cvs i
TRANSCRIPT
Objectives
Formation of the trilaminar embryo
Origin of cardiogenic cells
Formation of bilateral heart fields
Formation of the heart tube
Folding of the heart tube
Looping of the heart tube
Cardiac developmental abnormalities
Day 0 : Fertilisation forming zygote initiating
embryogenesis
2 cell stage; 4 cell stage; morula
Week 1 : implantation ( as a blastocyst)
Week 2 : bilaminar stage (epiblast,hypoblast)
Week 3 : gastrulation ;primitive streak,notochord
and neural plate begin to form
Week 4: heart begins to form
The cardiogenic field is established in the mesoderm just after
gastrulation (~18-19 days) and develops into a fully functional,
multi-chambered heart by the 8th week
angiogenic cell clusters (angioblasts/hemangioblasts)
(right dorsal aorta)
(right endocardial tube)
blood islands (developing blood vessels)
cardiogenic field
pericardial cavity
Langman’s fig 12-1
• Intraembryonic coelom – pericardial cavity
• Splanchnopleuric mesoderm underneath pericardial
cavity – Primitive heart tube
Arterial end:
• Truncus Arteriosus –
continuous with aortic
sac having right and left
horns
• Each horn – first
pharyngeal arch artery
arises,
- Continuous with
respective dorsal aorta
Venous end:
Sinus venosus
Receives three primitive
veins:
• Vitelline vein – yolk sac
• Umbilical vein –
placenta
• Common cardinal vein –
body wall
EMBRYONIC DILATATION ADULT DERIVATIVES
Truncus arteriosus Ascending Aorta and
Pulmonary trunk.
Bulbus cordis.
.
Smooth part of Right
Smooth part of Left ventricle(aortic
vestibule)
Primitive ventricle
Trabeculated part of Right
ventricle.and Trabeculated part of
Left ventricle
Primitive Atrium Trabeculated part of Right atrium
Left Trabeculated part of atrium
Sinus venosus
Smooth part of Right atrium(sinus
venarum)
coronary sinus
oblique vein of the Left atrium
FATE OF VARIOUS DILATATIONS OF HEART TUBE
• Heart tube lies in the floor of pericardial cavity After head fold, undergoes 180 rotation, heart tube lie on the roof of pericardial cavity
Moore & Persaud fig 13-9
Positioning of Heart tube
in relation to pericardial
cavity
Formation of Cardiac wall
• Endocardium–
endothelial heart tube
• Myocardium-
myoepicardial mantle
• Epicardium-
myoepicardial mantle
DEXTRO CARDIA
• All the chambers of
the heart and
associated blood
vessels are reversed
as a mirror image
• Heart tube bends to
left
• Associated with situs
inversus
Clinical correlation
ECTOPIA CORDIS
• rare condition in which is
Heart is exposed on the
surface of the Thorax.
• Due to nonunion of two
pieces of developing
sternum.
Single lumen primitive heart tube is partitioned into Four chambers by the formation of four septa:
1.Atrioventricular septum.
2. Interatrial septum.
3. Interventricular septum.
4. Aorticopulmonary septum
Development of various chambers of Heart
Formation of Atrio-ventricular septum
• AV septum divides the AV canal into right and left AV canal
• Two thickenings appear – one on dorsal and one on ventral
wall – endocardial cushions or AV cushions