Anatomy, Surgical and topographical -- Atlases; Surgery -- Atlases; Surgery, Operative -- Atlases
The interauricular and interventricular septa, by
gradual development from without inwards, at length meet and coalesce,
thereby dividing the two cavities into four--two auricles and two
ventricles--a condition proper to the Avian and Mammalian classes
generally. In the centre of the interauricular septum of the human
heart, an aperture (foramen ovale) is left as being necessary to the
foetal circulation. While the septa are being completed, the arterial
bulb also becomes divided by a partition formed in its interior in such
a manner as to adjust the two resulting arteries, the one in connexion
with the right, the other with the left ventricle. The right ventricular
artery (pulmonary aorta) so formed, has assigned to it the fifth
(posterior) opposite pair of arches, and of these the right one
remaining pervious to the point where it gives off the right pulmonary
branch, becomes obliterated beyond this point to that where it joins the
descending aorta, while the left arch remains pervious during foetal
life, as the ductus arteriosus still communicating with the descending
aorta, and giving off at its middle the left pulmonary branch. The left
ventricular artery (systemic aorta) is formed of the fourth arch of the
left side, while the opposite arch (fourth right) is altogether
obliterated. The third and second arches remain pervious on both sides,
afterwards to become the right and left brachio-cephalic arteries. The
first pair of arches, if not converted into the vertebral arteries, or
the thyroid axes, are altogether metamorphosed. By these changes the
heart and primary arteries assume the character in which they usually
present themselves at birth, and in all probability the primary veins
corresponded in form, number, and distribution with the arterial
vessels, and underwent, at the same time, a similar mode of
metamorphosis. One point in respect to the original symmetrical
character of the primary veins is demonstrable--namely, that in front of
the aortic branches the right and left brachio-cephalic veins, after
joining by a cross branch, descend separately on either side of the
heart, and enter (as two superior venae cavae) the right auricle by
distinct orifices. In some of the lower animals, this double condition
of the superior veins is constant, but in the human species the left
vein below the cross branch (left brachio-cephalic) becomes obliterated,
whilst the right vein (vena cava superior) receives the two
brachio-cephalic veins, and in this condition remains throughout life.
After birth, on the commencement of respiration, the foramen ovale of
the interauricular septum closes, and the ductus arteriosus becomes
impervious. This completes the stages of metamorphosis, and changes the
course of the simple foetal circulation to one of a more complex
order--viz., the systemic-pulmonary characteristic of the normal state
in the adult body.
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