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Embryology
Echo school quiz
Term | Definition |
---|---|
Aortic sac | Forms 6 pairs of aortic arches |
Aortic arches in the embryo that disappear | Arches 1, 2 and 5 |
3rd aortic arch pair | Becomes the carotid arteries (blood flow to the brain) |
4th aortic arch pair | Becomes part of the aortic arch and right subclavian artery |
6th aortic arch pair | Becomes ductus arteriosus, pulmonary trunk and part of the pulmonary arteries |
Truncus arteriosus (is actually the distal portion of the bulbus cordis) | Becomes the base of the pulmonary artery and the ascending aorta |
Bulbus cordis (proximal portion) | Becomes the body and apex of the RV |
Conus cordi (mid portion of the bulbus cordis) | Becomes the RVOT and the LVOT |
Primitive ventricle | Becomes one ventricle and then the LV apex and inlet portion of the RV |
Primitive atrium | Becomes one atria and eventually the RA and LA |
Sinus venosus | Becomes the SVC, IVC, coronary sinus, pulmonary veins and the posterior walls of the RA and LA |
Endocardial cushions | Arise from the atrioventricular sulcus, which turns into the AV canal. Jelly-like and help to form septums and valves. Right in the middle of the heart |
Heart tube appears | Day 21 |
Fetal heart begins to beat | Day 23 |
Heart fully formed | Week 7 or day 49 |
D-looping | Anterior and to the right |
Ductus arteriosus | Shunts blood to the aorta from the pulmonary artery; After birth becomes the ligamentum arteriosum |
Ductus venosus | Shunts oxygenated blood from the umbilical vein to the IVC instead of the liver; After birth becomes the ligamentum venosum |
Foramen ovale | Shunts blood from the RA to the LA; After birth becomes the fossa ovalis |
Umbilical vein | After birth becomes the ligamentum teres |
Umbilical arteries | After birth part disappear and part turn into other ligaments |
Septum primum | Starts forming at the base and grows top downward. Reaches all the way down to the endocardial cushion. |
Septum secundum | Forms after the septum primum top down and covers the hole in the 1st septum. |
Ostium primum | Opening between the primum and endocardial cushions |
Ostium secundum | AKA foramen ovale; opening between the septum primum and secundum |
Septation | Happens at weeks 4-6; heart loops anteriorly and to the right (D-looping); creates right and left canals |
After birth the lungs: | 1. Fill with air 2. O2 saturation goes up 3. CO2 saturation goes down 4. Bradykinin is released |
Bradykinin | Affects smooth muscle in ductus arteriosus and causes it to close into the ligamentum arteriosum |
Pulmonary vascular resistance | Decreases in the lungs after birth |
Right heart pressures | Decrease after birth |
LA pressure | Increases after birth |
Eustachian valve | Guides incoming blood from the IVC to the foramen ovale (RA to the LA) |
PFO | Patent foramen ovale occurs when the foramen ovale doesn't close properly (can be detected thru a bubble study) |