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Embryology lecture 8
Embryology lecture 8
37
Science
Undergraduate 4
02/13/2009

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Term
Formation of Heart Tube
Definition
lateral plate mesoderm splits to somatic layer and splanchnic layer making pericardial cavity. Pre-cardiac mesoderm sent to splanchnic to form Heart Forming Region (HFR).
Term
VEGH
Definition
Vascular Endothelial Growth Factor. secreted by hypertrophied foregut endoderm forming discontinuous vascular channels that get remodeled into a single endocardial tube.
Term
Myocardium formation
Definition
mesoderm around the endocardium forms myocardium which secretes a layer of extrracellular matrix proteins called cardiac jelly.
Term
Epicardium
Definition
mesoderm migrating into cardiac region from coelomic wall near liver forms the epicardium.
Term
Truncus arteriosus
Definition
future aorta, pulmonary trunk
Term
Bulbus Cordis
Definition
smooth part of the right ventricle (conus arateriosus). smooth part of left venntricle (aortic vestible)
Term
Primitive Ventricle
Definition
trabeculated part of right ventricle, trabeculated part of left ventricle
Term
Primitive Atrium
Definition
trabeculated part of right atrium, trabeculated part of left atrium.
Term
Sinus Venousus
Definition
will be future smooth part of right atrium (sinus venarum), coronary sinus, oblique vein of left atrium
Term
Dextral Looping
Definition
in primitive heart tube, venous blood flows through the left ventricle prior to the right ventricle. must be corrected since normal adult heart venous blood flows into right ventricle. key event in this correction such that location of atrioventricular canal and conoventricular canal properly aligned.
Term
Events in Heart folding
Definition
early looping is inherently programmed within myocardial cells, convergence of atrioventricular canal and conoventricular canal into alignment, wedging causes conoventricular canal to nestle with formation of aorticopumonary septum. repositioning makes atrioventricular canal straddle right and left ventricles.
Term
Aorticopulmonary Septum
Definition
neuarl crest cells from hind brain migrate through arches 3,4,6 invade truncal ridges and bulbar ridges. these grow and twist to form AP septum. Divides truncus arteriousu and bulbus cordis into aorta and pulmonary trunk
Term
PTA
Definition
persistent truncal arteriosus; caused by abnormal neural crest migration resulting in incomplete AP formation. One giant vessel connected to right and left ventricle. usually accompanied by VSD. associated with marked cyanosis.
Term
Transposition of the Great Arteries
Definition
abnormal neural crest migration in which no spiraling has occured. results in aorta forming right ventricle and pulmonary trunk arising from the left ventricle. systemic pulmonary circulations completely separate. cyanosis. treatment surgery in first couple weeks of life
Term
Formation of the Atrial Septum
Definition
crescent-shpaed septum forms in roof of primitive atrium and grows toward AV cushions in AV canal. foramen primum forms between free edge and AV cushions; closed when septum primum fuses with AV cushions. foramen secundum forms in center of septum primum. Cresent septum secundum forms to right of septum primum. foramen ovale opening between up
Term
Foramen Ovale
Definition
during embryonic life blood is shunted from the right atrium to the left atrium
Term
Closing Foramen Ovale
Definition
functional closure of foramen ovale is facilitated both by a decrease in right atrial pressure form occlusion of placental circulation and by an increase in left atrial pressure due
Term
Complete formation of Atrial Septum
Definition
septum primum and septum secundum fuse to complete atrial septum
Term
Foramen Secundum Defect
Definition
excessive resorption of septum primum, septum secundum, or both. Results in
a condition in which there is an opening between the right and left atria
Term
Atrial Septal Defect Treatments
Definition
patient sedated; small catheter inserted into blood vessel and travels to heart surgeon places septal occluder into ASD. resembles closed umbrella delivered to site of defect. device pushed out of catheter across ASD. umbrella patch opene
Term
Common Atrium
Definition
caused by complete failure of septum primum and septum secundum to develop. results in condition in which there is only one large atrium.
Term
Clinical sign and symptoms of common atrium
Definition
poor appetite, failure to gain weight, bluish discoloration of skin, shortness of breath, easy tiring, heart palpitations or skipped beats. Treatment small defects may close on their own, many need surgery
Term
Formation of Atrioventricular Septum
Definition
dorsal AV cushion and ventral AV cushion approach each other and fuse to form the AV septum. AV septum partitions the AV canal into right AV canal and left AV canal
Term
AV septal Defects signs and symptoms
Definition
result from mal-development of endocardial cushions. asymptomatic if small. Large heart failure, dyspnea with feeding, poor growth, tachypnea, arrhythmias.
Term
IV septum
Definition
develops in midline of floor of primitive ventricle grows toward fused AV cushions
Term
IV foramen
Definition
located between the free edge of muscular IV septum and fused AV cushions. used by membranous IV septum, which by proliferation and fushio of tissue from 3 sources: right bulbar ridge, left bulbar ridge, AV cushions.
Term
Conduction of heart
Definition
Week 5 myocytes in the sinus venosus undergo spontaneous depolarizations at a tare faster than the rest of the heart.
Term
AV node
Definition
is the only pathway for electrical depolarizations to flow from the atria to ventricles.
Term
Bundle of His formation
Definition
develops from a ring-like cluster of cells found at the AV junctionthat specifically expresses the homebox gene,msx-2
Term
Purkinje myocyte development
Definition
are developmentally different that the rest of the heart nerves. It develops from already dedicated contractile cardiac mocytes.
Term
Coronary arteries formation
Definition
1. progenitor cells migrate from the liver and live near the epicardium. 2. They begin to form vascular channels that grow toward truncus arteriosus. 3. Two of these vascular channels will survive and form the left and right coronary arteries.
Term
Double outlet right ventricle
Definition
this occurs when the aorta and the pulmonary trunk devlop from the right ventricle causing complete separation of both systems. Usually associated with VSD
Term
Tetralogy of Fallot
Definition
caused by abnormal neural crest migration such that there is skewed development of AP septum. Pulmonary trunk small diameter, Aorta big. 4 malformations:pulmonary stenosis, overriding aorta, VSD, Right ventricular hypertrophy.
Term
Clinical sign and symptoms of Tetralogy of Fallot
Definition
cyanotic. low oxygen blood, from right ventricle passing through VSD directly to aorta. reduced amounts of blood go to lungs because of obstruction from pulmonary stenosis. stress => right ventricle hypertrophy. children get tet=>blue, rapid breathing, pass out.
Term
AV septal defects signs and symptoms
Definition
diagnose echocardiography cardia catheterization. account 5% congentical heart. may be complete or partial; 30% patients with complete have Down Syndrome
Term
AV Septal Defects Treatment
Definition
. should be corrected before age 1.
Term
Treatment of Transposition of Great Arteries
Definition
surgery in the first couple of weeks of life.
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