Development of Heart

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Development of heart

Dr. Ashish Parajuli


Junior Resident 2021 batch
Department of Human Anatomy
BPKIHS, Dharan
• Development of heart begins after three weeks of fertilization.
• It develops from the embryonic tissue called mesoderm.
• Heart begins
to develop
near the head
of embryo in a
region known
as a
cardiogenic
area.
• Cardiogenic area begins to form two strands called cardiogenic cords
after it receives chemical signals from endoderm.
• Lumen develops in the cords and forms endocardial tubes.
• Fusion of both endocardial tubes to form primitive heart tube.
Primitive heart has
following parts:

1. Truncus arteriosus
2. Bulbus cordis
3. Primitive ventricle
4. Primitive atrium
5. Sinus venosus

Direction of blood flow is from venous


ends towards arterial ends.
• Truncus arteriosus divides into
ascending aorta and pulmonary trunk.
• Bulbus cordis divides into conus and
proximal part. Conus forms outflow
tract of right and left ventricle,
proximal part forms the right ventricle.
• Primitive ventricle forms the left
ventricle.
• Bulboventricular sulcus arises
between bulbus cordis and primitive
ventricle which forms interventricular
foramen and later interventricular
septum.
• Primitive atrium forms the anterior
smooth part of both atrium.
• Sinus venosus divides into body and
right and left horn.
• Body of sinus venosus forms the
posterior part of right ventricle.
• Left horn of sinus venosus is
regressed to form coronary sinus.
• Right horn of sinus venosus is
absorbed into right atrium.
• 3 sets of vein drain into right and
left horn
• Vitelline vein
• Umbilical vein
• Common cardinal vein
• Right vitelline vein forms part of
inferior venacava.
• Right umbilical vein is regressed.
• Right common cardinal vein forms a
part of superior venacava.
• Left horn and the vessels draining
into it are regressed.
Folding of Heart:
• Elongated heart tube. forms a U shape and later into S shape
Tetralogy of Fallot
Persistent truncus arteriosus
Development of blood vessels.
• Right and left primitive aorta develops as a
continuation of primitive heart tube.
• Parts of primitive aorta:
1. Ventral aorta: part lying anterior to
foregut.
2. Arched portion forming the first
pharyngeal arch.
3. Dorsal aorta: portion lying dorsal to
gut.
• Appearance of 2nd to 6th arches
communicating with aortic sac.
1. Greater part of 1st and 2nd
arch disappear and forms
maxillary artery and
stapedial artery
respectively.
2. 5th arch disappears
completely.
3. Spiral septum of trunchus
arteriosus extends into
aortic sac in such a way
that blood from pulmonary
trunk passes only into 6th
arch.
4. Dorsal aorta grow cranially to form
internal carotid artery.
5. 3rd arch artery gives off a branch to
reach cranially to form external carotid
artery.
6. Portion of aorta between 3rd and 4th
arch artery called as ductus caroticus
disappears.
7. Portion of aorta from 4th arch to fusion
of dorsal aorta also disappears.
8. 4th arch on right forms right subclavian
artery and on the left side forms arch of
aorta from which the left subclavian
artery arises.
• Ascending aorta and
pulmonary trunk: truncus
arteriosus.
• Brachiocephalic artery: aortic
sac, left horn and left 4th arch
artery.
• Ductus arteriosus: from 6th
arch, communicates
pulmonary artery and aorta.

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