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Extra info for Aparatologia en Ortopedia Funcional Atlas Grаfico

Sample text

The sinoatrial node develops from the sinoatrial ring or on the ventrolateral surface of the SVC. The sinus node is present by week 6 of gestation and the sinus node artery by week 10 (34). 1). Left and right bundle branches, present in 13- and 22- to 25-mm embryos, respectively, develop from the bulboventricular ring, while other small portions of the conducting system develop from the bulbotruncal ring (22). Action potentials typical of the atrioventricular node can be recorded as early as 12 weeks of gestation, and by week 16 of intrauterine life, the conducting system is fully mature (34).

A complete fetal echocardiographic examination should include both structural and rhythm analysis using a combination of M-mode, two-dimensional, continuous-wave Doppler, and color flow Doppler. Normal echocardiographic findings include location of the fetal heart in the center of the thorax and occupying about one third of the thorax, atria and ventricles of equal size, intact ventricular septum, foramen ovale flap in the left atrium, and offset atrioventricular valves with the tricuspid valve located further apically.

With loop formation, the mesocardiac and bulboventricular regions are approximated. During loop formation, the atrioventricular junction remains narrow to form the atrioventricular canal, which is the only cardiac inlet, conveying systemic venous blood to the primitive ventricle (15). The bulbus cordis is narrow except in the proximal third, where the trabeculated portion of the right ventricle will form (15). The junction of the bulbus cordis with the ventricle (indicated externally by the bulboventricular sulcus) remains narrow and is the primary interventricular foramen or bulboventricular defect (15).

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Aparatologia en Ortopedia Funcional Atlas Grаfico


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