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59 Cards in this Set

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the heart starts to function at the beginning of _____ week
4th
why is it necessary for the heart to begin pumping at such an early stage?
nutritional and oxygen demand by the bodies tissues is no longer satisfied by diffusion alone
what tissues make up the cardiovascular system
splanchnic mesoderm - primordium of the heart
paraxial and lateral mesoderm - near otic placodes
neural crest cells - primordia of membranous labyrinths of internal ears
define angiogenesis
blood vessel development
primordial blood vessels are named for their future fates and relationship to the heart
what is the earliest sign of the heart? when does it occur?
Angioblastic cords appear in the 3rd week
paired endothelial strands in cardiogenic mesoderm
describe formation of the early heart
angioblastic cords canalize to form heart tubes
heart tubes fuse to form tubular heart late in 3rd week
heart beats at 22 to 23 days
what tissue induces the heart formation?
anterior endoderm
what are the function of vitelline veins?
return poorly oxygenated blood from yolk sac
what are the function of umbilical veins
carry well oxygenated blood from primordial placenta
what are the function of common cardinal veins
return poorly oxygenated blood from body of embryo
which umbilical vein disappears at week 7?
R umbilical v.
what is the course of the vitilline vv.?
follow yolk stalk into embryo, pass through septum transversum, and enter venous end of heart (sinous venosus)
what becomes of the septum transversum
liver primordium grows into septum transversum, hepatic cords anastamose
hepatic sinusoids link to vitelline veins
what is formed from the R vitelline v.?
Hepatic Veins
what forms the portal vein?
from the vitelline veins around the duodenum
what carries all the blood from the placenta to the embryo after week 7?
persistent caudal part of L umbilical vein
what venous shunt passes the liver and connects the umbilical v to the IVC?
Ductus Venosus
the anterior cardinal vv. connect by anastomosis in week ____ ?
8
what does the cardinal anastomotic shunt become?
left brachiocephalic v.
What forms the SVC (superior vena cava)?
R anterior cardinal v. and R common cardinal v.
what persists in the adult from the posterior cardinal vv.?
root of azygos v and common iliac vv.
what does the posterior cardinal vv. become before disappearing
vessels of mesonephroi (transitory kidneys)
if a PT suffers from a defective gonadal v., what structure was effected in the embryo? what other structures come from this embryologic vessel
subcardinal vv.
L renal v. and suprarenal v.
if a PT has defective Azygos or hymiazygous vv. what structure was effected prior to the fetus stage?
Supracardinal vv.
what is the order in which the cardinal vv. develop in the hyman embryo
primordial vv of trunk are present, umbilical vv (from chorion, vitelline v (yolk sack), cardinal vv (from body of embryo). SUBcardinal vv. are next to appear, then SUPRAcardinal vv. appear
what other structures may be affected if the supracardinal vv. are defective during development?
Inferior part of the IVC (formed from R supracardinal v.)
what does the subcardinal anastamosis form?
IVC superior to suprarenal and renal vv, and joins the subsupracardinal anastamosis to the inferior portion of IVC
What segments compose the IVC in the embryo?
Hepatic segment
Prerenal segment - from subcardinal v.
Renal Segment - from subcardinal and supracardinal anastamosis
Postrenal segment - from R supracardinal v.
What is the hepatic segment derived from?
hepatic v (proximal R vitilline v) and sinusoids
What is the most common anomalie of the Venae cavae?
Persistent L SVC
a PT presents with an interrupted abdominal venous course in their IVC. Where does the blood flow? Is this common?
Most common IVC anomaly
Blood drains from lower limbs, abdomen, and pelvis to the heart through the AZYGOUS system of vv.
your PT presents with a persistent L SVC. Where does the blood drain to the heart? What vv. is the LSVC formed of? What is this called?
Double superior Venae Cavae
Derived from L anterior cardinal and common cardinal vv.
drains into R atrium through Coronary sinus
your PT presents with an absent R SVC, but a Persistent L SVC. Where does blood flow? What happened to the R SVC?
R SVC degenerates
Leaving only L SVC
Drains blood from R brachiocephalic v. to L SVC to empty into coronary sinus
PT presents with out hepatic segment of IVC. How is blood drained from inferior body?
Inferior body drains through azygos and hemiazygos to R atrium.
hepatic veins open separately into R atrium
a fetus has misformed intercostal arteries in the thorax. what structure was affected prior to their formation during development? What other arteries may have been involved in the cervical and lumbar region?
the dorsal intersegmental arteries become:
Cervical - vertebral arteries
Thorax - intercostal arteries
Lumbar - lumbar arteries in the abdomen
5th pair of Lumbar intersegmental aa. becomes Common iliac arteries
Sacral - lateral sacral arteries
Caudal end of Dorsal Aorta - median sacral artery
Dorsal intersegmental aa. are AKA ...?
branches of dorsal aorta
what arteries supply the yolk sac, allantois, and chorion?
unpaired ventral branches of dorsal aorta
what vitelline arteries remain in the fetus?
celiac trunk to foregut
SMA to midgut
IMA to hindgut

vitelline aa. pass through yolk sac (later the primordial gut)
the blood carried by the umbilical aa. is _______ blood.
poorly oxygenated
umbilical arteries pass through _____ to become continuous with the chorion, which is _______ part of the placenta
connecting stalk (later umbilical cord)
embryonic part
pt presents with stenosis within the internal iliac arteries. What was this structure as an embryo?
What other structure is formed from this embryological a.?
proximal umbilical aa.
superior vesical aa.
What happens to the distal part of the umbilical aa?
obliterated after birth
becomees medial umbilical ligaments
when is the primordium of the heart first evident?
18 days
the primordium is formed of ______ cells to form ______ cords
1. splanchnic mesenchymal
2. angioblastic
the endocardial heart tubes are formed of ______
two canalized angioblastic cords
fusion of of the endocardial heart tubes begins at the _____ end and extends _________
cranial end and extends caudally
what molecules are present for proper cardiac development. what are their roles?
paired primordial endocardial tubes and later morphogenesis
6HLH
dHAND
eHAND

Regulation of early cardiac development
murine MEF2C
as the heart tubes fuse what forms over them? what are the precurser cells?
the primordial myocardium forms from splanchnic mesoderm
what is cardiac jelly? something that goes well with PB?
CJ is found inbetween primordial myocardium and thin endothelial heart tube
a pt presents with calcified plaques on the endocardium of her hypertrophied R ventricle. What is the original embryological structure of the endocardium? Myocardium? Epicardium?
Endocardium - endothelial tube
Myocardium - primordial myocardium
epicardium (aka visceral pericardium) - mesothelial cells from external surface of sinus venosus
what connects the aortic sac with the primordial heart?
truncus arteriosus
where do the umbilical, vitelline, and common cardinal v. join in the primordial heart?
Sinus venosus
from the chorion, yolk sac, and embryo (respectively)
what forms the future pericardial cavity?
pericardial coelom
what forms the bulboventricular loop? Why is it U shaped
bulbous coria and ventricle
these grow faster than other regions
by the stage where the sinus venosus has developed lateral expansions, where is the sinus vnosus and atrium in respect to other regions of the heart?
Sinus venosus and atrium are dorsal to truncus arteriosus, bulbus cordis, and ventricle
how does blood flow through the 24 day old heart?
through anterior, common, and posterior cardinal v, vitelline, and umbilical v., through sinuatrial valve; to primordial atrium; to primordial ventricle; through bulbus cordis; out truncus arteriosus; through aortic sac; through 1st aortic arch to dorsal/ventral aorta
where do the aortic arches arise?
how many are there?
aortic sac
6 arches
are all the arches present at the same time? what week represents the final aortic arch arangement?
no. not all arches are present at the same time.
by the time the 6th arch forms, the first two have disappeared.
The 8th week - final fetal arterial arrangement
end on pp 340
end pp 340 out of 380