Development Of The CV System 1 Flashcards

(30 cards)

1
Q

What germ layer is the CV system derived from ?

A

Mesoderm

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2
Q

In what week during embryological development does folding occur ?

A

4th week

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3
Q

What effect does lateral flooding of the embryo have on early development of the heart ?

A

Creates the heart tube

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4
Q

What effect does cephalpcaudal folding have on the early development of the heart ?

A

Brings the tube into the thoracic region

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5
Q

Why must the primitive heart tube be divided ?

A

To create the 4 chambers

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6
Q

What does the primitive heart tube sit within ?

A

The pericardial cavity

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7
Q

List in order of outflow to inflow of blood in the primitive heart tube , the structures of the tube.

A

1) aortic roots
2) truncus arteriosus
3) bulbus cordis
4) ventricle
5) atrium
6) sinus venosus

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8
Q

What is the first key developmental event that occurs to the primitive heart tube ?

A

Looping

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9
Q

Describe the process of looping

A
  • primitive heart tube elongates
  • it runs out room so it twists and folds up.
  • this places the inflow and outflow in the correct orientation with respect to eachother
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10
Q

The right atria develops from which components of the primitive heart tube ?

A
  • MOST of the primitive atrium

- the sinus venosus

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11
Q

The left atria develops from which part of the primitive heart tube ?

A
  • a very small portion of the primitive atrium

- absorbs proximal parts of the pulmonary veins

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12
Q

Right atria receives what ?

A

Venous drainage from the body ( vena cava ) and the heart ( coronary sinus)

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13
Q

Left atria receives what ?

A

Oxygenated blood from the lungs

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14
Q

How is the oblique sinus formed ?

A

Formed as left atrium expands by absorbing the pulmonary veins

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15
Q

Do the lungs work in the fetus ?

A

No

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16
Q

What is required to maintain fetal life , since the lungs don’t work ?

17
Q

With the lungs not working in the fetus , where does oxygenation and removal of co2 occur?

A

At the placenta

18
Q

What is a very important requirement for the shunts ?

A

They must be immediately reversible at birth

19
Q

Which chamber does oxygenated blood first enter during fetal circulation ?

A

The right atrium

20
Q

Outline the fetal circulatory process

A

1) oxygenated blood enters the placenta from the mother
2) the oxygenated blood by-passes the liver with a circulatory shunt
3) oxygenated blood enters the inferior vena cava into the right atrium
4) SMALL amounts of blood enter the right ventricle to allow normal development of the muscular walls of ventricles and atria.
5) the small amounts of blood that enters the right ventricle enters the pulmonary trunk , where it is then bypasses the lungs with another circulatory shunt into the aorta - where it is the pumped around the body.
6) the large amounts of blood that enters the right atrium by passes the right ventricle and lungs directly into the left atrium - left ventricle - aorta - oxygenated blood around the body - leaves the placenta as deoxygenated blood.

21
Q

What is the circulatory shunt called - the one that helps the oxygenated blood by pass the liver ?

A

Ductus venosus

22
Q

Foramen ovale

A

Circulatory shunt that helps blood by pass the right ventricle and lungs , into the left atrium,

23
Q

Ductus arteriosus

A

Allows blood that enters the pulmonary trunk from the right ventricle from the right atria to by pass the lungs into the aorta.

24
Q

Why is the ductus venosus important ?

A

Because it prevents the oxygenated blood to be used up by the liver as the liver is highly metabolically active and would use it all up. This ensures that the correct amount of oxygenated blood is ,transported around the body..

25
How does the ductus venosus close after birth ?
Once placental support removed , the DV closes
26
How does the ductus arteriosus close after birth ?
Due to the increase in partial pressure of oxygen , this causes the smooth muscle in the ductus arteriosus to respond by contracting - this closes the lumen of that artery. - and soon after it becomes anatomical.
27
What does the 4th arch in the aortic arch derivatives remodel into ?
RIGHT SIDE : proximal part of the right subclavian artery LEFT SIDE : arch of the aorta
28
What does the 6th arch that forms part of the aortic arch remodel into ?
The right side : forms the right pulmonary artery The LEFT side : forms the left pulmonary artery and ductus arteriosus
29
What is patent ductus arteriosus ( PDA) ?
A medical condition where the ductus arteriosus fails to close after birth. This allows a portion of oxygenated blood from the left heart to flow back to the lungs from the aorta ( which has a higher pressure ) to the pulmonary artery. - blood would shunt from left to right .
30
What occurs after looping of the heart ?
Atrioventricular canal links the atrium and ventricle - there still isn’t two pumps in series