Introduction: early cardiovascular system formation can be related to the absence of a significant amount
of yolk material in the ovum and yolk sac with the need for vessels to carry both nutrient materials
and oxygen
Angiogenesis or blood formation begins in the extraembryonic mesoderm of the yolk sac, connecting stalk,
and chorion during days 13-15. The embryonic vessels begin to develop approximately 2 days later
MESENCHYMAL CELLS or angioblasts aggregate to form isolated masses and cords called blood
islands
Spaces accumulate in the islands, angiob1asts arrange themselves around the cavities to form the primitive
endothelium, then isolated vessels fuse to form networks of endothelial channels
Vessels continue to extend into adjacent areas by endothelial budding and fusion with other vessels
being formed independently
Blood cells and primitive plasma develop from the endothelial cells as the vessels develop on the allantois
and yolk sac
BLOOD FORMATION begins in week 5, occurring in various portions of the embryonic mesenchyme, particularly
in the liver, then later in the spleen, bone marrow, and lymph nodes
MESENCHYMAL CELLS around the primitive endothelial vessels differentiate into the muscles and connective
tissue of the blood vessels
THE PRIMITIVE ENDOTHELIAL CARDIAC TUBES form from mesenchymal cells in the cardiogenic area
Longitudinally paired endothelial channels, the heart tubes, develop before the end of week 3 and begin
to fuse into the primitive heart tube
By day 21, the paired tubes link up with blood vessels in the embryo, connecting stalk, chorion, and
yolk sac to form a primitive cardiovascular system. The cardiovascular system is the first organ system
to reach a functional state
Blood circulation usually is started by the end of week 3