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Cardiovascular System: Difference between revisions

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==GENERAL==
* 1st functional organ system in the embryo
* Cardiac pathology during development is either genetic, enviornmental or combination of both
* Cardiac structures arise initially from mesoderm which proliferates into angiogenic cell clusters. These intraembryonic clusters multiply and coalese to form a plexus with a lumen (= the embryonic cardiac tube)
* The extraembryonic cell clusters form the vitelline & umbilical vesels which by budding contact the heart tube
==DEVELOPMENT OF THE HEART==
(Fig. 1)
* Mechamisms that initiate formation of the heart are not well understood; however the heart tube position is initially determined by brain growth
* Formation of the neural tube by folding causes fusion of the heart tube in the midline, to become a single endocardial tube
* The primitive heart tube buldges into the pericardial cavity where it is surrounded by splanchnopluric meso-derm. Resulting heart tube consists of 4 layers: the endocardium, the cardiac jelly (= endocardial cushions) the myocardium, and the epicardium
* At this stage embryo is 23 days old and the heart begins to beat from a focus in the sinus venosus
FORMATION OF THE HEART LOOP (Fig. 2)
# Intrapericardial = bulboventricular portion of heart
# Extrapericardial = atrium/sinus venous + Ao roots
* During the next stage of development, the bulboventricular portion of the heart forms a loop to the RIGHT, forming a flange (= the bulboventircular flange)
* Region proximal to flange expands to become the embryonic ventricles, while the distal portion becomes the bulbus cordis
* Mechanism of cardiac looping not well understood


[[TYK2| Test Your Knowledge]]:increase in mean airway pressure effect on complex cardiac anatomy
[[TYK2| Test Your Knowledge]]:increase in mean airway pressure effect on complex cardiac anatomy

Revision as of 10:02, 3 June 2025

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GENERAL

  • 1st functional organ system in the embryo
  • Cardiac pathology during development is either genetic, enviornmental or combination of both
  • Cardiac structures arise initially from mesoderm which proliferates into angiogenic cell clusters. These intraembryonic clusters multiply and coalese to form a plexus with a lumen (= the embryonic cardiac tube)
  • The extraembryonic cell clusters form the vitelline & umbilical vesels which by budding contact the heart tube

DEVELOPMENT OF THE HEART

(Fig. 1)

  • Mechamisms that initiate formation of the heart are not well understood; however the heart tube position is initially determined by brain growth
  • Formation of the neural tube by folding causes fusion of the heart tube in the midline, to become a single endocardial tube
  • The primitive heart tube buldges into the pericardial cavity where it is surrounded by splanchnopluric meso-derm. Resulting heart tube consists of 4 layers: the endocardium, the cardiac jelly (= endocardial cushions) the myocardium, and the epicardium
  • At this stage embryo is 23 days old and the heart begins to beat from a focus in the sinus venosus

FORMATION OF THE HEART LOOP (Fig. 2)

  1. Intrapericardial = bulboventricular portion of heart
  2. Extrapericardial = atrium/sinus venous + Ao roots
  • During the next stage of development, the bulboventricular portion of the heart forms a loop to the RIGHT, forming a flange (= the bulboventircular flange)
  • Region proximal to flange expands to become the embryonic ventricles, while the distal portion becomes the bulbus cordis
  • Mechanism of cardiac looping not well understood

Test Your Knowledge:increase in mean airway pressure effect on complex cardiac anatomy

Test Your Knowledge:post-op cardiac hemodynamics


Reference Values for Noninvasive Blood Pressure in Children during Anesthesia: A Multicentered Retrospective Observational Cohort Study


Preoperative Fluid Fasting Times and Postinduction Low Blood Pressure in Children: A Retrospective Analysis