Development of the ventriculoarterial segment of the human embryonic heart: A morphometrics study

In the literature, discussions continue on the question whether the distal portion of the cardiac outlet segment (ventriculoarterial portion, outflow tract of the embryonic heart) is subject to a shortening (absorption, retraction) during development. In 28 human embryos ranging from 4–42 mm crown‐rump length, stereological estimates of volume fractions and surface densities were used to calculate the diameter and the length of the distal outlet segment and their changes during development. A significant increase was found in the wall thickness of this segment, whereas its length remained about the same. An actual shortening was not found. It is concluded that the relative change in proportions is the cause of the disagreements. It is further concluded that there is still a mechanical role for the aorticopulmonary septum in maintaining the length of the outlet segment during growth of this region. © 1993 Wiley‐Liss, Inc.