Development of HEART 2- VENTRICLES AND CONG ANOMALIES
Transcript of Development of HEART 2- VENTRICLES AND CONG ANOMALIES
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Bulbus cordis elongates and this part can be divided into:
1. Proximal bulbus cordis,
2. Middle conus cordis and
3. Distal truncus arteriosus.
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Formation of aortico-pulmonary septum (spiral septum)
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Fate of bulbus cordis
• Truncus arteriosus- aortico-pulmonary septum divides it in to Aorta and Pulmonary trunk
• Conus cordis- left half of conus cordis gets incorporated in left ventricle to form the aortic vestibule
• right half of conus cordis gets incorporated in right ventricle to form the pulmonary infundibulum
• Proximal part- gets incorporated in right and left ventricles
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1. Lower, fleshy part of IV septum is formed by
growth from the ventricular wall
INTERVENTRICULAR SEPTUM
2. Upper, membranous part is formed
below by fused endocardial cushions and
above by the fused right and left bulbar ridges.
The membranous part of IV septum
separates
right ventricle from left ventricle
and also left ventricle from
right atrium.
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i) By the right half of primitive ventricular chamber & proximal bulbus cordis and
ii) Its outflow part (infundibulum) is formed by right half of conus cordis.
i) By the left half of primitive ventricular chamber & proximal bulbus cordis and
ii) Its outflow part (vestibule) is formed by left half of conus cordis.
DEVELOPMENT OF RIGHT VENTRICLE
DEVELOPMENT OF LEFT VENTRICLE
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PATENT FORAMEN OVALE
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VSD (MEMBRANOUS PART)
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COBINED ASD & VSD
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FALLOT’S TETRALOGY
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PERSISTENT TRUNCUS ARTERIOSUS
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TRANSPOSITION OF GREAT VESSELS
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AORTIC VALVULAR STENOSIS
AORTIC VALVULAR ATRESIA
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ECTOPIA CORDIS(CLEFT STERNUM WITH BILATERAL
CLEFT LIP)
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BICUSPID AORTIC VALVE
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I. Anomalies of position:
i). Dextrocardia (generally associated with situs inversus)
ii). Ectopia cordis (failure to fusion of two sternal plates)
II. Anomalies of interatrial septum:
i). Probe patency (20-25% cases)
ii). Persistent foramen secundum
iii). Persistent foramen ovale
iv). Premature closure of foramen ovale
v). Three chambered heart (failure of formation of inter atrial septum)
cor triloculare biventriculare
III. Anomalies of interventricular septum:
a. ventricular septal defect
b. absence of ventricular septum-cor triloculare biatriale
CONGENITAL ANOMALIES OF HEART
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IV. Anomalies of truncus arteriosus and bulbus cordis:
i). Fallot’s tetralogy comprises
a) Pulmonary stenosis
b) Overriding aorta
c) Persistent IV foramen (VSD in membranous IV septum)
d) Hypertophy of right ventricle
ii). Persistent truncus arteriosus
iii). Transposition of great vessels
V. Anomalies of valves:
Stenosis/ atresia of pumonary, aortic, mitral or tricuspid valves
CONGENITAL ANOMALIES OF HEART (contd.)