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Development of Heart S-II CVS MOD 67 • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Objectives Describe Vasculogenesis and Angiogenesis Discuss the formation of Endothelial tube Discuss the Cardiogenic Area Describe the formation of heart tube Discuss the further development of heart Discuss the formation of different layers of heart Discuss the division of heart tube Describe the Rotation of Heart tube Development of Cardiovascular System The cardiovascular system is first system to function in the embryo. The primordial of heart and blood vascular system appear in the middle of third week of embryonic development. The heart starts to function at the beginning of fourth week Vasculogenesis and Angiogenesis Vasculogenesis means formation of blood vessels Angiogenesis means formation of blood cells. Both occur parallel Controlled by one regulating gene factor VEGF. Vasculogenesis Vasculogenesis occurs in the embryo and extraembryonic membrane during the third week: Mesenchymal cells differentiate into endothelial cell precursor- Angioblast Angioblast (vessel forming cells) aggregate to form isolated angiogenic cell clusters, the blood islands Small cavities appear within the blood island by confluence of intercellular clefts. Angioblasts flatten to form the endothelial cells that arrange themselves around the cavities in the blood island to form endothelium These endothelium lined cavities soon fused to form the endothelial channels (vasculogenesis) Vessels sprout into adjacent areas by endothelial budding and fuse with other vessels • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Formation of Endothelial Tubes Day 17 - Blood islands form first in the extra-embryonic mesoderm Day 18 - Blood islands form next in the intra-embryonic mesoderm Day 19 - Blood islands form in the cardiogenic mesoderm and coalesce to form a pair of endothelial heart tubes Cardiogenic area The cardiogenic area first forms between cranial edge of the trilaminar germ disc and the neural plate and just lateral to the cranial end of the neural plate, on about day 19. Splanchnopleuric mesodermal cell, later forms angioblasts that form vascular cords which coalesce into the paired lateral endocardial tubes which forms the primitive heart tube Formation of Heart Tube The endothelial heart tubes fuse to form a single primitive heart tube with a cranial (arterial) end and a caudal (venous) end. The heart tubes are derived from the cardiogenic mesoderm situated next to the pericardial cavity, the cranial-most end of the intra-embryonic coelom. After the formation of the head fold (at 20 days) the cardiogenic mesoderm is shifted ventrally and comes to lie ventral to the primitive pharynx. Folding of Embryo Location of Cardiogenic Area Development of Heart The primordium of the heart first evident at 18 days. In the cardiogenic area, splanchnic mesenchymal cells ventral to the pericardial coelom aggregates and arrange themselves side by side to form two cardiac primodium, the Angioblastic Cords. These cords canalize to form two thin walled endocardial heart tubes. As the lateral folding occurs, the endocardial tubes approach each other and fuse to form single heart tube. Fusion of heart tubes begins at the cranial end of developing heart and extends caudally 23 days following conception, the single, simple epithelial heart tube lies within the embryo's pericardial cavity. Development of Three Layers of Heart Primodium of myocardium develops from the Splanchnic mesoderm surrounding the pericardial coelom. At 23days there are three cell layers present within the heart tube. Layers of Heart Inner thin layer is the endothelial tube It is separated from thick muscular tube (primodium of myocardium) by gelatinous connective tissue called as cardiac jelly. • • • • • • • • • • • • • • • • • • • • • • • • • • • • • The cardiac jelly is a structure less mass of cells which contain very few nuclei. Layers of Developing Heart The endothelial tube becomes the internal endothelial lining of heart, the Endocardium The primodium of myocardium becomes the muscular wall of heart, the Myocardium. The visceral pericardium, or Epicardium is derived from mesothelial cells that arise from the external surface of sinus venosus Division of Heart Tube With folding of the head region, the heart and pericardial cavity come to lie ventral to the foregut and caudal to the oropharyngeal membrane. At the same time, the tubular heart elongates and develops alternate constrictions and dilatations, the trunsus arteriosus, bulbus cordis, ventricle, atrium and sinus venosus. Division of Heart Tube The Truncus Arteriosus is continuous cranially with the aortic sac from which the aortic arches arise. The Sinus Venosus receives the umbilical, vitelline and common cardinal veins from the chorion, yolk sac and embryo respectively. The arterial and venous ends of the heart are fixed by the pharyngeal arches and septum transverum respectively. Rotation of different Parts of Heart The bulbus cordis and ventricle grow faster causing the heart to bend on itself forming U-shaped Bulbo-ventricular loop. As the primordial heart bends the atrium and sinus venosus come to lie dorsal to the truncus arteriosus , blubus cordis and ventricle. At this stage the sinus venosus has developed lateral expansion, the right and left horns of sinus venosus. As the heart develops it gradually invaginates the pericardial cavity. Initially suspended from the dorsal wall by mesentery, the dorsal mesocardium. Formation & Rotation of Heart Tube Transverse Pericardial Sinus The central part of dorsal mesocardium soon degenerates, forming a communication called Transverse Pericardial sinus between right and left sides of the pericardial cavity. At this stage the heart is attached only at its cranial and caudal ends. Circulation Through the Primordial heart The initial contractions of heart originate in muscle which are of myogenic origin. Blood enters the sinus venosus from a number of sites, including the: Development of Veins associated with the Heart Three paired Veins drain into tubular heart of four week embryo; • • • • • • • Vitelline veins return poorly oxygenated blood from the yolk sac Umbilical veins carry well-oxygenated blood from chorion, the primordial placenta, only the left umbilical vein persists. Common Cardinal Veins return poorly oxygenated blood from the body of embryo SELF ASSESSMENT In which week does the heart tube first appear? From which layer(s) of the embryo do the three layers of heart are derived? Name the important vessels of fetal circulation REFERENCES • Langman’s embryology • KLM introduction to embryology