Cardiovascular System Development

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Heart Tube Fusion.jpg

Contents

Introduction

The embryo stage 10 heart tube

Development of the heart and vascular system begins very early in mesoderm both within (embryonic) and outside (extra embryonic, yolk sac and placental) the embryo. Vascular development therefore occurs in many places, the most obvious though is the early forming heart, which grows rapidly creating an externally obvious cardiac "bulge" on the early embryo. The cardiovascular system is extensively remodelled throughout development, this current page only introduces topic.

The heart forms initially in the embryonic disc as a simple paired tube inside the forming pericardial cavity, which when the disc folds, gets carried into the correct anatomical position in the chest cavity.

Throughout the mesoderm, small regions differentiate into "blood islands" which contribute both blood vessels (walls) and fetal red blood cells.

These "islands" connect together to form the first vessels which connect with the heart tube.


A detailed description of heart development is covered in the Online Heart Tutorial.


Cardiovascular Links: Introduction | Heart Tutorial | Lecture - Early Vascular | Lecture - Heart | Movies | Coronary Circulation | Heart Valve | Heart Rate | Blood | Blood Vessel | Blood Vessel Histology | Cardiac Histology | Lymphatic | Spleen | Stage 22 | Abnormalities | OMIM | ECHO Meeting | Category:Cardiovascular
Historic Embryology: 1915 Congenital Cardiac Disease | 1921 Human Brain Vascular | 1923 Head Subcutaneous Plexus | 1922 Aortic-Arch System | 1922 Pig Forelimb Arteries | 1922 Chicken Pulmonary | Historic Disclaimer

Some Recent Findings

  • Endothelial cell lineages of the heart. [1] "During early gastrulation, vertebrate embryos begin to produce endothelial cells (ECs) from the mesoderm. ECs first form primitive vascular plexus de novo and later differentiate into arterial, venous, capillary, and lymphatic ECs. In the heart, the five distinct EC types (endocardial, coronary arterial, venous, capillary, and lymphatic) have distinct phenotypes. For example, coronary ECs establish a typical vessel network throughout the myocardium, whereas endocardial ECs form a large epithelial sheet with no angiogenic sprouting into the myocardium. Neither coronary arteries, veins, and capillaries, nor lymphatic vessels fuse with the endocardium or open to the heart chamber. The developmental stage during which the specific phenotype of each cardiac EC type is determined remains unclear. The mechanisms involved in EC commitment and diversity can however be more precisely defined by tracking the migratory patterns and lineage decisions of the precursors of cardiac ECs."

Textbooks

Cardiac muscle histology
  • Human Embryology (2nd ed.) Larson Ch7 p151-188 Heart, Ch8 p189-228 Vasculature
  • The Developing Human: Clinically Oriented Embryology (6th ed.) Moore and Persaud Ch14: p304-349
  • Before we Are Born (5th ed.) Moore and Persaud Ch12; p241-254
  • Essentials of Human Embryology Larson Ch7 p97-122 Heart, Ch8 p123-146 Vasculature
  • Human Embryology Fitzgerald and Fitzgerald Ch13-17: p77-111

Heart Tutorial

  Begin Basic     Primitive Heart Tube     Embryonic Heart Divisions     Vascular Heart Connections  
Begin Intermediate Primordial Heart Tube Heart Tube Looping Atrial Ventricular Septation Outflow Tract Heart Valves Cardiac Abnormalities Vascular Overview
Begin Advanced Heart Fields Heart Tubes Cardiac Looping Cardiac Septation Outflow Tract Valve Development Cardiac Conduction Cardiac Abnormalities Molecular Development


Timecourse

The Human Heart from day 10 to 25 (scanning electron micrograph)
The Human Heart from day 10 to 25 (scanning electron micrograph)
  • Forms initially in splanchnic mesoderm of prechordal plate region - cardiogenic region
    • growth and folding of the embryo moves heart ventrally and downward into anatomical position
  • Day 22 - 23, begins to beat in humans
    • heart tube connects to blood vessels forming in splanchnic and extraembryonic mesoderm
  • Week 2 - 3 pair of thin-walled tubes
  • Week 3 paired heart tubes fuse, truncus arteriosus outflow, heart contracting
  • Week 4 heart tube continues to elongate, curving to form S shape
  • Week 5 Septation starts]], atrial and ventricular
    • Septation continues, atrial septa remains open, foramen ovale
  • Week 37-38 At birth, pressure difference closes foramen ovale leaving a fossa ovalis

Heart Development Movies

Animations showing aspects of heart development.

Heart1 looping icon.jpg Heart1 realign icon.jpg Heart1 atrium icon.jpg Heart1 ventricle icon.jpg
Heart Looping Heart Realign Heart Atrial Septation Heart Outflow Septation
Stage13-CVS-icon.jpg Stage22-CVS-icon.jpg
Stage 13 Stage 22

Pages within the online Cardiac tutorial.

Heart fields 001 icon.jpg Heart folding 002 icon.jpg Heart folding 001 icon.jpg Heart looping 006 icon.jpg Heart septation 001 icon.jpg Outflow tract 001 icon.jpg
Heart Fields Primitive Heart Tube Heart Tubes Cardiac Looping Cardiac Septation Outflow Tract
Outflow tract 001 icon.jpg
 ‎‎Outflow Tract
Page | Play


Historic animations including audio descriptions. Some of these descriptions may be currently inaccurate, the transfer is from an old class film and the audio track is of very poor quality.

Heart historic 001 icon.jpg Heart historic 002 icon.jpg Heart historic 003 icon.jpg Heart historic 004 icon.jpg
Part 1 Part 2 Part 3 Part 4
Heart historic 005 icon.jpg Heart historic 006 icon.jpg Heart historic 007 icon.jpg Heart historic 008 icon.jpg
Part 5 Part 6 Part 7 Part 8

Ventricular septation rotation models.

Heart-ventricular-septum-01.jpg Heart-ventricular-septum-03.jpg Heart-ventricular-septum-03.jpg
Part 1 Part 2 Part 3

Chicken Heart Development

Note the images of chicken heart development[2] shown below are Hamburger Hamilton Stages of chicken development, not Carnegie stages. See also Heart 3D reconstruction.

Pharyngeal Arch Arteries

Pharyngeal arch arteries

In the head region of the embryo, each pharyngeal arch initially has paired arch arteries. These are extensively remodelled through development and give rise to a range of different arterial structures, as shown in the list below.

  • Arch 1 - mainly lost, form part of maxillary artery.
  • Arch 2 - stapedial arteries.
  • Arch 3 - common carotid arteries, internal carotid arteries.
  • Arch 4 - left forms part of aortic arch, right forms part right subclavian artery.
  • Arch 6 - left forms part of left pulmonary artery , right forms part of right pulmonary artery.


Links: Head Development

Renal Venous Development

The renal arterial and venous systems are also reorganised extensively throughout development with changing kidney position.

Embryo renal venous cartoon.jpg Adult renal venous cartoon.jpg
Embryo renal venous Adult renal venous


Links: Renal Development

Fetal Blood Flow

Fetal Blood Flow


Mean Late Fetal Blood Flows[3]

(8 subjects) in the major vessels of the human fetal circulation by phase contrast MRI. (median gestational age 37 weeks, age range of 30–39 weeks)

(left) Mean flows in ml/kg/min (right) Proportions of the combined ventricular output in the major vessels of the human fetal circulation by phase contrast MRI.
  • AAo - Ascending aorta
  • MPA - main pulmonary artery
  • DA - ductus arteriosus
  • PBF - pulmonary blood flow
  • DAo - descending aorta
  • UA - umbilical artery
  • UV - umbilical vein
  • IVC - inferior vena cava
  • SVC - superior vena cava
  • RA - right atrium
  • FO - foramen ovale
  • LA - left atrium
  • RV - right ventricle
  • LV - left ventricle
Cardiovascular Links: Fetal Blood Flow values | Mean Fetal Blood Flow | Proportions combined ventricular output |

References

  1. Yasuo Ishii, Jonathan Langberg, Kelley Rosborough, Takashi Mikawa Endothelial cell lineages of the heart. Cell Tissue Res.: 2009, 335(1);67-73 PMID:18682987
  2. Gert van den Berg, Antoon F M Moorman Development of the pulmonary vein and the systemic venous sinus: an interactive 3D overview. PLoS ONE: 2011, 6(7);e22055 PMID:21779373 | PLoS One
  3. Mike Seed, Joshua F P van Amerom, Shi-Joon Yoo, Bahiyah Al Nafisi, Lars Grosse-Wortmann, Edgar Jaeggi, Michael S Jansz, Christopher K Macgowan Feasibility of quantification of the distribution of blood flow in the normal human fetal circulation using CMR: a cross-sectional study. J Cardiovasc Magn Reson: 2012, 14();79 PMID:23181717 | J Cardiovasc Magn Reson.

Reviews

Robert G Kelly The second heart field. Curr. Top. Dev. Biol.: 2012, 100();33-65 PMID:22449840

Peter Carmeliet, Rakesh K Jain Molecular mechanisms and clinical applications of angiogenesis. Nature: 2011, 473(7347);298-307 PMID:21593862

S Degani Fetal cerebrovascular circulation: a review of prenatal ultrasound assessment. Gynecol. Obstet. Invest.: 2008, 66(3);184-96 PMID:18607112

M Tchirikov, H J Schröder, K Hecher Ductus venosus shunting in the fetal venous circulation: regulatory mechanisms, diagnostic methods and medical importance. Ultrasound Obstet Gynecol: 2006, 27(4);452-61 PMID:16565980

Torvid Kiserud Physiology of the fetal circulation. Semin Fetal Neonatal Med: 2005, 10(6);493-503 PMID:16236564

Torvid Kiserud, Ganesh Acharya The fetal circulation. Prenat. Diagn.: 2004, 24(13);1049-59 PMID:15614842


Articles

Ronny S Jiji, Christopher M Kramer Cardiovascular magnetic resonance: applications in daily practice. Cardiol Rev: , 19(5);246-54 PMID:21808168

Domenico Ribatti, Valentin Djonov Angiogenesis in development and cancer today. Int. J. Dev. Biol.: 2011, 55(4-5);343-4 PMID:21732277

Anthony Cammarato, Christian H Ahrens, Nakissa N Alayari, Ermir Qeli, Jasma Rucker, Mary C Reedy, Christian M Zmasek, Marjan Gucek, Robert N Cole, Jennifer E Van Eyk, Rolf Bodmer, Brian O'Rourke, Sanford I Bernstein, D Brian Foster A mighty small heart: the cardiac proteome of adult Drosophila melanogaster. PLoS ONE: 2011, 6(4);e18497 PMID:21541028

Jeong-Ki Min, Hongryeol Park, Hyun-Jung Choi, Yonghak Kim, Bo-Jeong Pyun, Vijayendra Agrawal, Byeong-Wook Song, Jongwook Jeon, Yong-Sun Maeng, Seung-Sik Rho, Sungbo Shim, Jin-Ho Chai, Bon-Kyoung Koo, Hyo Jeong Hong, Chae-Ok Yun, Chulhee Choi, Young-Myoung Kim, Ki-Chul Hwang, Young-Guen Kwon The WNT antagonist Dickkopf2 promotes angiogenesis in rodent and human endothelial cells. J. Clin. Invest.: 2011, 121(5);1882-93 PMID:21540552

Chaoshe Guo, Ye Sun, Bin Zhou, Rosalyn M Adam, XiaoKun Li, William T Pu, Bernice E Morrow, Anne Moon, Xue Li A Tbx1-Six1/Eya1-Fgf8 genetic pathway controls mammalian cardiovascular and craniofacial morphogenesis. J. Clin. Invest.: 2011, 121(4);1585-95 PMID:21364285


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Additional Images

See also Category:Heart ILP and Category:Heart

External Links

External Links Notice - The dynamic nature of the internet may mean that some of these listed links may no longer function. If the link no longer works search the web with the link text or name.



System Links: Introduction | Cardiovascular | Coelomic Cavity | Endocrine | Gastrointestinal Tract | Genital | Head | Immune | Integumentary | Musculoskeletal | Neural | Neural Crest | Placenta | Renal | Respiratory | Sensory | Birth


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