Arteries and Veins Development

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Questions and Answers

Describe the process of septation of the bulbus cordis and name the channels formed as a result.

The bulbus cordis is divided by the bulbar septum into two channels: the conus arteriosus and the aortic vestibule.

Explain how the spiral aortico-pulmonary septum divides the truncus arteriosus. Include which vessel lies ventral and which lies dorsal during this process?

The spiral aortico-pulmonary septum divides the truncus arteriosus into the ascending aorta and pulmonary trunk. The pulmonary orifice lies ventral to the aortic orifice (most cranially) and the pulmonary trunk lies dorsal to the ascending aorta (most caudally).

During development, the aortic sac gives rise to the arteries in the aortic arch. What part of the aortic arch do each of the right and left horns give rise to?

The right horn gives rise to the brachiocephalic artery, and the left horn gives rise to the proximal part of the arch of the aorta.

The pharyngeal arches contribute to the development of arteries. What is the order in which these arch arteries appear cranially to caudally? Which arch disappears the earliest?

<p>The pharyngeal arch arteries appear in order from 1-6. The 5th arch artery typically disappears very early in development.</p> Signup and view all the answers

Describe the final derivatives of the 3rd aortic arch artery, and from which vessel does the external carotid artery originate?

<p>The 3rd aortic arch artery forms the common carotid artery and the first part of the internal carotid artery. The external carotid artery is a <em>new growth</em> originating from the 3rd arch.</p> Signup and view all the answers

Describe the derivatives of the 4th aortic arch artery on both the left and right sides?

<p>On the left, it forms part of the arch of the aorta. On the right, it forms part of the right subclavian artery.</p> Signup and view all the answers

Describe the ultimate fate of the 6th aortic arch artery on both the left and right sides?

<p>The proximal part of the 6th aortic arch becomes the pulmonary artery. On the left side, the distal part forms the ductus arteriosus, which later becomes the ligamentum arteriosum in adults.</p> Signup and view all the answers

What is the role of the vitelline veins in early vascular development, and where do they drain?

<p>The vitelline veins drain the yolk sac and gut tube. They pass through the septum transversum and drain into the sinus venosus.</p> Signup and view all the answers

Describe how the portal vein is formed from the vitelline vein anastomosis.

<p>They anastomose around the duodenum by an 8-shape anastomosis. They give then the portal vein and its two tributaries that include: the splenic and the superior mesenteric veins.</p> Signup and view all the answers

After birth, what is the final derivative of the left umbilical vein? What happens to the ductus venosus?

<p>The left umbilical vein closes after birth and forms the <em>ligamentum teres</em>. The ductus venosus also closes and forms the <em>ligamentum venosum</em>.</p> Signup and view all the answers

Explain what drains into the anterior and posterior cardinal veins, and where these vessels ultimately drain into.

<p>The anterior cardinal veins drain the <em>cephalic</em> part of the embryo, and the posterior cardinal veins drain the <em>caudal</em> part. Both pairs of veins drain into the sinus venosus.</p> Signup and view all the answers

During the development of the cardinal veins, where is the right common cardinal vein ultimately derived?

<p>It ultimately becomes the lower part of the superior vena cava (SVC).</p> Signup and view all the answers

Derivatives form the left common cardinal vein remain in the adult human body. What are they?

<p>The oblique vein of the left atrium (see sinus venosus).</p> Signup and view all the answers

The cranial part of the anterior cardinal veins connect during development. What do they connect to, and what is formed as a result?

<p>They become connected by cranial anastomosis, and connect to form the right internal jugular, right brachiocephalic, superior vena cava, and left internal jugular.</p> Signup and view all the answers

The supra-cardinal veins play a vital role in draining the body. What do they form on the right and left sides that connect with one another? Explain the importance of the connection.

<p>They form the azygos vein (at the right) and hemi azygos vein (at the left). Their anastomosis is the connection between azygos ad hemi azygos veins.</p> Signup and view all the answers

The sub-cardinal veins form the gonadal and suprarenal veins. What larger structure does the right sub-cardinal share in the formation of?

<p>The right subcardinal shares in the formation of the inferior vena cava (IVC).</p> Signup and view all the answers

Outline the main steps of derivatives in developing the inferior vena cava (IVC).

<p>The IVC is developed by the segments from the following veins: hepatic, suprarenal, right renal, infrarenal, and iliac.</p> Signup and view all the answers

Explain how fetal circulation is different from adult circulation, and describe how blood from the placenta enters the fetal heart.

<p>Fetal circulation bypasses the lungs. Oxygenated blood from the placenta enters the fetus via the umbilical vein, passes through the liver, through the inferior vena cava, and then reaches the right atrium of the heart.</p> Signup and view all the answers

In foetal circulation, how does blood enter the left atrium? Describe the two vessels the blood flows through after to complete its circulation?

<p>Next the blood flows through the foramen ovale to get blood into the left atrium which flows to the left ventricle. The blood is then pumped into the body via aortic arch and descending aorta.</p> Signup and view all the answers

What are the 6 changes that typically occur after birth to transition from fetal to adult circulation?

<p>The 6 changes post birth are: the lungs start to function, the ductus arteriosus is closed, the foramen oval is closed, the umbilical arteries are closed, the umbilical vein is closed, and the ductus venosus is closed.</p> Signup and view all the answers

What is the most likely diagnosis for a pale cyanotic infant in mild respiratory distress? And what are the key components of this disease that leads to that diagnosis?

<p>The most likely diagnosis is Fallot’s Tetralogy. Key components are overriding aorta, ventricular septal defect (VSD), right ventricular hypertrophy, and pulmonary stenosis.</p> Signup and view all the answers

What is the embryonic derivative of the Smooth part of the right atrium?

<p>Sinus venosus</p> Signup and view all the answers

From which embryonic structure is the ascending aorta derived?

<p>Truncus arteriosus.</p> Signup and view all the answers

What happens to the caudal part of the right supracardinal vein?

<p>It shares in the formation of the IVC.</p> Signup and view all the answers

If an infant had a malformation of their proximal aortic arch, which arch artery would be the most likely source of this malformation?

<p>The left horn artery.</p> Signup and view all the answers

Outline the path in which vitelline veins anastomose in the liver.

<p>They anastomosis around the duodenum by 8-shape before giving both the portal vein and tributaries.</p> Signup and view all the answers

Why is the anastomosis of the hemi azygos and azygos veins important?

<p>Because these veins are important because they provide an alternative route for venous return if the inferior vena cava is blocked.</p> Signup and view all the answers

What vessel drains the cephalic part of the embryo, and to where does this vessel drain?

<p>It is drained by the anterior cardinal veins, and these drain into the sinus venosus.</p> Signup and view all the answers

The sub-cardinal veins are essential for draining the reproductive/renal area. What veins does the right sub-cardinal share in the formation of, and name the larger structure that these drain?

<p>The right subcardinal shares in the formation of the inferior vena cava (IVC).</p> Signup and view all the answers

Name the arteries from pharyngeal arches that are crucial in supplying blood to parts of the head and neck.

<p>The 3rd aortic arch gives rise to the common carotid and initial part of the internal carotid artery.</p> Signup and view all the answers

A malformation of the inter ventricular septum has occurred. Where did the continuous nature of the inter ventricular septum come from?

<p>The inter ventricular septum is continuous with the aortico-pulmonary septum in the truncus arteriosus.</p> Signup and view all the answers

The spiral aortico pulmonary septum lies dorsal and to the left; what important part of blood flow is created?

<p>The spiral aortico pulmonary septum helps create the aortic vestibule.</p> Signup and view all the answers

After Birth and closure of the ligamentum, how is this structure connected in adult hood?

<p>This structure is connection between a ductus and pulmonary trunk.</p> Signup and view all the answers

Why are five pairs of arch arteries only apparent from cranial to caudal region?

<p>This occurs because one arch disappears early in the process.</p> Signup and view all the answers

When thinking about blood flow in vitelline veins, where do they travel to when passing through the septum?

<p>They are passing through the septum in a sinusoidal format.</p> Signup and view all the answers

The portal and vitelline veins anastomose and give rise blood flow, what tributaries does that blood flow affect?

<p>The portal and vitelline veins affect flow of the portal vein, splenic vein and superior messenteric veins.</p> Signup and view all the answers

What parts of the upper or lower blood structures does the cranial and caudal affect?

<p>The caudal part affects the right supracardinal, and caudal part affects the left.</p> Signup and view all the answers

What type of embryonic vein does the right cardinal associate?

<p>The subcardinal vein connects most notably to the IVC.</p> Signup and view all the answers

List the vessels in order by the arterial path in the arches.

<p>aortic sac-&gt;aortic arches-&gt;dorsal aorta.</p> Signup and view all the answers

What structures are being bypassed in blood flow during fetal circulation?

<p>The organs and the lungs are being bypassed during fetal circulation due to a different blood supply network that is present.</p> Signup and view all the answers

What side venous flow would result in IVC?

<p>Right side blood venous flow.</p> Signup and view all the answers

Flashcards

Bulbar septum

Divides conus arteriosus into two channels: conus arteriosus and aortic vestibule.

Conus arteriosus

Lies ventrally and to the right; forms the infundibulum of pulmonary trunk.

Aortic vestibule

Lies dorsally and to the left; absorbed into the left ventricle

Septation of Truncus Arteriosus

It's divided by the spiral aortico-pulmonary septum into the ascending aorta and pulmonary trunk.

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Right horn of aortic sac

It gives rise to the brachiocephalic artery.

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Left horn of aortic sac

It gives rise to part of the arch of the aorta

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Pharyngeal arches

They join the right and left dorsal aortae forming arch arteries.

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Third arch artery

Forms the common carotid artery and the first part of the internal carotid artery.

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Fourth arch artery (left)

Forms part of the arch of the aorta.

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Proximal Sixth arch artery

Forms the pulmonary artery

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Distal part of Sixth arch

Forms ductus arteriosus which becomes ligamentum arteriosum after birth

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Vitelline veins

2 veins draining the yolk sac and gut tube which pass through the septum.

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Umbilical veins

2 Carrying oxygenated blood from the placenta, drain into the sinus venosus

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Anterior Cardinal veins

Draining the cephalic part of the embryo.

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Posterior Cardinal veins

Draining the caudal part of the body.

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IVC Cranial part

They form vena hepatis communis and the upper part of IVC.

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Close of left umbilical vein

Becomes ligamentum teres

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Ligamentum venosum

Close of ductus venosus

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Common cardinal veins

Contributes to lower part of SVC and becomes oblique vein of left atrium

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SVC Formation

They become connected by cranial anastomosis, draining from left to right

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Posterior cardinal veins

Connected by iliac anastomosis and becomes subcardinal and supracardinal veins.

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Supra-cardinal veins

They form azygos vein (at right) and hemi azygos vein (at left)

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Sub-cardinal veins

Forms gonadal + suprarenal veins (on both sides).

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Study Notes

Development of Arteries and Veins: Overview

  • Focuses on the development of arteries and veins in the human body

Learning Outcomes

  • Includes development of both arteries and veins

Septation of Bulbus Cordis

  • Divided by the bulbar septum into 2 channels: the conus arteriosus and the aortic vestibule
  • The conus arteriosus is ventral and right; it becomes the infundibulum of the pulmonary trunk when absorbed into the right ventricle
  • The aortic vestibule is dorsal and left; it is absorbed into the left ventricle

Septum Characteristics

  • Continuous caudally with the membranous part of the I.V. septum
  • Continuous cranially with the aortico-pulmonary septum of the truncus arteriosus
  • Cranial end intervenes between the aortic and pulmonary orifices

Septation of Truncus Arteriosus

  • Divided by the spiral aortico-pulmonary septum to form the ascending aorta and pulmonary trunk
  • Most cranially, the pulmonary orifice is ventral to the aortic orifice
  • In the middle, the pulmonary trunk is to the left of the ascending aorta
  • Most caudally, the pulmonary trunk is dorsal to the ascending aorta

Aortic Sac Development

  • During the fourth and fifth weeks, the aortic sac (distal to the truncus arteriosus) gives rise to aortic arch arteries
  • The aortic sac has right and left horns

Fate of the Aortic Sac

  • The right horn becomes the brachiocephalic artery
  • The left horn becomes the proximal part of the aortic arch

Pharyngeal Arches

  • Join the right and left dorsal aortae
  • Five pairs of arch arteries appear in cranial to caudal order, 1-6 (the 5th arch artery disappears early)
  • Not all aortic arch arteries are present at the same time

Fate of Aortic Arch Arteries

  • 1st arch artery: mostly disappears, small portion forms the maxillary artery
  • 2nd arch artery: disappears, hyoid and stapedial arteries remain
  • 3rd arch artery: forms the common carotid artery and the first part of the internal carotid artery
  • The external carotid artery is a new growth from the 3rd arch

Fourth to Sixth Aortic Arch Arteries

  • Fourth arch artery (left): forms part of aortic arch
  • Fourth arch artery (right): forms the right subclavian artery
  • Fifth arch: disappears
  • Sixth arch artery (pulmonary arch)
    • Proximal part: forms the pulmonary artery
    • Distal part (left): forms the ductus arteriosus, which closes in adults to become the ligamentum arteriosum

Vitelline Veins

  • They drain the yolk sac and gut tube
  • Pass through the septum transversum
  • Drain into the sinus

Umbilical Veins

  • Carry oxygenated blood from the placenta (chorionic villi)
  • Drain into the sinus venosus after passing through the septum transversum

Cardinal Veins

  • Two anterior cardinal veins: drain the cephalic part of the embryo
  • Two posterior cardinal veins: drain the caudal part of the embryo
  • Two common cardinal veins: drain into the sinus venosus

Vitelline Veins Details

  • Portal system: 2 veins anastomose around the duodenum in an 8-shape; give rise to portal vein and its two tributaries (splenic and superior mesenteric veins)
  • Hepatic sinusoids: interrupted by growing liver cords to form hepatic sinusoids
  • IVC: form the vena hepatis communis, opening into the right atrium to form the upper portion of the IVC (hepatic portion)

Umbilical Veins details

  • Right umbilical vein disappears
  • Left umbilical vein
    • It joins hepatic sinusoids
    • It remains connecting the placenta to left branch of portal vein
    • Ductus venosus forms between the union of umbilical and vena hepatis Communis
  • After birth, the left umbilical vein closes to become the ligamentum teres, and the ductus venosus closes to form the ligamentum venosum

Cardinal Veins Development

  • Right becomes the lower part of the superior vena cava (SVC)
  • Left becomes the oblique vein of the left atrium (sinus venosus)

Cardinal Veins connections

  • Connected by cranial anastomosis which drains blood from right to left
  • Right: upper part of SVC + right brachiocephalic + Right internal jugular veins
  • Left: left internal jugular + left superior intercostal
  • The cranial anastomosis: Left brachiocephalic vein

Cardinal Veins continued: common iliac veins

  • Are connected by iliac anastomosis
  • Are replaced by subcardinal and supracardinal veins
  • Right remnants: right common iliac vein, and root of azygos vein
  • Left remnants: left common iliac vein (completed by iliac anastomosis)

SupraCardinal and SubCardinal Veins.

  • Supra-cardinal veins: forms azygos

  • anastomosis: the connection between azygos and Hemi azygos shares in the formation of IVC

  • Sub-cardinal veins

  • Gonadal and suprarenal veins form, forms caudal par of IVC

  • anastomosis becomes part of part of left renal vein.

Summary of Fetal Circulation

  • Placenta (UV)→ Liver (IVC)→RA → RV → Lungs (pa) → LA → LV → Body (aorta)

Changes After Birth

  • Lungs begin to function and fill
  • Ductus arteriosus, foramen ovale, umbilical arteries, umbilical vein, and ductus venosus close

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