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Akira Taira
Masafumi Yamashita
Hitoshi Toyohira
Hachinen Akita
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Ann Thorac Surg 1979;27:144-147
© 1979 The Society of Thoracic Surgeons


Articles

Cardiac Lymph in Electrical Ventricular Fibrillation: An Experimental Study

Akira Taira, M.D.*, Masafumi Yamashita, M.D., Kazuhiro Arikawa, M.D., Yoshiomi Hamada, M.D., Hitoshi Toyohira, M.D., Hachinen Akita, M.D.

From the Department of Surgery, Kagoshima University School of Medicine, Kagoshima City, Japan

Accepted for publication August 1, 1978.

* Address reprint requests to Dr. Taira, Department of Surgery, Kagoshima University School of Medicine, 1208-1 Usuki-Cho Kagoshima City 890, Japan

The flow velocity of cardiac lymph during electrical ventricular fibrillation under normothermic cardiopulmonary bypass was studied experimentally in dogs. The time needed for the cardiac lymph node to become stained after injection of dye into the apex myocardium of the left ventricle was measured as an indicator in determining flow velocity of cardiac lymph. The flow velocity was markedly decelerated immediately after the commencement of electrical ventricular fibrillation. It was accelerated, however, after 2 hours of continuous electrical ventricular fibrillation. The difference between the two values was significant (p < 0.01). Absent contractility of the heart influenced the deceleration of flow velocity of cardiac lymph immediately after the commencement of electrical ventricular fibrillation. Acceleration after 2 hours involved stasis of cardiac lymph as a result of absent contractility and increment of lymph production due to the nonphysiological condition of the myocardium.




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