Effects of vagotomy on the ultrastructure of the atrial myocardium in the monkey (Macaca fascicularis).

The ultrastructure of the atrial myocardium in the monkey (Macaca fascicularis) was studied after bilateral cervical vagotomy and survival times of 1, 3, 5, 7, 10, 21 and 28 days. During the first week after vagotomy, a few atrial cells showed a reduction in the sarcoplasm, crowding of the myofibrils, peripheral dispersion and reduced intercristal density of the mitochondria and increased sarcoplasmic reticulum and glycogen particles. In some profiles, there was increased electron density and granularity at the I bands and the intercalated discs. The number of such affected cells increased in the subsequent days such that by 21 to 28 days about 50% of the cells were estimated to be affected. During the latter stages further changes included, the degradation of the myofilaments and increased electron density, disorganisation and disintegration of the digital extensions at the intercalated discs. Throughout the experiments there was a leucocytic infiltration, more evident in the longer survival times.