MD. Postgraduate Program in Surgical Sciences - Medical Faculty - Universidade Federal do Rio Grande do Sul - Porto Alegre (RS), Brazil.
Associate Professor. Medicine Faculty, Universidade Federal do Rio Grande do Sul. Head. Vascular Surgery Department - Hospital de Clínicas de Porto Alegre - Porto Alegre (RS), Brazil.
Acta Cir Bras. 2021 Jun 25;36(6):e360602. doi: 10.1590/ACB360602. eCollection 2021.
To describe an unpublished experimental model of descending thoracic aortic aneurysm in pigs.
Ten Landrace female pigs aged 10 to 12 weeks old and with initial weights from 17 to 25 kg were anesthetized and their descending thoracic aortas exposed by fifth intercostal space left thoracotomy. The thoracic aorta was isolated. A 2-cm wide × 2-cm long patch of ready-made bovine pericardium was sewn onto the left anterolateral side of the aorta. After three weeks' follow-up, a control aortography was taken, and the animals were euthanized. The segment of thoracic aorta containing the aneurysm and the adherent tissues were explanted en bloc. The specimens were stained for histological examination.
One hundred percent of the animals survived the procedure, and after sacrifice a patent aneurysm was observed in all of them. There were no defects on the suture lines. Weight gain during follow-up was normal. All specimens exhibited intense adventitial reaction with myofibroblasts. There were no complications related to the thoracotomy.
The descending thoracic aortic aneurysms induced experimentally appear to be stable, were of easy execution, with null mortality and no influence on the animals' normal development. Furthermore, they have similar characteristics to those observed in human degenerative aneurysms.
描述一种猪降主动脉夹层动脉瘤的实验模型。
10 只 10-12 周龄、初始体重 17-25kg 的长白母猪通过第五肋间左开胸术暴露降主动脉。将胸主动脉分离出来,用 2cm 宽×2cm 长的现成牛心包片将其左侧前外侧壁缝合。术后 3 周进行对照性主动脉造影,然后处死动物。整块取出包含动脉瘤和粘连组织的胸主动脉段。对标本进行组织学染色。
所有动物均顺利完成手术,且 100%的动物在术后存活,所有动物的主动脉均出现明显的动脉瘤。缝线处无缺陷。术后动物的体重增加正常。所有标本均表现出强烈的外膜反应,有肌成纤维细胞。开胸术无相关并发症。
本实验诱导的降主动脉夹层动脉瘤较为稳定,操作简单,死亡率为零,对动物的正常生长发育无影响。此外,这些动脉瘤与人类退行性动脉瘤的特征相似。