The document describes the development of the cardiovascular system in three main stages:
1. The formation of the primitive heart tube from angioblastic cords that fuse to form a single tube.
2. Looping and folding of the heart tube into a U-shape as the head folds, dividing it into chambers.
3. Partitioning of the heart chambers by growth of septa that divide the atria and ventricles, forming the four-chambered heart, and division of the truncus arteriosus into the aorta and pulmonary trunk.
05.28.09(a): Development of the Gastrointestinal System Open.Michigan
Slideshow is from the University of Michigan Medical
School's M1 Embryology sequence
View additional course materials on Open.Michigan:
openmi.ch/med-M1Embryology
1. Able to describe the events leading to the formation of the primitive heart tube.
2. Able to describe the terms looping, folding and partitioning of the heart, and the great vessels.
3. Able to define, aortic arches, derivatives and anomalies.
05.28.09(a): Development of the Gastrointestinal System Open.Michigan
Slideshow is from the University of Michigan Medical
School's M1 Embryology sequence
View additional course materials on Open.Michigan:
openmi.ch/med-M1Embryology
1. Able to describe the events leading to the formation of the primitive heart tube.
2. Able to describe the terms looping, folding and partitioning of the heart, and the great vessels.
3. Able to define, aortic arches, derivatives and anomalies.
Development of heart in embryology.
● Formation and position of the heart tube.
● Formation and position of the heart loop
● Mechanism of cardiac looping
● Formation of the embryonic ventricle
● Development of the sinus venosus
● Formation of the cardiac septa
● Atrial septation
● The atrio-ventricular canal
● The muscular interventricular septum
● The septum in truncus arteriosus and the cordis conus
Right Atrium of human heart
This PPT help to understand the external and internal structures of right atrium.
sulcus terminalis on external surface of rt atrium,
crista terminalis on internal side of rt. atrium,
interior is divided into rough anterior part and smooth posterior part ( sinus venarum)
superior and inferior venae cavae drains deoxygenated blood into rt. atrim
there is Eustachian valve to guard the opening of IVC and Thebesian valve to guard the opening of coronary sinus
septal wall presents fossa ovalis with its border limbus fossa ovalis
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
2. 02/09/17
OBJECTIVEOBJECTIVE
1.1. Able to describe the events leadingAble to describe the events leading
to the formation of the primitive heartto the formation of the primitive heart
tube.tube.
2.2. Able to describe the terms looping,Able to describe the terms looping,
folding and partitioning of the heart, andfolding and partitioning of the heart, and
the great vessels.the great vessels.
3. Able to define, aortic arches,3. Able to define, aortic arches,
derivatives and anomalies.derivatives and anomalies.
3. 02/09/17
OBJECTIVEOBJECTIVE
4.4. Able to eescribe the fetal circulation andAble to eescribe the fetal circulation and
circulation changes at birth.circulation changes at birth.
5.5. Able to outline the embryological basis for theAble to outline the embryological basis for the
congenital abnormalities of the heart.congenital abnormalities of the heart.
4. 02/09/17
Development of the PrimitiveDevelopment of the Primitive
HeartHeart
TheThe
CardiovascularCardiovascular
system is the firstsystem is the first
system tosystem to
function in thefunction in the
embryo.embryo.
5. 02/09/17
Development of the PrimitiveDevelopment of the Primitive
HeartHeart
Occurs around middle of the 3rdOccurs around middle of the 3rd
week.week.
In the cardiogenic areaIn the cardiogenic area
Splanchnic mesoderm -Splanchnic mesoderm -
splanchnic mesenchymal cellssplanchnic mesenchymal cells
6. 02/09/17
-- Two angioblastic cordsTwo angioblastic cords
- canalized to form 2 endothelial heart- canalized to form 2 endothelial heart
tubes.tubes.
-- The Fusion of tubes in midline - AThe Fusion of tubes in midline - A
single heart tubesingle heart tube
-- Splanchnic mesenchymeSplanchnic mesenchyme --
Endothelial lining (endocardium)Endothelial lining (endocardium)
- Myocardium- Myocardium
8. 02/09/17
Development of HeartDevelopment of Heart
TwoTwo endocardial heart tubesendocardial heart tubes arise fromarise from
cardiogenic mesodermcardiogenic mesoderm ..
As lateral folding occurs, these fuse to form theAs lateral folding occurs, these fuse to form the
primitive heart tubeprimitive heart tube , which develops into the, which develops into the
endocardiumendocardium..
TheThe myocardiummyocardium andand epicardiumepicardium develop fromdevelop from
mesodermmesoderm surrounding the primitive heart tube.surrounding the primitive heart tube.
Several contractions and dilations soon appear inSeveral contractions and dilations soon appear in
the heart tube, all of which have adult remnants.the heart tube, all of which have adult remnants.
9. 02/09/17
Heart developmentHeart development
The primitive heart is a single tube with
grooves demarcating,
the sinus venosus, atrium, ventricle and
bulbus cordis from behind forwards.
As this tube enlarges it kinks so that its caudal
end, receiving venous blood,
comes to lie behind its cephalic end with its
emerging arteries
11. 02/09/17
Heart Looping, and FoldingHeart Looping, and Folding
-As head folds, the heart elongates-As head folds, the heart elongates
-develops five constrictions and dilatations-develops five constrictions and dilatations
a) sinus venosus - caudal, receives alla) sinus venosus - caudal, receives all
venous bloodvenous blood
b) primitive atriumb) primitive atrium
c) primitive ventriclec) primitive ventricle
d) bulbus cordisd) bulbus cordis
e) truncus arteriosus - forms the aortic sace) truncus arteriosus - forms the aortic sac
12. 02/09/17
The sinus venosus later absorbs into the
atrium,
the bulbus becomes incorporated into the
ventricle so that, in the fully developed heart,
the atria and great veins come to lie posterior to
the ventricles and the roots of the great
arteries.
The boundary tissue between the primitive
single atrial cavity and single ventricle grows
out as a dorsal and a ventral endocardial
cushion
which meet in the midline, thus dividing the
common atrio-ventricular orifice into a right
(tricuspid) and left (mitral) orifice.
14. 02/09/17
Formation of septumFormation of septum
A and B. Septum formation by
two actively growing ridges that
approach each other until they
fuse. C. Septum formed by a
single actively growing cell
mass.
D, E, and F. Septum formation
by merging of two expanding
portions of the wall of the
heart. Such a septum never
completely separates two
cavities
15. 02/09/17
FIXATIONFIXATION
Sinus venous is partlySinus venous is partly
embedded in septumembedded in septum
transversum.transversum.
Truncus Arteriosus isTruncus Arteriosus is
connected to aorticconnected to aortic
arches which enterarches which enter
the branchial arches.the branchial arches.
18. 02/09/17
Partitioning of the HeartPartitioning of the Heart
During the 4th and 5thDuring the 4th and 5th
weeks the primitive heart isweeks the primitive heart is
divided into the typical 4-divided into the typical 4-
chambered human organ.chambered human organ.
19. 02/09/17
Atrial septa at various
stages of development. A.
30 days (6 mm).
B. Same stage as A,
viewed from the right. C.
33 days (9 mm). D. Same
stage as
C, viewed from the right E.
37 days (14 mm). F.
Newborn. G. The atrial
septum from
the right; same stage as F.
20. 02/09/17
Partitioning of thePartitioning of the
Atrioventricular CanalAtrioventricular Canal
Dorsal and Ventral EndocardialDorsal and Ventral Endocardial
cushions,cushions,
Divides AV canal into Right and Left AVDivides AV canal into Right and Left AV
CanalsCanals
24. 02/09/17
B.B. Partitioning of the Primitive AtriumPartitioning of the Primitive Atrium
- Septrum primum (Crescent shaped, or- Septrum primum (Crescent shaped, or
sickle shaped)sickle shaped)
- Grows from the Dorsocranial wall- Grows from the Dorsocranial wall
- Foramen primum (Ostium Primum)- Foramen primum (Ostium Primum)
- Septum secundum (grows from the ventro- Septum secundum (grows from the ventro
cranial wall)cranial wall)
- Foramen ovale- Foramen ovale
26. 02/09/17
A partition, the septum primum, grows downwards from the posterior
and superior walls of the primitive common atrium to fuse with the
endocardial cushions.
Before fusion is complete, a hole appears in the upper part of this septum
primum, which is termed the foramen secundum in the septum
primum.
A second membrane, the septum secundum,
then develops to the right of the septum primum but this is never complete;
it has a free lower edge which does extend low enough for this new septum
to overlap the foramen secundum in the septum primum and hence to close
it.
The two overlapping defects in the septa form the valve-like, which shunts
blood from the right to left heart in the fetus.
After birth, this foramen usually becomes completely fused leaving only the
fossa ovalis on the septal wall of the right atrium as its memorial.
In about 10% of adult subjects, a probe can still be passed through an
anatomically patent, although functionally sealed foramen.
29. 02/09/17
Changes in Sinus VenosusChanges in Sinus Venosus
Right and left horn (Right and left horn (increases andincreases and
decreases in growth respectively)decreases in growth respectively)
Right becomes incorporated into (RightRight becomes incorporated into (Right
Atrium)Atrium)
Left becomes Coronary SinusLeft becomes Coronary Sinus
30. 02/09/17
sinus venosus
The primitive sinus venosus absorbs into the right atrium so
that the
venae cavae draining into the sinus come to open separately
into this
atrium.
The smooth-walled part of the adult atrium represents the
contribution
of the sinus venosus,
the pectinate part represents the portion derived from the
primitive atrium.
NB: the adult left atrium has a double origin:
originally, single pulmonary venous trunk entering the left
atrium -donates the smooth-walled part of this chamber
with the pulmonary veins entering as four separate openings;
the trabeculated part of the definitive left atrium is the
remains of the original atrial wall.
31. 02/09/17
development of the sinus venosus at
approximately 24 days (A) and 35 days
ACV, anterior
cardinal vein; PCV,
posterior cardinal
vein; UV, umbilical
vein; VIT V, vitelline
vein; CCV,
common cardinal vein
35. 02/09/17
Partition of ventriclePartition of ventricle
Division of the ventricle is commenced by the up growth of a
fleshy septum from the apex of the heart towards the
endocardial cushions.
This stops short of dividing the ventricle completely and thus
it has an upper free border, forming a temporary
interventricular foramen.
At the same time, the single truncus arteriosus is divided
into aorta and pulmonary trunk by a spiral septum (hence the
spiral relations of these two vessels),
which grows downwards to the ventricle and fuses accurately
with the upper free border of the ventricular septum.
This contributes the small pars membranacea septi,
which completes the separation of the ventricle in such a
way that blood on the left of the septum flows into the aorta
and on the right into the pulmonary trunk.
37. 02/09/17
Partitioning of the Bulbus CordisPartitioning of the Bulbus Cordis
and Truncus Arteriosusand Truncus Arteriosus
Development and fusion ofDevelopment and fusion of
truncal and bulbar ridgestruncal and bulbar ridges
Aorticopulmonary SeptumAorticopulmonary Septum
39. 02/09/17
Development of the Valves andDevelopment of the Valves and
Cardiac Conducting SystemCardiac Conducting System
Endocardial cushionsEndocardial cushions
AV (Mitral, Tricuspid), Semilunar (Aorta,AV (Mitral, Tricuspid), Semilunar (Aorta,
Pulmonary A)Pulmonary A)
Formation of Aortic Arches andFormation of Aortic Arches and
DerivativesDerivatives
Aortic sac gives rise to aortic archesAortic sac gives rise to aortic arches
41. 02/09/17
Primitive Heart Tube
Embryonic
Dilatation
Adult Structure
Sinus venosus Smooth part of right atrium (sinus venarum),
coronary sinus, oblique vein of left atrium
Primitive
atrium
Trabeculated parts of right and left atria
Primitive
ventricle
Trabeculated parts of right and left ventricles
Bulbis cordis Smooth part of right ventricle (conus
arteriosus), smooth part of left ventricle
(aortic vestibule)
Truncus
arteriosus
Aorta, pulmonary trunk
43. 02/09/17
Formation of Aortic ArchesFormation of Aortic Arches
and Derivativesand Derivatives
Aortic sac gives rise to aortic archesAortic sac gives rise to aortic arches
Six aortic arches corresponding to the 6Six aortic arches corresponding to the 6
pharyngeal arches.pharyngeal arches.
However, one of the aortic archesHowever, one of the aortic arches
degenerate, i.e, the 5degenerate, i.e, the 5thth
arch.arch.
45. 02/09/17
ArchesArches
II - Disappear remaining form Maxillary- Disappear remaining form Maxillary
ArteriesArteries
IIII - Dorsal persist as stem of stapedial- Dorsal persist as stem of stapedial
arteriesarteries
IIIIII - Common Carotid Arteries, Int. cart art- Common Carotid Arteries, Int. cart art
(proximal part)(proximal part)
IVIV - (Left): Arch of Aorta= L -subclavian- (Left): Arch of Aorta= L -subclavian
- (Right): Subclavian Artery and- (Right): Subclavian Artery and brachiocephalic
VV - Degenerate or never developed- Degenerate or never developed
VIVI - Pulmonary Artery (Left and Right only);- Pulmonary Artery (Left and Right only);
L-Ductus Arteriosusl aorta) (connection withL-Ductus Arteriosusl aorta) (connection with
dorsal aorta)dorsal aorta)
46. 02/09/17
Orientation of vagus nerveOrientation of vagus nerve
This asymmetrical development of the aortic arches,
elongation of the neck and caudal migration of the heart-
accounts for the different course taken by the recurrent
laryngeal nerve on each side.
early fetal life- the vagus nerve lies lateral to the primitive
pharynx, and separated from it by the aortic arches.
the recurrent laryngeal nerves pass medially, caudal to the
aortic arches to supply the developing larynx.
On the right side- the 5th and distal part of the 6th arch are
absorbed, leaving the nerve to hook round the 4th arch
(i.e. the right subclavian artery).
On the left side- the nerve remains looped around the
persisting distal part the 6th arch (the ligamentum
arteriosum- which is overlapped and dwarfed by the arch of
the aorta).
52. 02/09/17
Congenital AbnormalitiesCongenital Abnormalities
a)a) PositionPosition:: DextrocardiaDextrocardia
bb Failure of PartitioningFailure of Partitioning
ATRIUMATRIUM - ASD, Patent Foramen Ovale- ASD, Patent Foramen Ovale
VENTRICLEVENTRICLE – VSD– VSD
Tetralogy of Fallot (Pulmonary Stenosis, VSA,Tetralogy of Fallot (Pulmonary Stenosis, VSA,
overriding Aorta and Hypertrophy of Rightoverriding Aorta and Hypertrophy of Right
ventricleventricle
PDA - Patent Ductus ArteriosusPDA - Patent Ductus Arteriosus
Coarctation of AortaCoarctation of Aorta
Transposition of great vessels.Transposition of great vessels.
53. 02/09/17
Dextro-rotation of the heart
means that the heart and its emerging
vessels lie as a mirror-image to the normal
anatomy.
It may be associated with reversal of all
the intra-abdominal organs.
54. 02/09/17
Septal defectsSeptal defects
At birth, closure of the septum primum and
septum secundum with closing of the flap valve
of the foramen ovale.
-Fusion usually takes place about 3 months
after birth.
-In about 10% of subjects-incomplete fusion
However, the two septa overlap and this
patency of the foramen ovale is of no functional
significance.
55. 02/09/17
ASDASD
If the septum secundum is too short to cover the
foramen secundum in the septum primum,
an atrial septal defect persists after the septum
primum and septum secundum are pressed together
at birth.
This results in an ostium secundum defect, which
allows shunting of blood from the left to the right
atrium.
This defect lies high up in the atrial wall and is relatively
easy to close surgically.
NB: A serious atrial septal defect results if the septum
primum fails to fuse with the endocardial cushions.
57. 02/09/17
ostium primum defect
This lies immediately above the atrioventricular
boundary and may be associated with a defect
of the pars membranacea septi of the ventricular
septum.
In such a case, the child is born with both an atrial
and ventricular septal defect.
At times, the ventricular septal defect is so large
that the ventricles form a single cavity, giving a
trilocular heart.
60. 02/09/17
Congenital pulmonary stenosis
may affect the trunk of the pulmonary artery, its valve
or the infundibulum of the right ventricle.
If stenosis occurs in conjunction with a septal defect-
compensatory hypertrophy of the right ventricle
(developed to force blood through the pulmonary
obstruction),
develops a sufficiently high pressure to shunt blood
through the defect into the left heart;
mixing of the deoxygenated right heart blood
with the oxygenated left-sided blood results in the
child being cyanosed at birth.
63. 02/09/17
Tetralogy of fallotTetralogy of fallot
The commonest causes of cyanosis is Fallot’s
tetralogy. This results from unequal division of
the truncus arteriosus by the spinal septum, resulting
in a stenosed pulmonary trunk
a wide aorta which overrides the orifices of both the
ventricles-overriding aorta.
The displaced septum is unable to close the
interventricular septum, which results in a ventricular
septal defect. Right ventricular hypertrophy
Cyanosis results from the shunting of large amounts of
deoxygenated blood from the right ventricle through
the ventricular septal defect into the left ventricle and
also directly into the aorta.
65. 02/09/17
A persistent ductus arteriosus is a relatively
common congenital defect and If uncorrected,
leads to progressive work hypertrophy of the
left heart and pulmonary hypertension.
Aortic coarctation is assumed to be due to an
abnormality of the obliterative process, which
normally occludes the ductus arteriosus.
may be due to an extensive obstruction of the
aorta from the left subclavian artery to the
ductus, which is widely patent and maintains
the circulation to the lower parts of the body;
NB: there are often multiple other defects
present and such infants affected die at an
early age.