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Difference Between Septum Primum and Septum Secundum

  • Post last modified:March 19, 2023
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Definition of Septum Primum and Septum Secundum

Septum primum and Septum Secundum are two thin walls or partitions located in the human heart that separate the atria, and the upper chambers of the heart.

Septum Primum is the first septum formed during fetal development and is located closer to the left side of the heart. It grows from the top of the atrial walls towards the endocardial cushions in the center, eventually fusing with them to form the foramen ovale, a hole that allows blood to flow from the right atrium to the left atrium in the developing fetus.

Septum Secundum is the second septum formed during fetal development and is located to the right of the Septum Primum. It grows from the upper wall of the right atrium and partially covers the foramen ovale, creating a one-way valve that allows oxygenated blood from the lungs to enter the left atrium, while preventing blood from flowing back into the right atrium.

Both septums play crucial roles in the development and function of the human heart.

Importance of Septum Primum and Septum Secundum in the human heart

Septum primum and Septum Secundum are both important structures in the human heart because they play a critical role in separating the right and left atria. This separation is important because it allows for efficient blood circulation through the heart and lungs.

During fetal development, the foramen ovale, which is created by the fusion of the Septum Primum and the endocardial cushions, allows oxygenated blood to bypass the lungs and flow from the right atrium to the left atrium, where it can be pumped out to the rest of the body. After birth, when the baby takes its first breath and the lungs start functioning, the foramen ovale closes and the Septum Secundum covers it, creating a one-way valve that ensures that blood flows through the lungs to picks up oxygen before it enters the systemic circulation.

Any defects or abnormalities in the development or function of these septums can lead to serious health conditions, such as atrial septal defects, which can cause an abnormal flow of blood between the two atria and may lead to heart failure, pulmonary hypertension, or stroke. Therefore, understanding the importance of Septum Primum and Septum Secundum is crucial in the diagnosis and treatment of these conditions.

Septum Primum

Septum Primum is a thin wall or partition that separates the left and right atria of the heart. It is the first septum formed during fetal development and is located closer to the left side of the heart.

During fetal development, the Septum Primum grows from the top of the atrial walls towards the endocardial cushions in the center, eventually fusing with them to form the foramen ovale, a hole that allows blood to flow from the right atrium to the left atrium in the developing fetus.

After birth, when the baby takes its first breath and the lungs start functioning, the pressure in the left atrium increases and causes the Septum Primum to seal the foramen ovale shut. The foramen ovale will eventually be fully sealed by the formation of the fossa ovalis, a depression in the wall of the left atrium.

If the Septum Primum does not fuse properly with the endocardial cushions during fetal development, it can result in an atrial septal defect (ASD), where there is an abnormal opening in the septum between the left and right atria. This can cause a mix of oxygenated and deoxygenated blood to flow between the atria, which can lead to heart failure, pulmonary hypertension, or stroke.

In some cases, the Septum Primum may also fail to fully seal the foramen ovale after birth, leading to a persistent foramen ovale (PFO). While PFOs do not usually cause symptoms or require treatment, they can increase the risk of stroke in some people.

Septum Secundum

Septum Secundum is a thin wall or partition that separates the left and right atria of the heart. It is the second septum formed during fetal development and is located to the right of the Septum Primum.

During fetal development, the Septum Secundum grows from the upper wall of the right atrium and partially covers the foramen ovale, creating a one-way valve that allows oxygenated blood from the lungs to enter the left atrium, while preventing blood from flowing back into the right atrium. This ensures that blood flows through the lungs to pick up oxygen before it enters systemic circulation.

After birth, when the baby takes its first breath and the lungs start functioning, the pressure in the left atrium increases and causes the Septum Secundum to completely cover the foramen ovale, creating a permanent separation between the left and right atria. The foramen ovale will eventually be fully sealed by the formation of the fossa ovalis.

If there are defects or abnormalities in the development or function of the Septum Secundum, it can result in conditions such as patent foramen ovale (PFO), where the Septum Secundum does not completely cover the foramen ovale after birth, or atrial septal defects (ASD), where there is an abnormal opening in the septum between the left and right atria. These conditions can lead to a mix of oxygenated and deoxygenated blood flowing between the atria, which can increase the risk of heart failure, pulmonary hypertension, or stroke.

Differences Between Septum Primum and Septum Secundum

Septum primum and Septum Secundum are both important structures that play a critical role in separating the left and right atria of the heart. However, there are several key differences between them, including:

  1. Formation: Septum Primum is the first septum to form during fetal development, while Septum Secundum is the second.
  2. Location: Septum Primum is located closer to the left side of the heart, while Septum Secundum is located to the right of the Septum Primum.
  3. Function: Septum Primum grows towards and fuses with the endocardial cushions to create the foramen ovale, which allows oxygenated blood to flow from the right atrium to the left atrium during fetal development. After birth, the pressure in the left atrium increases, causing the Septum Primum to seal the foramen ovale shut. Septum Secundum partially covers the foramen ovale during fetal development and creates a one-way valve that allows oxygenated blood from the lungs to enter the left atrium, while preventing blood from flowing back into the right atrium. After birth, the pressure in the left atrium causes the Septum Secundum to completely cover the foramen ovale, creating a permanent separation between the left and right atria.
  4. Structure: Septum Primum is thin and crescent-shaped, while Septum Secundum is thicker and more semicircular.
  5. Abnormalities: Defects or abnormalities in the development or function of Septum Primum can lead to atrial septal defects (ASD), while defects in Septum Secundum can lead to conditions such as patent foramen ovale (PFO) or ASD.

Understanding the differences between Septum Primum and Septum Secundum is important in the diagnosis and treatment of conditions that affect these structures.

Conclusion

The Septum Primum and Septum Secundum are both critical structures that play important roles in fetal and postnatal cardiac development. Septum Primum grows towards the endocardial cushions to create the foramen ovale, while Septum Secundum partially covers the foramen ovale and creates a one-way valve. Both structures work together to ensure that oxygenated blood flows from the lungs to the left atrium and into the systemic circulation. Understanding the differences between these structures and their functions is important in the diagnosis and treatment of conditions such as ASD and PFO.