BMS 301 Lecture Notes - Umbilical Vein, Pulmonary Circulation, Superior Vena Cava

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25 Apr 2014
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Anastomoses between anterior and posterior interventricular branches can become functional with cardio exercise. 15% of people posterior interventricular comes off circumflex instead left dominant . On posterior of heart, changes name to coronary sinus. Middle cardiac (posterior interventricular vein) empties into coronary sinus. Interventricular sulcus (indentation) between left and right ventricles. Fetus is not using its own lungs or liver. Valve in inferior vena cava directs fetal blood to interatrial wall. Pressure in right atrium higher than in left atrium. Fetal circulation ensures o2rich blood will reach the brain. Blood from superior vena cava preferentially directed into right ventricle pulmonary trunk some goes to lungs, most to ductus arteriosis (pulmonary trunk to aortic arch) descending aorta. Baby takes first breath blood pressure in lungs drops dramatically with inflation; blood circulates through lungs. Blood pressure in left atrium exceeds that in right atrium, foramen ovale held closed. Fossa ovalis in adult, small scooped out area.

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