at about 4-5 weeks.

18
Q

5th week (venous)

A

 Obliteration of the right umbilical vein and left vitelline vein
 Left sinus horn loses importance

19
Q

week 10 (venous)

A

 Left common cardinal vein become obliterated

 All that remains of the left sinus horn is the oblique vein of the left atrium and the coronary sinus.

20
Q

Right Sinus horn

A

 Shunt of blood left to right enlarges right sinus horn
 Right horn and vein are the only communication between the original sinus venosus and the atrium
 Forms the smooth walled part of the right atrium.

21
Q

Sinuatrial valves

A

 Sinuatrial orifice (entrance to the common atrium) is flanked on each side by valvular folds.
 Right and left venous valves
 Left venous valve fuses with the atrial septum
 Superior part of the right venous valve disappears
 Inferior part of the right venous valve becomes the valve of the inferior vena cava and the valve of the coronary sinus.
- held direct the flow

22
Q

The sinus venosus receives three pairs of veins

A

• Vitelline veins
• Carry blood from the yolk sac to the sinus venosus
- provides nutrients for the embryo
• Umbilical veins
• Goes to the placenta and gets blood to embryo
• Common cardinal veins
• Drain the body of the embryo

23
Q

Vitelline venous system

A
  • Enters the sinus venosus

* Gives rise to the hepatic veins

24
Q

Umbilical venous system

A
  • Enter the sinus venosus lateral to the vitelline veins.

* Persists as the umbilical vein in the term fetus.

25
Q

Cardinal venous system

A
  • Enters the sinus venosus lateral/superior to the umbilical veins
  • Forms a large complex network of veins throughout the body.
26
Q

Embryonic Venous Systems – 10mm Embryo

A
  • Left vitelline vein has disappeared
  • Right Vitelline vein is transforming into a structure that will eventually be the hepatic veins and all of the veins of the hepatic portal system.
  • The left umbilical vein has joined the hepatic system.
    * The left umbilical vein will persist in the fetus as the umbilical vein.
  • Inferior portion of the cardinal venous system is gaining complexity.
    * The left side and right side are migrating inward and joining.
  • Right umbilical vein turns into the subcardinohepatic anastomosis
27
Q

Embryonic Venous Systems – 14mm Embryo

A
  • The left sinus horn has separated from the right
    * Will eventually become the coronary sinus.
  • The right side of the subcardinal venous system is developing into the principle venous channels to the heart from the lower body.
28
Q

Embryonic Venous Systems – 17mm Embryo

A
  • The upper limbs are now drained by veins which empty into the anterior cardinal veins.
  • The major portions of the posterior cardinal veins have disappeared
    * There is even greater demand on the right subcardinal vein.
29
Q

Embryonic Venous Systems – 24mm Embryo

A
  • The anterior cardinal veins now have a channel between them (the left brachiocephalic vein).
    * These cardinal veins will drain the entire head and upper extremities.
  • The subcardinal veins have completely fused
    * Make up a large portion of what will become the inferior vena cava.
  • There are now clear venous channels to the kidneys and adrenal glands.
30
Q

Embryonic Venous Systems – Term Embryo

A
  • Further development leads to the complete venous system.
  • Notice that the umbilical vein still persists and enters the portal vein.
  • Notice the ductus venosus.