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Development of the Cardiovascular System- text only page

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Cell Biology Lab

Page Links | Reading | Computer Activities | Objectives | Learning activities | Serial Sections | Self Assessment Questions | Abnormalities | OMIM Database | About Notes | Next Page

Reading

  • Human Embryology (2nd ed.) Larson Ch7 p151-188 Heart, Ch8 p189-228 Vasculature
  • The Developing Human: Clinically Oriented Embryology (6th ed.) Moore and Persaud Ch14: p304-349
  • Before we Are Born (5th ed.) Moore and Persaud Ch12; p241-254
  • Essentials of Human Embryology Larson Ch7 p97-122 Heart, Ch8 p123-146 Vasculature
  • Human Embryology Fitzgerald and Fitzgerald Ch13-17: p77-111
  • Additional References
  • Search PubMed- Medline

Computer Activities

UNSW Embryology:

Embryo Images Unit:

Early Cell Populations (cardiogenic section), Cardiovascular System Development

Objectives

  • Describe the main features of heart development to the four-chambered system.
  • Describe the development of the pericardium.
  • Describe the development of primary and secondary atrial septa and the ventricular septum.
  • Explain the changes occurring in the bulbis cordis and truncus arteriosus in its transformation from a single to a double tube.
  • Describe the development of the aortic arches on the right and left sides from the fetus to the adult.
  • Describe the development of arteries and veins.
  • Describe the developmental aberrations responsible for the following malformations: patent ductus arteriosus (P.D.A.); atrial septal defects (A.S.D.) and ventricular septal defects (V.S.D.); tetralogy of Fallot.

Learning activities

  • Review the developmental principles of the C.V.S.
  • Examine the models and diagrams of the developing heart and list the main stages in heart development.
  • Examine microfiche cards of the 6mm pig and 8 week human embryos identifying the main features of the C.V.S.
  • Relate developmental principles of the heart to the gross anatomy models.
  • Introductory session on the development of blood, blood vessels and lymphatics.
  • Discuss the selected malformations P.D.A., A.S.D. and V.S.D. and tetralogy of Fallot giving special reference to the developmental aberrations causing the malformations and the consequences of the malformations on the individuals.

DEVELOPMENTAL ABNORMALITIES

PATENT DUCTUS ARTERIOSUS (P.D.A.)
Treatment. PDA is ligated simply and with little risk. The operation is always recommended even in the absence of cardiac failure. It can often be deferred until early childhood.

OMIM Database Entry- Patent Ductus Arteriosus (about this entry)

ATRIAL SEPTAL DEFECT (A.S.D.)
Treatment The surgical repair requires a cardiopulmonary bypass and is recommended in most cases of ostium secundum ASD, even though there is a significant risk involved. Ostium primum defects tend to present earlier and are often associated with endocardial cushion defects and defective mitral or tricuspid valves. In such cases, valve replacement may be necessary and the extended operation has a considerable chance of mortality.

OMIM Database Entry- Atrial Septal Defect (about this entry)

TETRALOGY OF FALLOT
Diagnosis. Tetralogy of Fallot by definition consists of:

(i) ventricular septal defect

(ii) pulmonary stenosis (valvular or infundibular)

(iii) (ii) results in an overriding aorta and

(iv) right ventricular hypertrophy

OMIM Database Entry- Tetralogy of Fallot (about this entry)

Compare and contrast malformations of the CVS which occur inside and outside the heart.

OMIM Database Online Mendelian Inheritence in Man Database. OMIM

Internet Search OMIM database with the keyword heart or the above abnormality names.

Note: This database is an external link, not accessible from some computers in the School of Anatomy.
A List of the search results for "Heart" is available for these computers.

Self Assessment Questions (C.V.S.)

1. How are red blood corpuscles formed in the fetus?

2. What are blood islands? How are primitive blood vessels formed?

3. What is the pericardium and how is it formed?

4. Briefly describe the development of the basic heart tube.

5. How is the auricle divided into L and R sides? What is incorporated in the final L atrium and R atrium?

6. How are the pulmonary veins formed?

7. Describe how the truncus arteriosus is divided into the pulmonary and systemic trunks.

8. What tissue forms the ventricular septum? How is the ventricular septum formed?

9. Where are atrial septal defects and ventricular defects found?

10. Define the limits of the foramen ovale.

11. Describe the aortic arches. Which aortic arches remain in the fetus and the adult?

12. What veins develop from the following in the fetus:

(i) Vitelline veins

(ii) Umbilical veins

(iii) Cardinal veins

13. What are the major consequences of P.D.A., A.S.D. and V.S.D. and tetralogy of Fallot on the individual with any of these malformations?

References

There is also a selected list of Research Articles and Reviews from PubMed related to cardiac development and abnormalities.

A Selected List of References from PubMed March 1999 search results for "Heart/review/5year limit" and "Cardiovascular/Development/2year limit" is available for School of Anatomy computers without internet access.

PubMed Database

Online Medline Database PubMed- Medline

National Library of Medicine (US) search service to access the 9 million citations in MEDLINE and Pre-MEDLINE (with links to participating on-line journals), and other related databases.

Internet Search this database or use the form below with the keyword heart or related topics. You can also restrict to reviews or by date published.

Search Field: Mode:

PubMed

PubMed Search Results Number as of March 1999.

  • Heart- 526,970
  • Heart and Review- 42,266
  • Heart and Development- 26,864
  • Cardiovascular- 125,018

| Pig Embryo | Human Embryo

Pig Embryo

 

Follow the high pressure pathway from the ventricles into the aortic system.

Start from the cardiac apex on D7 and check that no heart structure is seen below this level in E1.

D7: Apex of left ventricle: spongy network of endocardium; a small dorsal cavity (part of the intra-embryonic (I-E) coelom which will become the pericardial cavity - no pericardium yet); mesenchymal jelly of body wall.

D6,D5: Tip of right ventricle; left ventricle; I-E coelom; liver, with its ventral transverse border, the septum transversum.

D2: Trabeculae of L and R ventricles; interventricular septum; interembryonic coelom; sinus venosus caudal tip of part of left atrium = L auricular appendage.

Dl: R auricular appendage. Endocardial jelly at dorsal wall of interventricular septum.

C7: Ventricles; incomplete interventricular septum; dorsal endocardial jelly; communication of l auricle and L atrium; R atrium; R auricle.

C6: Aperture in interatrial septum, the ostium (foramen) primum. L and R atrioventricular canals.

C5: Communication of L auricle with left atrium.

C4: Transition from R ventricle to the outflow tract, including the truncus arteriosus complete interatrial septum (cf. C5).

C3: Truncus arteriosus. Atria. Right venous valve in R atrium.

C7-C3: Return to C7 and proceed to C3, noting how left ventricular blood has to pass obliquely across right ventricle to exit from heart via the outflow tract and truncus arteriosus.

C2, C1 Truncus arteriosus shifting to midline. Jelly and mantle of the truncus. Cranial end of R venous valve. Note also extent of I-E coelom; thin body wall.

B7-B5: Attachment of truncus to ventral body wall and to dorsal roof of intra embryonic coelom. Note the anlage of the transverse pericardial sinus in B6, caudal to the attachment of the truncus.

B5-B4: Entry of truncus arteriosus into aortic sac, completely embedded in pharyngeal arch mesectoderm. Note position of aortic sac in relation to pharynx and pharyngeal arches. 4th pharyngeal arch artery on left. Return to B5 and note the small "6th" pharyngeal arch artery either side of the laterally-compressed pharynx.

B3: Cranial end of aortic sac. 4th pharyngeal arch arteries and emerging 3rd pharyngeal arch artery. Note dark thyroid primordium ventral to origin of 3rd arch arteries.

B2: (lst and 2nd pharyngeal arch arteries not seen. 3rd arch arteries. Bilaterally, communication of 4th arch artery (at sides of pharynx) with dorsal aorta.

B1: 3rd arch arteries. Dorsal aortae. (Superior cardinal veins lateral to aortae).

A7: On left side, communication of 3rd arch artery with aorta (i.e. occurring cranial to the 4th arch communication). From here on the arterial blood is distributed through fine branches to vessels outside the brain (pial plexus).

Follow the caudal path of the arterial blood Noting the position of the dorsal aortae, go back down the embryo from A7 to D3.

D3: Tiny dorsal branches of paired dorsal aortae. (Inferior cardinal veins lateral to aortae, also with small dorsal branches). move to D6.

D6: Dorsal aortae close together.

D7,E1: Fusion of dorsal aortae into a midline vessel.

E2,E6: Dorsal branches of single dorsal aorta.

F5: Dorsal aorta giving rise to a ventral branch (mesenteric artery), and branch to mesonephros (the developing kidney).

F7: Dorsal aorta sending branch into mesonephros (to glomerulus).

G2,G3: Dorsal aorta curving around flexed trunk of embryo. Note spinal cord cut twice.

G4,G5: Sections gradually passing dorsally beyond curvature of single dorsal aorta.

Return to G4. We now will follow the aorta in the lumbar region of the embryo as it passes into the sacral region.

G2,G1: Single dorsal aorta ventral to sacral (smaller) spinal cord.

F7-E7: Bifurcation into paired dorsal aortae.

E6,E5: Lateral major branch of dorsal aorta becomes umbilical artery: it reaches a crest in E5 (i.e. not seen in E4) and then "descends" in the ventral body wall to F2, where it enters the body stalk. We will follow this complex twisting again when we study the development of the hindgut.

Follow the umbilical and vitelline (yolk sac) venous inflow to the heart. Start with F6.

F6: Oblique section through both umbilical veins in body wall. Follow them to E6.

E6-E4: Both umbilical veins with a large vitelline vein in the central, mesenteric region.

E1,D7: Umbilical veins enter liver, along with vitelline. Most venous blood drains through the liver region into the sinus venosus, which nestles in the cranial surface of the growing liver. This is the site of the caudal attachment of the free heart to the body mesenchyme.

D3,D2: Entry of venous blood into sinus venosus. Note smaller left horn of sinus

venosus, and location of sinus venosus caudal to atria.

D1-C7: Drainage of right horn of sinus venosus into right atrium.

We now trace the low pressure pathway of the embryo's venous blood.

B1: Identify the large veins lateral to dorsal aortae - these are the superior or anterior cardinal veins which drain the head region. Now go directly to D6.

D6: Identify the large veins lateral to dorsal aortae - these are the inferior or posterior cardinal veins which drain the lower part of the embryo.

Follow alternately, the course of the superior cardinal veins caudally, and the course of the inferior cardinal veins cranially until they emerge about Dl -C5 into the common cardinal veins.

C7: Left common cardinal entering sinus venosus.

C5: Right common cardinal entering sinus venosus.

Finally examine the atria in more detail. Note there is only one interatrial septum, the septum primum with its ostium primum. Note in C4, the attachment of septum primum to the most cranial of the endocardial cushions. Follow the high pressure pathway from the ventricles into the aortic system. Start from the cardiac apex on D7 and check that no heart structure is seen below this level in E1.

Human Embryo

E4: L ventricle. Diaphragm and liver. Oseophagus. Thoracic aorta. Inferior venacava.

E3: Ventricles. Diaphragm and liver. Pericardium and cavity. R atrium and two cusps of the atrioventricular valve. L atrium and its auricle. Thoracic aorta. Inferior vena cava. Coronary sinus.

E2: Ventricles. Right venous valve. Between the tiny ridge of the septum secundum of the R atrium and the R venous valve, note the inferior vena cava (cf. E3) draining into the right atrium. R atrioventricular canal. Septum primum. In left atrium, note the drainage sites of R and L pulmonary veins.

E1: Ventricles. In the R atrium, note the R venous valve of the inferior vena cava, the small septum secundum, the aperture in the dorsal part of septum primum (ostium secundum). (The foramen ovale arises later with the elongation of the septum secundum). In the L atrium note the entrance of the L and R pulmonary veins and the auricle. In L ventricle, note outflow tract close to origin of ascending aorta. Deep coronary sulcus and transverse pericardial sinus.

D7: R atrium with R venous valve. R ventricle close to origin of pulmonary trunk. L.ventricular wall and three semilunar valves of aortic ostium.

D6: Superior vena cava. Ascending aorta with transverse pericardial sinus behind. Semilunar valve at origin of pulmonary trunk. L. atrium and auricle. Thoracic aorta.

D5: Superior vena cava. Ascending arch of aorta. Pulmonary trunk with the other two semilunar valves. Note sinus above one valve and branching of pulmonary trunk into L and R pulmonary arteries.

D4: Ascending aorta. Pulmonary trunk and arteries. Thoracic aorta. Oesophagus. Bronchi. Note azygos vein on right, and precursor of hemiazygos vein on left side.

D3: Ascending aorta attached cranial to transverse pericardial sinus. Superior vena cava expanding into R jugular vein. Trachea (bifurcation). Oesophagus. Azygos (R) and hemiazygos (L) veins.

D2: Aortic arch. L jugular lymph sac lying laterally with hemiazygos joining it. Trachea. Oesophagus. Draining of azygos vein into R jugular vein.

Dl: Aortic arch. Thymus (retrosternal). Trachea. Oesophagus. Large L and R jugular veins.

C7: L brachiocephalic vein (transverse anastomosis of L, R jugular veins). L common carotid artery. Brachiocephalic trunk.

C6: L and R common carotid arteries. L and R internal jugular veins.

This Page under development March 99

Development of the Heart

Week 2 pair of thin-walled tubes

Week 3 tubes fused, truncus arteriosus outflow, heart contracting

Week 4 heart tube continues to elongate, curving to form S shape

Week 5 Septation starts, atrial and ventricular

Septation continues, atrial septa remains open, foramen ovale

Week 40 At birth pressure difference closes foramen ovale leaving a fossa ovalis

Blood flow through the Embryo

Maternal Blood | -> umbilical vein -> liver -> anastomosis -> sinus venosus -> atria ventricles-> truncus arteriosus -> aortic sac -> aortic arches-> dorsal aorta-> pair of umbilical arteries | Maternal Blood

Image
Description

Transverse section

Heart is 2 tubes that fuse in the midline anterioe to pharynx.

The pericardial cavity can be imagined as the top of the "horseshoe" of the intraembryonic coelom. (where the arms become the pleural cavity and the ends fuse anteriorly to form a single peritoneal cavity).

This view shows the initial positioning of the ventricles above the atria. The ventricles are rotated into their correct anatomical position by the growth of the heart tube, bending into an "S" shape.

Initially...

Cardiac inflow- at the bottom (sinus venosus)

Cardiac outflow- at the top (truncus arteriosus)

About Notes

  • Lecture notes from the Anat 3311 1997 Science Embryology course compiled and written by Dr Mark Hill. Some notes derived from historic class notes.
  • Note Links to OMIM Entries are copies of originals for computers without internet access. Computers with internet access can directly access the database.

Links

Serial Sections Homepage
Human Homepage
Pig Homepage

m.hill@unsw.edu.au
Date Last Modified: 11/3/99
This site maintained by Dr M. Hill