Professional Documents
Culture Documents
Departemen Anatomi
Fakultas Kedokteran
Universitas Islam Indonesia
2.
Menjelaskan fusi tabung endocardial untuk membentuk jantung linier sederhana dengan
atrium , ventrikel dan katup yang memompa darah ke dalam lengkungan aorta .
3.
menentukan tiga busur peredaran darah jantung yang memasok jaringan tubuh , yolk sac
( vitelline ) dan allantois dan menjelaskan fungsinya
4.
5.
6.
menggambarkan kelainan kongenital :defect septum , paten duktus arteriosus , dan arkus
aorta persisten
Introduction
Humanheartstartstodevelopduringthe3 rdweekofembryoniclife.Tillthentheneedsof
theembryoaremetthroughsimplediffusionofbloodbetweenthegermlayers.
Cardiogenesisinhumansisassociatedwithcomplexmorphogeneticevents
EarlyCardiacdevelopment
1.
2.
3.
4.
5.
6.
7.
Formationofthetrilaminarembryo
Originofcardiogeniccells
Formationofbilateralheartfields
Formationofthehearttube
Foldingofthehearttube
Loopingofthehearttube
Cardiacdevelopmentalabnormalities
Sequenceofevents
Occurstowardstheendofthe3 rdweek
DayI8cardiacprecursorcellsseenintheformofbloodislands
Day20firstintraembryonicbloodvesselsseen
Day21Folding,hearttubeformation,looping
Day22heartstartstobeat,ebbandflowinitially
Day28embryoniccirculationestablished
MESODERM
TYPE
INTERMEDIATE
STRUCTURE
HEAD
CHORDA-
MESODERM
DERIVATIVE
HEAD MUSCLES, SKULL,
CARTILAGE
NOTOCHORD
LIMB MUSCLES
AXIAL SKELETON
PARAXIAL
ICM
EPIBLAST
SOMITES
MESODERM
TRUNK MUSCLES
DERMIS
INTERMEDIATE
PARTS OF KIDNEY
AND REPRODUCTIVE TRACT
LIMB SKELETON
LATERAL
HEART
BODY CAVITY DIVIDERS
BLOOD CELLS
AMNION
CHORION
YOLK SAC
ALLANTOIS
The developing blood vessels and heart tube can be seen in an embryo at
approximately 18 days .
When looking down at this early embryo you can see multiple blood islands
dispersed throughout the embryo.
Cardiacprecursorcells
Firstheartfield(FHF)
Secondheartfield(SHF)
Proepicardium
Cardiacneuralcrestcells
FHF
SHF
CNC
Proepicardium
DORSAL AORTA
B
GUT TUBE
ENDODERM
CARDIAC TUBE
PERICARDIAL CAVITY
CARDIAC PRIMORDIUM
(SPLANCHNIC MESODERM)
VITELLINE VEINS
Formationoftheendocardialtube
Theheartinitiallyformsfromtwo
tubeslocatedbilaterally(oneither
side)ofthetrilaminarembryoin
thecranial(head)
Thisprimitive,bilateralheart
tubeseachcontainsaninner
layerofendocardium,amiddle
layerofcardiacjelly,andanouter
layerofmyocardiumregion
Formationoftheendocardialtube
Theprimitivehearttubes
thenfuseintheventral
midlinetoformthelinearor
straighthearttubeina
cranialtocaudaldirection
Simultaneouslytheheart
tubeshowsaseriesof
dilatations.
Fromcranialtocaudalthese
are:
1.
2.
3.
4.
Bulbouscordis
Ventricle
Atrium
Sinusvenosus
Thearterialtrunkwilldividetoseparatethepulmonaryandsystemicsupply.
Thebulbusandtheventriclewilllaterdifferentiateintotherightandleft
ventricle
and connects bilaterally with the dorsal aorta via the aortic arches
C
FUSED DORSAL AORTA
VENTRICLE
ORAL PLATE
ATRIUM
D
PHARYNGEAL POUCHES
LUNG BUD
REMINDER:
The branchial arches and clefts and the juxtaposed pharyngeal
pouches are a recapitulation of the respiratory anatomy of fish
SEGMENTATION OF THE HEAD
THE BRANCHIAL ARCHES AND PHARYNGEAL POUCHES
Cardinal veins
Mesonephros
Aortic arches
Vitelline vein
Vitelline artery
Allantoic artery
Allantoic vein
Deoxygenated blood
Mixed blood
Oxygenated blood
Yolk sac
Chorio-allantoic
placenta
Arterialendoftheheart
Bulbuscordisrepresentsthe
arterialendofheart.It
consistsof
proximalpartcalledtheconus
adistalpartcalledtruncus
arteriosus.
Thetruncuscontinuesdistally
withtheaorticsac.
VENOUSENDOFTHEHEARTTUBE
Thesinusvenosusrepresentsthe
venousendoftheheart.One
vitelline vein fromtheyolksac;
oneumbilical vein fromthe
placentaandonecommon
cardinal vein fromthe
bodywall,joinseachhornofthe
sinusvenosus.
Aftertheformationoftheheadfold,thistubeliesdorsalto
thepericardialcavityandventraltotheforegut.
Splanchnopleuricmesodermliningthedorsalsideofthe
pericardialcavityproliferatestoformathicklayercalledthe
myoepicardialmantle.
Whentheinvaginationiscomplete,themyoepicardialmantle
completelysurroundsthehearttube
Itgivesrisetothecardiacmuscle(MYOCARDIUM)and
alsototheviscerallayerofthepericardium(EPICARDIUM)
EXTERIOROFTHEHEART
Hearttubeissuspended
fromthedorsalwallofthe
pericardialcavityby2
layersofpericardiumthat
constitutesdorsal
mesocardium
Aholeformsinthedorsal
mesocardiumwhichincreases
insize.
GraduallyMesocardium
disappearsandthehearttube
liesfreewithinthepericardial
cavity
Mesocardiumdisappearsto
formthetransversesinusofthe
pericardium
Cardiaclooping
Loopingofthehearttubeallowsthestraighthearttubetoform
amorecomplexstructurereminiscentoftheadultheart.Most
cardiacloopingoccursduringthefourthweekandcompletes
duringthefifthweekofdevelopment
Thelinearhearttubedevelopsdifferentialgrowthoftheheart
tubeincomparisonwiththeforegut
Thedirectionofcardiacloopingisdeterminedbyanasymmetric
signallingsystemwhichaffectsthepositionofboththoracic
andabdominalcontents
Inallvertebrates,thereisdifferentialgrowthwithintheheart
tubeitselfresultinginposterior,leftward,slowergrowthand
anterior,rightward,fastergrowthresultinginrightward
looping.Thispositioningresultsinthefuturerightventricle
takingananteriorandrightwardlocationwithreferencetothe
futureleftventricle
Furtherdisproportionategrowthofthehearttubein
comparisontotheforegutresultsinbendingoftheheart
tubeattheinflowaswellaswithintheventricularsegment
eventuallypositioningtheinflowandfutureleft
ventricularsegmentsposteriorlyandtotheleft,withthe
futurerightventricleandoutflowsegmentsanteriorlyand
totheright
Thestraighthearttubebeginsto
elongatewithsimultaneousgrowthin
thebulbuscordisandprimitive
ventricle
Thisforcesthehearttobendventrally
androtatetotheright,formingaC
shapedloopwithconvexsidesituated
ontheright.
Theventricularbendmovescaudally
andthedistancebetweentheoutflow
andinflowtractsdiminishes.
Theatrialandoutflowpolesconverge
andmyocardialcellsareadded,
formingthetruncusarteriosus
HenceanSshapeisformedwiththefirstbendofthe'S'
beingthelargeventricularbendwhilethebendatthe
junctionoftheatriumandsinusvenosusformsthesecond
'S'bend
normal d-loop
l-loop
The fold of the loop is principally at the junction of bulbus cordis and
ventricle. Note in panel C that the two end up side by side.
The left ventricle will develop from the ventricle, and the right ventricle
will develop from the bulbus cordis. (And an l-loop will
result in ventricular inversion with the left ventricle on the right.
Note also that the arterial trunk is above the developing right ventricle.
Abnormalitiesoflooping
VentricularInversionwithTranspositionof
theGreatArteries
Defectivemigrationofcells
HYPOPLASIAOFRVOT/MPATOF
ABSENCEOFRVOT/MPATA
ABSENCEOFAORTOPULMONARYSEPTUMTA
MALALINGMENTOFAORTAANDLVABNORMAL
WEDGINGTOF
ABNORMALMYOCARDIALTRABECULATIONLV/RVNON
COMPACTION
DEVELOPMENT
ABNORMALITIES
Timelineofcardiogenesis
Pathophysiology
Abnormalleftrightsignalling
Loopingdefects
Defectsduetoabnormalmigrationofcellsofprimaryandsecondary
heartfieldsandofcardiacneuralcrest
Onediseaseseveralmechanismsseveral
genes
1.
BODY CIRCULATION
2.
VITELLINE CIRCULATION
3.
ALLANTOIC CIRCULATION
MESENCHYME IN
SPLANCHNOPLEURE
OF YOLK SAC
CELL CLUSTERS
ENDOTHELIUM
BLOOD ISLAND
ENDOTHELIAL CELLS
HAEMATOPOIETIC
CELLS
FORMATION OF BLOOD
VESSEL
AGGREGATION OF FURTHER
MESENCHYME TO FORM
MUSCULAR AND CONNECTIVE
TISSUE WALL
The simple tubular heart twists to prepare for septum formation and the creation of a fourchambered organ. The aortic arches are selectively modifed to give rise to the great arteries
THE HEART AND THE AORTIC ARCHES - FORMATION OF THE GREAT BLOOD VESSELS
CAROTIDS
(from L and RIII)
AORTA
(from LIV)
I
II
III
IV
V
VI
III
IV
VI
TA
RIGHT
SUBCLAVIAN
(from RIV)
DUCTUS
ARTERIOSUS
(LVI to LIV)
RA
LA
PULMONARY
TRUNK
(from LVI)
SEPTA
RV
VENOUS RETURN
NOTES:
1. View from ventral surface
2. RA - Right atrium, LA - Left atrium, RV - right ventricle,
LV - left ventricle, TA = truncus arteriosus
LV
1. The diagram shows 6 aortic arches but this does not occur at the one time
except in fish. Also in mammals. the 5th aortic arch does not form
2. The twisting of the heart tube leads to the atrium behind and slightly rostral
to the ventricle. This sets the scene for septum formation which divides
the heart vertically to separate the left and right sides and horizontally to
separate atria from ventricles
3. To coincide with these change, the truncus arteriosus divides within itself
into a pulmonary artery leading from the right ventricle and the aorta itself
leading from the left ventricle
4. The connection between the dorsal roots of the 3rd and 4th aortic arches
are lost and the 3rd arch persiste as the brachiocephalic trunk which
divides into the external and internal carotid arteries and the right and left
subclavian arteries
5. The key changes are
a)
b)
the regression of the right 4th aortic arch and the development of the left 4th into the
dorsal aorta
the regression of the right 6th aortic arch and the development of the left 6th into the
pulmonary trunk dividing into the left and right pulmonary arteries but remaining
connected via the ductus arteriosus to the aorta (this is the original 4th to 6th aortic arch
connection in the dorsal root). The ductus arteriosus closes at birth in response to the
changing blood pressures and oxygenation.
SEPTUM FORMATION
Vena cava
ATRIAL
SEPTATION
Pulmonary
veins
Foramen
ovale
Vena cava
ATRIOVENTRICULAR
SEPTATION
VENTRICULAR
SEPTATION
RV
LV
PRIOR TO SEPTATION
(SURFACE VIEW)
INCOMPLETE SEPTATION
(SECTION)
Mouse, 12 days,
section of truncus arteriosus
http://www.med.unc.edu/embryo_images/
FOETAL CIRCULATION
25
14
To
lungs
Brachycephalic vessels
19
DA
From lungs
FO
25
19
25
14 Liver
30
Trunk
Placenta
22
Hindlimb
Right 4
Left 6
Oesophagus
PATENT DUCTUS
ARTERIOSUS
REFERENCES
Carlson BM (2003) Patten's Foundations of Embryology
Noden DM, de Lahunta (1985) A Embryology of domestic animals
McGeady TA, Quinn PJ, Fitzpatrick ES, Ryan MT (2006) Veterinary embryology
University of North Carolina web site: http://www.med.unc.edu/embryo_images/