induced myocardial infarction using ligation of the left anterior descending coronary artery major diagonal branch: development of an ovine model

نویسندگان

shahram rabbani tehran heart center, tehran university of medical sciences, tehran, iran.

hossein ahmadi tehran heart center, tehran university of medical sciences, tehran, iran.

ehsan fayazzadeh tehran heart center, tehran university of medical sciences, tehran, iran.

mohammad sahebjam tehran heart center, tehran university of medical sciences, tehran, iran.

چکیده

background : we report experimental myocardial infarction by occluding coronary arteries in ovine models. methods: twelve ewes were included in the study. after the chest was opened by left lateral thoracotomy incision, the second diagonal branch of the left anterior descending coronary artery was ligated at a point approximately 40% distant from its base. prophylactic antiarrhythmics were administered. animals were mechanically ventilated during surgery and stayed in the icu for 24h afterwards. experiments were then evaluated by echocardiographic, electrocardiographic, hemodynamic, serologic and morphologic investigations. echocardiographic measurements were repeated after two months and animals were then sacrificed for postmortem cardiac examinations. results: all animals survived the surgical procedure. cyanotic discoloration and hypokinesia in the cardiac tissue in an area of 3×4 cm plus st-segment elevations was detected immediately after vessel ligation. more over, there were pathologic q- waves 2 months later. echocardiographic evaluations revealed an average of 22% relative decrease in cardiac ejection fraction. wall motion analysis demonstrated anteroapical hypokinesia and akinesia in all animals one day and two months after operation.   thin walled infarcted areas with tissue fibrosis were evident in pathologic investigations two months after surgery. conclusion: in conclusion, we developed a practical and safe method of producing myocardial infarction in large animal models.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

A Rare Case of Double Myocardial Bridges of the Left Anterior Descending Artery

Myocardial bridge is a benign congenital anomaly in which a segment of major epicardial coronary arteries descends into the myocardium for a variable distance. Myocardial bridge is most often single and located in the middle part of the left anterior descending artery. The presence of more than one myocardial bridge in coronary arteries is very rare. We present a patient with more than one myoc...

متن کامل

Association Between Left Anterior Descending Artery Length with Coronary Artery Dominance: An Angiographic Study

Introduction: Although left anterior descending (LAD) artery supplies a large portion of the myocardium, the amount of blood supply provided by LAD is depended on the length of the LAD. The aim of the current study was to evaluate the association between coronary artery dominance and LAD anatomic types in patients with normal epicardial coronary arteries. Methods:...

متن کامل

CongenItal Anomallous Origin of Left Anterior Descending Artery from RIight Coronary Artery

​Congenital anomalies of the coronary arteries have been a known subject  since the advent of cardiac angiography, and has been a subject of special interest by both cardiologists and cardiac surgeons,  We have tried in this article to present a case of anomalous origin of LAD from RCA (RMT) in a 55 year old lady (Mrs. B.J.) and to completely dis­cuss this subject. It's worthmentioning that thi...

متن کامل

Congenital coronary artery fistula in an intercoronary communication between the left main and the diagonal branch of the left anterior descending coronary artery: an interesting case report.

Intercoronary communication is a very rare coronary artery anomaly. It is defined as an open-ended circulation with bidirectional blood flow between two coronary arteries. Coronary artery fistulas are abnormal communications between a coronary artery and a cardiac chamber or major vessel. A 62-year-old man was admitted to our hospital with sudden development of general weakness, dizziness and a...

متن کامل

Anomalous Separate Origin of Left Anterior Descending Coronary Artery: Presented as Acute Anterior Myocardial Infarction

Coronary artery anomalies are rare presentations in primary percutaneous coronary interventions of acute myocardial infarction. Herein, we report the case of a 59-year-old man with acute anterior myocardial infarction who had anomalous separate origin of left anterior descending artery (LAD) and left circumflex artery (LCX) from the left coronary aortic sinus. Coronary angiography showed a norm...

متن کامل

A murine model of myocardial ischemia-reperfusion injury through ligation of the left anterior descending artery.

Acute or chronic myocardial infarction (MI) are cardiovascular events resulting in high morbidity and mortality. Establishing the pathological mechanisms at work during MI and developing effective therapeutic approaches requires methodology to reproducibly simulate the clinical incidence and reflect the pathophysiological changes associated with MI. Here, we describe a surgical method to induce...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
the journal of tehran university heart center

جلد ۱، شماره ۲، صفحات ۸۹-۹۳

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023