Kim W G, Shin Y C, Hwang S W, Lee C, Na C Y
Department of Thoracic and Cardiovascular Surgery and Heart Research Institute, Seoul National University College of Medicine, Seoul, Korea.
Int J Artif Organs. 2003 Apr;26(4):351-7. doi: 10.1177/039139880302600411.
We report a comparison of the effects of myocardial infarction in dogs and sheep using sequential ligation of the left anterior descending artery (LAD) and its diagonal branch (DA), with hemodynamic, ultrasonographic and pathological evaluations. Five animals were used in each group. After surgical preparation, the LAD was ligated at a point approximately 40% of the distance from the apex to the base of the heart, and after one hour, the DA was ligated at the same level. Hemodynamic and ultrasonographic measurements were performed preligation, 30 minutes after LAD ligation, and 1 hour after DA ligation. As a control, two animals in each group were used for the simultaneous ligation of the LAD and the DA. Two months after the coronary ligation, the animals were evaluated as previously, and killed for postmortem examination of their hearts. All seven animals in the dog group survived the experimental procedures, while in the sheep group only animals with sequential ligation of the LAD and DA survived. Statistically significant decreases in systemic arterial blood pressure and cardiac output, and an increase in the pulmonary artery capillary wedge pressure (PACWP) were observed one hour after sequential ligation of the LAD and its DA in the sheep, while only systemic arterial pressures decreased in the dog. Ultrasonographic analyses demonstrated variable degrees of anteroseptal dyskinesia and akinesia in all sheep, but in no dogs. Data two months after coronary artery ligation showed significant increases in central venous pressure, pulmonary artery pressure, and PACWP in the sheep, but not in the dog. Left ventricular end-diastolic dimension and left ventricular end-systolic dimension in ultrasonographic studies were also increased only in the sheep. Pathologically, the well-demarcated thin-walled transmural anteroseptal infarcts with chamber enlargement were clearly seen in all specimens of sheep, and only-mild-to-moderate chamber enlargements with endocardial fibrosis were observed in the dog hearts. In conclusion, this study confirms that the dog is not a suitable model for myocardial infarction with failure by coronary artery ligation despite negligent operative mortality, when compared directly with an ovine model.
我们报告了一项通过对犬和绵羊的左前降支动脉(LAD)及其对角支(DA)进行序贯结扎,并进行血流动力学、超声心动图和病理学评估,来比较心肌梗死影响的研究。每组使用五只动物。手术准备后,在距离心脏心尖至心底约40%处结扎LAD,一小时后,在同一水平结扎DA。在结扎前、结扎LAD后30分钟以及结扎DA后1小时进行血流动力学和超声心动图测量。作为对照,每组使用两只动物同时结扎LAD和DA。冠状动脉结扎两个月后,对动物进行如前所述的评估,并处死以对其心脏进行尸检。犬组的所有七只动物均在实验过程中存活,而绵羊组中只有序贯结扎LAD和DA的动物存活。在绵羊中,序贯结扎LAD及其DA一小时后,观察到体循环动脉血压和心输出量有统计学意义的下降,肺动脉毛细血管楔压(PACWP)升高,而犬中只有体循环动脉血压下降。超声心动图分析显示所有绵羊均有不同程度的前间隔运动障碍和运动不能,但犬没有。冠状动脉结扎两个月后的数据显示,绵羊的中心静脉压、肺动脉压和PACWP显著升高,而犬没有。超声心动图研究中的左心室舒张末期内径和左心室收缩末期内径也仅在绵羊中增加。病理上,在所有绵羊标本中均清晰可见界限清楚的薄壁透壁性前间隔梗死伴心室扩大,而在犬心脏中仅观察到轻度至中度的心室扩大伴心内膜纤维化。总之,本研究证实,与绵羊模型直接比较时,尽管手术死亡率可忽略不计,但犬并非冠状动脉结扎致心肌梗死伴心力衰竭的合适模型。