11-Heart_Tube_&_Peri..
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HEART TUBE
&
PERICARDIUM
Dr. Mujahid Khan
Early Development of Heart
The earliest sign of heart is the appearance of
paired endothelial strands called angioblastic
cords
They develop in the cardiogenic mesoderm
during the third week
These cords canalize to form two heart tubes
These cords fuse together to form the tubular
heart late in the third week
Early Development of Heart
Primordium
of heart is first evident at 18
days in the cardiogenic area
The
heart begins to beat at 22-23 days
Blood
flow begins during the fourth week
and can be visualized by Doppler
ultrasonography
Development of Heart
The
endocardial heart tubes approach
each other and fuse to form a single heart
tube after lateral folding
Fusion
of tubes begins at the cranial end
of the developing heart and extends
caudally
Primordial Myocardium
As
the heart tubes fuse, an external layer
of the embryonic heart, the primordial
myocardium is formed from splanchnic
mesoderm around pericardial coelom
At
this stage the developing heart is
composed of a thin endothelial tube,
separated from thick muscular tube by
gelatinous connective tissue, cardiac jelly
Endocardium
The
endothelial tube becomes the internal
endothelial lining of the heart, called
endocardium
The
primordial myocardium becomes the
muscular wall of the heart or myocardium
The
visceral pericardium or epicardium is
derived from mesothelial cells and spread
over the myocardium
After Folding
As
folding of head region occurs
The
heart and pericardial cavity come to
lie ventral to the foregut and caudal to the
oropharyngeal membrane
Fate of Heart Tubes
The
tubular heart elongates and develops
alternate dilations and constrictions:
Truncus
Arteriosus
Bulbus Cordis
Ventricle
Atrium
Sinus venosus
Fate of Heart Tubes
As the developing heart elongates and bends, it
gradually invaginates into the pericardial cavity
Initially suspended from the dorsal wall by a
mesentery, the dorsal mesocardium
Central part of this mesentery soon degenerates
Heart is now attached only at its cranial and
caudal ends
Truncus Arteriosus
Is continuous cranially with the aortic sac, from
which the aortic arches arise
The sinus venosus receives umbilical, vitelline,
and common cardinal veins from the chorion,
yolk sac, and embryo respectively
Bulbus cordis and ventricle grow faster than
other regions, the heart bends upon itself,
forming bulboventricular loop
Truncus Arteriosus
As
the primordial heart bends, the atrium
and sinus venosus come to lie dorsal to
the truncus arteriosus, bulbus cordis, and
ventricle
By
this stage the sinus venosus has
developed lateral expansions, the right
and left horns of the sinus venosus
Pericardial Cavity
As the heart elongates and bends, it gradually
invaginates into the pericardial cavity
The heart is initially suspended from the dorsal
wall by a mesentery, the dorsal mesocardium
The central part of the mesentery soon
degenerates
Forms a communication, the transverse
pericardial sinus between the right and left sides
of the pericardial cavity
Pericardial Cavity
During
the fourth week three well defined
body cavities are formed:
Pericardial
2
cavity
pericardioperitoneal canals
Peritoneal
cavity
Division of Body Cavities
Each pericardioperitoneal canal lies lateral to the
foregut and dorsal to the septum transversum
Partitions of pleuropericardial fold form in each
pericardioperitoneal canal
This separates pericardial cavity from pleural
cavities
Also pleural cavities from peritoneal cavity
Pleuropericardial Membranes
As
the pleuropericardial folds enlarge, they
form partitions that separate the
pericardial cavity from the pleural cavities
These
partitions are called
pleuropericardial membranes
They
contain the common cardinal veins
Pleuropericardial Membranes
As
the primordial pleural cavities expand
ventrally around the heart, they extend into
the body wall, splitting the mesenchyme
into:
An
outer layer that becomes the thoracic
wall
An
inner layer becomes the fibrous
pericardium, the outer layer of the
pericardial sac enclosing the heart