Department of Cardiovascular Surgery, Second Affiliated Hospital, Third Military Medical University, Chongqing 400037, China.
Heart Lung Circ. 2013 May;22(5):373-82. doi: 10.1016/j.hlc.2012.11.021. Epub 2013 Jan 16.
The purpose of this study is to develop and characterise a reproducible rabbit model of LVH regression following pressure-induced myocardial hypertrophy.
Without endotracheal intubation and mechanical ventilation, a median sternotomy was performed. The median incision was made exactly along the midline of the sternum. Ascending aortic diameter was reduced 50% above the aortic valve, which lead to an approximate 75% reduction in crosssectional area. The sham-operated rabbits underwent the same procedures without actual ligation of the aorta. The animals of early DB group and late DB group were subjected to the second operation for removing the ligation eight weeks or 16 weeks after the initial banding surgery, respectively. Echocardiography, haemodynamic assessment, histology, and electron microscopy were used to assess functional and structural aspects of myocardial hypertrophy at each time point.
The pressure overload resulted in robust LVH assessed by echocardiography, haemodynamic assessment, LV weight/body weight ratios, histology, and electron microscopy. Ascending aortic debanding completely or partially reversed LVH. The degree of LVH regression was association with the duration of pressure overload, proved by the fact that restoration of LV structure and function was complete in animals subjected to eight weeks of aortic banding but incomplete in animals subjected to 16 weeks of aortic banding. The animals did not experience severe mechanical ventilatory impairment.
These results demonstrate an efficient and reproducible method of promoting LVH regression in rabbits without endotracheal intubation and mechanical ventilation.
本研究旨在开发并描述一种可重现的兔压力诱导心肌肥厚后左室肥厚(LVH)消退模型。
在不进行气管插管和机械通气的情况下,行正中开胸术。正中切口沿胸骨中线精确切开。升主动脉直径在主动脉瓣上方减少 50%,导致横截面积减少约 75%。假手术组的兔子在不实际结扎主动脉的情况下进行相同的操作。早期 DB 组和晚期 DB 组的动物分别在初次结扎手术后 8 周和 16 周进行第二次手术以去除结扎。超声心动图、血流动力学评估、组织学和电子显微镜用于评估每个时间点心肌肥厚的功能和结构方面。
超声心动图、血流动力学评估、左室重量/体重比、组织学和电子显微镜检查显示,压力超负荷导致明显的 LVH。升主动脉去带完全或部分逆转了 LVH。LVH 消退的程度与压力超负荷的持续时间有关,这一事实证明,接受 8 周主动脉带结扎的动物的 LV 结构和功能恢复完全,而接受 16 周主动脉带结扎的动物则不完全。动物没有经历严重的机械通气损伤。
这些结果表明,在不进行气管插管和机械通气的情况下,一种有效的、可重现的促进兔 LVH 消退的方法。