Morphological identification of functional capillaries in the myocardium.

This study used acrylic resin as an intravascular marker to demonstrate functional myocardial capillaries after fixation by perfusion. Eight rat hearts were excised and allowed to function as isolated organs perfused with oxygenated Krebs-Henseleit buffer (37 degrees C, 10 kPa) for 10 min. Four were fixed by perfusion (4 min) with 2.5% glutaraldehyde at the same temperature and pressure and then immersion fixed (24 hr). The other four hearts were perfused with 0.2% procaine HCl for 30 sec just prior to similar fixation. Polymerizing low viscosity acrylic resin was injected at 10 kPa pressure into the fixed vascular beds and allowed to cure, then transmural blocks of left ventricular myocardium were prepared for scanning electron microscopy. Total initial coronary flow of fixative after procaine treatment was significantly increased, while in untreated hearts the initial fixative flow rate was closely similar to that of oxygenated buffer. The pattern of capillary perfusion was assessed, and the percentage of capillary profiles filled by acrylic resin were calculated. Following procaine treatment, 95.2% of capillaries appeared functional, whereas without procaine arrest, only 62.0% of capillaries allowed the passage of resin. This study indicates that perfusion fixation with glutaraldehyde stabilizes myocardial structure so that the proportion of functional capillary pathways remains closely similar to that in the beating heart and so that such functional capillaries can be identified in morphological preparations by using a low viscosity intraluminal resin marker.