CVS 3 Embryology Flashcards

(31 cards)

1
Q

What are the relative pressures in the atria in utero?

A
  • Right atrial pressure > left atrial pressure
  • Oxygenated blood from the placenta arrives to the RA via the umbilical vein draining into the IVC
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2
Q

What germ layer does the heart and vessels arise from?

A

Mesoderm

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3
Q

How does folding of the embryo in the 4th week change the position of the caridogenic field?

A

Moves it caudal to the oropharyngeal membrane

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4
Q

What are the parts of the heart from cranial to caudal?
What do they give rise to?

A
  • Truncus arteriosus: pulmonary trunk + aortic arch
  • Bulbous cordis: RV + R+L outflow tracts
  • Primitive ventricle: LV
  • Primitive atrium: RA+LA
  • Sinus venosus:
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5
Q

Describe the inflow and outflow of the initial developing heart

A

Inflow at caudal end
Outflow at cranial end

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6
Q

When is the midline heart tube formed?

A

3 weeks

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7
Q

What layer of the pericardium touches the heart?

A

Visceral layer

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8
Q

What is the transverse sinus?

A

Gap between arteries and veins

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9
Q

What is the oblique sinus?

A

Space within pericardial cavity behind heart

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10
Q

What is the adult atrium formed from?

A

Rough part - primitive atrium
Smooth part - Sinus venosus

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11
Q

Where does the SAN form from?

A

Sinus venosus

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12
Q

What forms from the 4th aortic arch?

A

Left - aortic arch
Right - right subclavian artery

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13
Q

What forms from the 3rd aortic arches?

A

Right - Carotid arteries

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14
Q

What forms from the 6th aortic arch?

A

Left - pulmonary artery + ductus arteriosus
Right - pulmonary artery

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15
Q

Why is there not a 5th aortic arch?

A

5th aortic arch degenerates

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16
Q

What happens to the 6th aortic arch on the right side?

A

Not needed so degenerates + disappears

17
Q

What are the fetal shunts?

A

Ductus venosus - by passes the liver
Ductus arteriosus - bypasses the lungs
Foramen ovale - RA > LA

18
Q

What happens to ductus venosus after birth?

A

Becomes ligamentum venosum

19
Q

What happens to ductus arteriosus after birth?

A

Ligamentum arteriosus

20
Q

What happens to foramen ovale after birth?

21
Q

What are the septums involved in splitting the heart into 4 chambers?

A
  • Outflow septum > splits into aorta + pulmonary trunk
  • Interventricular septum > R+L ventricle
  • Atrioventricular septum > forms V valves
  • Interatrial septum > R+L atrium
22
Q

What forms the AV valves?

A

Endocardial cushions meeting to form tricuspid + mitral valve

23
Q

Outline the process of atrial septation

A
  • septum primum grows down from atrial wall
  • ostium primum- gap below septum primum
  • septum primum grows to endocardial cushion
  • ostium secundum appears in middle to allow R > L shunt
  • septum secundum grows down from atrial wall to right of septum primum&raquo_space; creates foramen ovale
  • RA pressure > LA pressure so foramen ovale remains open - R >L shunt in utero
24
Q

What happens to foramen ovale after birth?

A

LA pressure > RA pressure
Septum primum presses against septum secundum
Foramen ovale closes

25
Where do most ventricular septal defects occur?
Membranous component of ventricles
26
Outline ventricular septation
- **M*e*mbranous component grows down** from *e*ndocardial cushions - **M*u*scular component grows *u*p** from muscular wall - Both components meet to form septum
27
What are the derivates of the aortic arches?
1+2 - none 3 - common, internal + external carotid arteries 4 - aorta L + subclavian artery R 6- pulmonary arteries
28
Route of the right and left recurrent laryngeal nerves
- **left**: under arch of aorta - **right**: under right subclavian artery
29
How is the aorta + pulmonary trunk formed?
Truncus arteriosus is divided by the outflow septum
30
What does Truncus arteriosus become?
Pulmonary trunk Aortic arch
31
What is the physiological and pathological importance of the right auricle of the heart?
- **physiological**: muscular pouch that increases the RA capacity - **pathological**: in AF patients, stasis of blood can occur > clot formation > stroke