The development of the atrioventricular junction in the human heart

A Wessels, MWM Markman, JLM Vermeulen… - Circulation …, 1996 - Am Heart Assoc
A Wessels, MWM Markman, JLM Vermeulen, RH Anderson, AFM Moorman, WH Lamers
Circulation research, 1996Am Heart Assoc
The histogenesis of the separation between atrial and ventricular myocardium at the
atrioventricular junction in the developing human heart has been investigated
immunohistochemically by using monoclonal antibodies specific for atrioventricular cushion
tissue, mesenchymal cells, atrial and ventricular myocardium, and myocardium of the
primary ring. It was found that the insulation between the muscle masses of atrium and
ventricle is established by the fusion of the tissues of the atrioventricular sulcus (located at …
Abstract
The histogenesis of the separation between atrial and ventricular myocardium at the atrioventricular junction in the developing human heart has been investigated immunohistochemically by using monoclonal antibodies specific for atrioventricular cushion tissue, mesenchymal cells, atrial and ventricular myocardium, and myocardium of the primary ring. It was found that the insulation between the muscle masses of atrium and ventricle is established by the fusion of the tissues of the atrioventricular sulcus (located at the epicardial side of the junctional myocardium) with those of the atrioventricular cushions (located at the endocardial side of the junctional myocardium). This process takes place at the ventricular margin of the myocardium of the atrioventricular canal. The separation of atrial and ventricular myocardium starts at ≈7 weeks of development in the anteromedial portion of the right atrioventricular junction and is largely completed around the 12th week of development. The only remaining myocardial continuity between atrial and ventricular myocardium is the atrioventricular axis of conduction. Our findings show that the nonmuscular part of the developing leaflets of the atrioventricular valves derives from the atrioventricular cushions and that the tissues of the atrioventricular groove do not contribute to the development of these leaflets.
Am Heart Assoc