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THE HEART
LEARNING OBJECTIVES
By the end of this lecture the students should be able to
understand:
The development of heart tube its division and its rotation
Development of Four Chambered Heart
Interatrial and Interventricular septum formation
Formation of Heart Valves
Formation of Conduction System
THE HEART TUBE
The heart tube is formed by the fusion of two endocardial tubes in the
cardiogenic area
Site of Development of Heart
* Development of heart begins in cardiogenic area, located at the cranial
edge of the trilaminar germ disc
Pos
itio
n of
Hea
rt
Tube
* Folding of head region of embryo brings the heart and pericardial cavity ventral to the
foregut and caudal to the oropharyngeal membrane
The bulbus cordis and ventricle grow more rapidly forming a U shaped
Bulboventricular loop
Bulboventricular loop shifts the region of heart to the right and ventrally
The right sinus horn and veins enlarge greatly and become the only communication
between the original sinus venosus and the atrium.
The left horn of the sinus venosus become the coronary sinus
The proximal part of the left common cardinal vein become oblique vein of the left
atrium
Many congenital heart problems can develop during this crucial time
Atrioventricular septum
Toward the end of the fourth week, dorsal and ventral endocardial
cushions are developed in the walls of the common atrioventricular
canal at junction of atrium and ventricle
Endocardial cushions
Endocardial cushions grow toward each other and, during the sixth week, meet and
fuse, dividing the common atrioventricular canal into right (tricuspid) and left
(mitral, or bicuspid) atrioventricular canals
The Atrial Septum
The atrial septum is responsible for the division of primitive atrium into Right and Left
Atria
The process involves the formation of:
Septum primum
Septum secondum
Septum Primum
Septum primum first forms during the fourth week as a partition in the dorsocephalic
wall of the primitive atrium
It grows towards the Atrioventricular septum
Foramen primum
Foramen Primum
The space between the free edge of septum primum and the developing endocardial
cushions
It gets obliterated when the septum primum fuses completely with AV septum
Foramen Secondum
It is formed due to obliteration of tissue in the center of septum primum
Septum secondum
Grows alongside the Right edge of Septum primum
It fuses with the remaining portion of Septum primum to cover the
foramen secondum, forming the Interatrial Septum
Foramen Ovale
Defect remaining in the septum secondum even after its fusion with
septum primum
Foramen ovale allows Right to Left shunt
Ventricular Septum
Ventricular septum is formed as:
Interventricular septum
AV cushions
Spiral (Aorticopulmonary) septum
Interventricular septum is formed as
Muscular septum
Membranous septum
The Interventricular Septum
Muscular septum
Grows upwards from the base of the primitive ventricle towards the AV
septum
The resulting gap is called the Interventricular foramen
The AV valves
The AV valves (tricuspid and mitral valves) develop similarly from
localized proliferations of tissue around the AV canals.
Conduction System
The SA node develops during the fifth week. It is originally in
the right wall of the sinus venosus, but it is incorporated into the
wall of the right atrium with the sinus venosus
Conduction System
After incorporation of the sinus venosus, cells from its left wall are found in
the base of the interatrial septum just anterior to the opening of the
coronary sinus. Together with cells from the AV region, they form the AV
node and bundle
The fibers arising from the AV bundle pass from the atrium into the
ventricle and split into right and left bundle branches
REFERENCES
Langmans embryology
KLM introduction to embryology
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