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DEVELOPMENT OF THE HEART AND GREAT BLOOD VESSELS LEARNING OUTCOMES 1. explain the early development of the heart from splanchnic mesoderm ahead of the neural plate which is then folded beneath the pharynx of the head fold. 2. outline the fusion of the endocardial tubes to form the simple linear heart with atrium, ventricle and valvular flaps pumping blood into the aortic arches. 3. define the three circulatory arcs of the heart supplying the body tissues, the yolk sac (vitelline) and the allantois and describe their functions 4. describe the role of the yolk sac splanchnopleure in early haematopoiesis 5. Understand the developmental process by which the aortic arches and truncus arteriosis are adapted to give the aortic and pulmonary trunks and the carotids 6. Show how septum formation in the primitive linear heart allows separate pumping of blood into the aorta and the pulmonary trunk 7. describe the congenital abnormalities of septal defects, patent ductus arteriosus, and persistent aortic arch FORMATION OF THE MAMMALIAN GASTRULA - 9 MESODERM TYPE INTERMEDIATE STRUCTURE HEAD CHORDA- MESODERM DERIVATIVE HEAD MUSCLES, SKULL, CARTILAGE NOTOCHORD LIMB MUSCLES AXIAL SKELETON PARAXIAL ICM EPIBLAST SOMITES MESODERM TRUNK MUSCLES DERMIS INTERMEDIATE PARTS OF KIDNEY AND REPRODUCTIVE TRACT LIMB SKELETON HEART LATERAL BODY CAVITY DIVIDERS BLOOD CELLS AMNION CHORION YOLK SAC ALLANTOIS The cardiac tube folds under the gut tube…… THE EARLY DEVELOPMENT OF THE HEART - 1 B A DORSAL AORTA GUT TUBE ENDODERM CARDIAC TUBE PERICARDIAL CAVITY VITELLINE VEINS CARDIAC PRIMORDIUM (SPLANCHNIC MESODERM) The cardiac primordia are established in the early gastrula as regions of splanchnic mesoderm ahead of the embryo itself. As a result of the head fold, this region ends up beneath the pharynx. The heart is a U-shaped tube at this stage and the forming blood vessels are initially unconnected ……and connects bilaterally with the dorsal aorta via the aortic arches C FUSED DORSAL AORTA 1ST AORTIC ARCH (R) VENTRICLE ORAL PLATE The sides of the U-tube then fuse to produce the atrial and ventricle regions with valvular flaps to prevent back flow so that the heart can function as a simple peristaltic pump. ATRIUM VENOUS RETURN FROM CARDINAL VEINS, VITELLINE VEIN AND ALLANTOIC (UMBILICAL) VEIN The dorsal aorta form independently and then grow to meet the ventral output from the heart in the aortic arches This pattern of mammalian development is a good example of recapitulation D PHARYNGEAL POUCHES LUNG BUD THIS STAGE RESEMBLES FISH The diagram shows 6 aortic arches but, in mammals, 1 and 2 are regressing while the later arches are forming and arches 5 never form REMINDER: The branchial arches and clefts and the juxtaposed pharyngeal pouches are a recapitulation of the respiratory anatomy of fish Mouse, 8 day, sagittal Mouse, 9 day, frontal Mouse, 10 day, frontal The heart twists so that the atrium is rostral to the ventricle Mouse, 8 day, frontal The heart folds under the pharynx Mouse, 9 day, side http://www.med.unc.edu/embryo_images/ The embryonic circulation has three circulatory arcs through which blood is pumped by a simple linear heart Dorsal aorta Cardinal veins Mesonephros Aortic arches Vitelline vein Vitelline artery Allantoic artery Allantoic vein Deoxygenated blood Mixed blood Oxygenated blood Yolk sac Chorio-allantoic placenta THE CIRCULATORY ARCS OF THE EMBRYONIC BLOOD SUPPLY 1. BODY CIRCULATION TRANSPORT OF O2 /FOOD MATERIALS TO TISSUES TRANSPORT OF WASTE MATERIALS AWAY 2. VITELLINE CIRCULATION CARRIES MOBILISED FOOD MATERIALS FROM THE YOLK SAC LOST FUNCTION IN MAMMALS BECAUSE SAC EMPTY CARRIES FIRST BLOOD CELLS FROM YOLK SAC SPLANCHNOPLEURE 3. ALLANTOIC CIRCULATION IN MAMMALS TAKES OVER THE FUNCTIONS OF THE VITELLINE ARC IN BIRDS SUPPLIES FOOD MATERIALS FROM MATERNAL CIRCULATION RETAINS AVIAN FUNCTION OF REMOVAL OF WASTE AND GAS EXCHANGE MESENCHYME IN SPLANCHNOPLEURE OF YOLK SAC Haematopoiesis begins in the splanchnopleure of the yolk sac before transferring to the embryo itself later in development CELL CLUSTERS ENDOTHELIAL CELLS HAEMATOPOIETIC CELLS ENDOTHELIUM BLOOD ISLAND FORMATION OF BLOOD VESSEL From Noden and La Hunta p 211 AGGREGATION OF FURTHER MESENCHYME TO FORM MUSCULAR AND CONNECTIVE TISSUE WALL The simple tubular heart twists to prepare for septum formation and the creation of a fourchambered organ. The aortic arches are selectively modifed to give rise to the great arteries THE HEART AND THE AORTIC ARCHES - FORMATION OF THE GREAT BLOOD VESSELS CAROTIDS (from L and RIII) AORTA (from LIV) I II III IV V VI III IV VI TA A RIGHT SUBCLAVIAN (from RIV) DUCTUS ARTERIOSUS (LVI to LIV) RA LA PULMONARY TRUNK (from LVI) SEPTA A V V LV RV VENOUS RETURN NOTES: 1. View from ventral surface 2. RA - Right atrium, LA - Left atrium, RV - right ventricle, LV - left ventricle, TA = truncus arteriosus After birth venous return is from vena cava (blue arrows) and pulmonary veins (red arrows) The separation between atria and between ventricles and between atria and ventricles occurs by means of septum formation SEPTUM FORMATION Vena cava ATRIAL SEPTATION Pulmonary veins A Foramen ovale Vena cava ATRIOVENTRICULAR SEPTATION VENTRICULAR SEPTATION V RV LV PRIOR TO SEPTATION (SURFACE VIEW ) INCOMPLETE SEPTATION (SECTION) A Mouse, 12 days, section of truncus arteriosus Mouse, 10 days, frontal section Blood from the atrium passes to the ventricle by means of a channel. The beginnings of interatrial septum formation can be seen (A) Cushions form within the truncus arteriosus and will fuse to form the aortico-pulmonary septum separating the aortic and pulmonary flows http://www.med.unc.edu/embryo_images/ FOETAL CIRCULATION 25 Brachycephalic vessels 14 To lungs 19 DA From lungs FO 25 19 25 14 Liver 30 22 Trunk Placenta Hindlimb There is a split between deoxygenated blood returning from the rostral end of the foetus and oxygenated blood returning from the placenta. This spit is achieved by directed flow through the foramen ovale CHANGES IN THE CIRCULATION AT BIRTH • Contraction of allantoic artery and veins to force placental blood into main circulation. Rupture of umbilical cord • Contraction of Ductus arteriosus and closure of Foramen ovale so that right side blood is directed to lungs DEFECTIVE SEPTUM FORMATION INTER-ATRIAL SEPTAL DEFECT (persistent Foramen ovale) INTER-VENTRICULAR SEPTAL DEFECT (Tetralogy of Fallot is variation on this) PERSISTENCE OF AORTIC ARCHES AND VASCULAR RING ANOMALIES Right 4 Left 6 Oesophagus PATENT DUCTUS ARTERIOSUS PERSISTENT RIGHT AORTIC ARCH IV REFERENCES Carlson BM (2003) Patten's Foundations of Embryology Noden DM, de Lahunta (1985) A Embryology of domestic animals McGeady TA, Quinn PJ, Fitzpatrick ES, Ryan MT (2006) Veterinary embryology University of North Carolina web site: http://www.med.unc.edu/embryo_images/