Development of aorta and pulmonary trunk
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Transcript of Development of aorta and pulmonary trunk
Development of aorta and pulmonary trunk
To MBBS 1st yearBy Dr. Laxman Khanal
Assistant ProfessorDepartment of anatomy
BPKIHS09-05-2016
Objectives 1. Should be able to list the developmental sources of arterial system.
2. Should be able to understand the origin of pharyngeal arch system.
3. Should be able to list the derivatives of pharyngeal arch arteries.
4. Should be able to explain important developmental anomalies.
Aorta• Ascending aorta
• Arch of aortao Rt brachiocephalic trunko Lt common carotid arteryo Lt subclavian artery• Descending aortao Oesophageal & Bronchial o Post intercostal & subcostalo Mediastinal • Pulmonary trunko Rt & Lt pulmonary artery
Rt/Lt coronary arteries
Rt ventricleLt ventricle
Ascending aortaPulmonary trunk
Development of arterial systemEntire arterial system develops from either of two sources.1. Pharyngeal arch arteries2. Primitive aortas
ORAL PLATE
Source of arterial system 1.Ventral aortas ( fuses and form aortic sac)2.Aortic arches (five pairs of arch arteries)3.Dorsal aortas (fused and unfused portion)
Maxillary artery
Stapedial arteryHyoid artery
Carotid duct
7th Cervical Intersegmental artery
Dorsal and ventral parts of aortic sac
Ductus arteriosus
parts obliterated• B/L carotid duct• Right dorsal aorta beyond 4th arch• Right distal part of 6th arch
Ventral part of aortic sacLeft horn of aortic sacLeft 4th arch arteryLeft part of dorsal aortaFused portion of dorsal aorta
Aorta development• Truncus arteriosus• Aortic sac• Left horn of aortic sac• Left fourth arch artery• Unfused left dorsal aorta• Fused dorsal aorta
Relationship of recurrent laryngeal nerve
Source Derivatives Aortic sac Proximal part of arch of aortaHorns of aortic sac Right- right brachiocephalic trunk
Left- part of arch of aorta3rd arch artery Common carotid artery
Internal carotid artery (+upper dorsal aorta)External carotid artery ( from arterial bud)
4th arch artery Rt- Rt subclavian (+7th cervical intersegmental artery)Lt- arch of aorta
6th arch Rt- Rt. pulmonary arteryLt- Lt pulmonary artery - Ductus arteriosus
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Patent ductus arteriosus
Pulmonary congestion
Causes• Hypoxia• Prostaglandin E
Preductal• Less common• DA remain patentPostductal• More common• DA obliterated• Rib notching• Differential pressure
Coarctation of aorta
Rib notching (radiographic sign)Due to enlargement of anastomotic channel between ant and posterior intercostal arteries.
Abnormal origin of Rt subclavian artery
Rt 4th arch obliteratesRt dorsal aorta persists
Double aortic archRt dorsal aorta between 7th interssegmetal artery and fused dorsal aorta persists.
Vascular ring• Dysphagia • Difficulty in breathing
Assessment
Q. All are the direct branches of aorta except.a. Right brachiocephalic trunk b. left brachiocephalic trunkc. Left common carotid artery d. left subclavian artery
Q. Which of the following arterial malformations is very common in premature infants?(A) Patent ductus arteriosus (B) Coarctation of the aorta(C) Abnormal right subclavian artery (D) Double aortic arch
Q. Ascending aorta and pulmonary trunk are derivatives of.a. Ductus arteriosus b. Dorsal aortac. Aortic sac d. Truncus arteriosus
Q. A 9-year-old boy has no pulse in the femoral artery, increased blood pressure in the arteries of the upper extremity, and enlarged intercostal veins, Which of the following abnormalities would be suspected?a. Preductal coarctation of aorta b. double aortic archc. Postductal coarctation of aorta d. patent ductus arteriosus
Q. Ductus arteriosus is the derivatives of.a. Rt 6th arch artery b. Lt 6th arch arteryc. Ductus caroticus d. Lt 4th arch artery
Q. Right recurrent laryngeal nerve hooks around.a. Rt subclavian artery b. Rt pulmonary arteryc. Arch of aorta d. Rt brachiocephalic trunk