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27 Cards in this Set

  • Front
  • Back
What structure acts as the "lung" in fetal circulation?
Placenta
What structures close in transition from fetal to neonatal circulation?
Foramen ovale

Ductus arteriosis

Ductus venosus
What is the most common cause of congenital heart defect?
Trisomy 21 (Down Syndrome)
Which faulty occurrences in embryonic development lead to congenital heart disease?
Arrest in growth

Misplaced structure
The endocardial heart tubes fuse at what week?
Week 3
Blood starts to flow at what week?
Week 4
Which parts of the embryonic heart grows faster than the others?
Bulbus cordis

Ventricle
The looping that occurs with the bulboventricular loop goes in which direction?
Ventrally, caudally and to the right
The endocardial cushions separate which cavities?
Atrial and ventricles
Does the ostium secundum form before or after the ostium primum closes?
Before
The foramen ovale forms due to the covering of the ostium secundum by what structure?
Septum secundum
The valve of the foramen ovale is formed by what structure?
LOWER part of primum septum
The endocardial cushions form what three structures?
Septum intermedium--AV septum

AV valves

Atrial and ventricular septa
Where are most ventricular septal defects located?
Membranous septum
Closure of the interventricular foramen and formation of the membranous septum occurs by fusion of what three structures?
Right and left bulbar ridges

Endocardial cushion

Interventricular septum
The aorticopulmonary septum is formed by what structures?
Fusion of right and left bulbar and truncal ridges

Neural crest cells
The heart valves form from which type of tissue?
Subendocardial tissue
The fetal circuit ensures that which parts of the body receive the most flow?
Head

Heart

Upper limbs
The foramen ovale closes by the fusion of what structures?
Septum primum and septup secundum
Post natally the ductus arteriosus becomes what structure?
Ligamentum arteriosum
The ductus arteriosus allows for shunting of blood from where to where?
Right ventricule to aorta and not the pulmonary artery
The ductus venosus allows shunting of blood from where to where?
Umbilical vein to inferior vena cava rather than through hepatic flow
The foramen ovale allows shunting of blood from where to where?
Right to left atrium
What changes after birth induces the closure of the ductus arteriosus?
Decreased pulmonary vascular resistance

Increased arterial oxygen

Declining prostaglandin
What factors contribute to failure of closure of ductus arteriosus?
Hypoxia

Prematurity

Maternal rubella
Ductus arteriosus can be left open by treatment with ____ and closed by treatment with ____.
Open--prostaglandin E

Closed--indomethacin
What is the abnormality in transposition of the great vessels?
Aorta arises from RV and pulmonary artery arises from LV