Department of Diagnostic and Interventional Radiology, University Clinic, Schillingallee 35, 10857, Rostock, Germany.
Clinic and Policlinic of Radiology, Martin-Luther University Halle-Wittenberg, Ernst-Grube-Str. 40, 06120, Halle, Germany.
J Cardiovasc Transl Res. 2019 Oct;12(5):459-466. doi: 10.1007/s12265-019-09881-6. Epub 2019 Mar 7.
This experimental study describes the adaptive processes of the right ventricular (RV) myocardium after pulmonary artery banding (PAB) evaluated by cine cardiac magnetic resonance (CMR), phase-contrast CMR (PC-CMR), and conductance catheter. Seven sheep were subjected to CMR 3 months after PAB. Conductance catheter measurements were performed before and 3 months after PAB. Four nonoperated, healthy, age-matched animals served as controls. Higher RV masses (p < 0.01), elevated RV end-systolic volumes (p < 0.05), and lower RV ejection fraction (p < 0.01) were observed in the operated group. The time-to-peak pulmonary artery flow was longer in the banding group (p < 0.01). RV maximal pressure and RV end-diastolic pressure correlated with the time-to-peak flow in the pulmonary artery (r = - 0.70 and - 0.69, respectively). In summary, PAB caused RV hypertrophy, increased myocardial contractility, and decreased RV-EF and cardiac output. The time-to-peak pulmonary artery flow correlated with RV pressures.
本实验研究通过电影心脏磁共振(CMR)、相位对比 CMR(PC-CMR)和心导管测量,描述了肺动脉带缩术(PAB)后右心室(RV)心肌的适应过程。7 只羊在 PAB 后 3 个月接受 CMR 检查。在 PAB 之前和 3 个月后进行心导管测量。4 只未经手术、年龄匹配的健康动物作为对照组。与对照组相比,观察组 RV 质量更高(p < 0.01),RV 收缩末期容积更大(p < 0.05),RV 射血分数更低(p < 0.01)。观察组肺动脉峰值血流时间更长(p < 0.01)。RV 最大压力和 RV 舒张末期压力与肺动脉峰值血流时间呈负相关(r = -0.70 和 -0.69)。总之,PAB 导致 RV 肥厚、心肌收缩力增加,RV-EF 和心输出量减少。肺动脉峰值血流时间与 RV 压力相关。