Han D J, Khang S K, Pai S T, Yoon D W
Department of Surgery, College of Medicine, Hallym University, Seoul, Korea.
Microsurgery. 1990;11(2):127-32. doi: 10.1002/micr.1920110209.
Heart transplantation in mice using a double anastomosis technique has become the standard method regardless of its technical difficulty. Heart-lung transplantation performed by single anastomosis in rats was also applied to mice, showing the identical operative result in addition to the advantage of easy applicability. We compared the heart transplant made by double anastomosis with the heart-lung transplantation using single aortic anastomosis in terms of graft survival and histologic features. The results were as follows: 1) During the follow-up period of 100 days after the transplantation in mice that survived 7 days after the operation, there were no deaths among the hosts and no evidence of nonfunction of the grafts in the six mice in each group. 2) In terms of monocyte infiltration perivascularily or interstitially, myocyte necrosis, interstitial hemorrhage, neutrophilic infiltration, and endocardial changes, histologic changes in the grafts were less in single anastomosis of heart-lung transplants than in double anastomosis. As a result, we can deduce that heart-lung transplantation using the single anastomosis technique is a good experimental model for the study of transplant reaction.
无论技术难度如何,采用双吻合技术进行小鼠心脏移植已成为标准方法。大鼠中通过单吻合进行的心肺移植也应用于小鼠,除了易于应用的优点外,还显示出相同的手术效果。我们比较了双吻合心脏移植与单主动脉吻合心肺移植在移植物存活和组织学特征方面的情况。结果如下:1)在术后存活7天的小鼠移植后100天的随访期内,每组6只小鼠的宿主均无死亡,且移植物无失功迹象。2)就血管周围或间质单核细胞浸润、心肌细胞坏死、间质出血、中性粒细胞浸润和心内膜变化而言,心肺移植单吻合时移植物的组织学变化比双吻合时少。因此,我们可以推断,采用单吻合技术的心肺移植是研究移植反应的良好实验模型。