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The Annals of Thoracic Surgery, Vol 47, 208-212, Copyright © 1989 by The Society of Thoracic Surgeons
C Deschamps, VF Trastek, JL Ferguson, WJ Martin, TV Colby, PC Pairolero and WS Payne
The purpose of this study was to evaluate tracheal viability and to
document histological changes in an autograft implanted in the abdominal
wall after a 1-week period of cryopreservation. A 5-cm segment of cervical
trachea was resected in 6 dogs. One-half of the segment was cryopreserved
and stored in liquid nitrogen at -196 degrees C for 1 week. The other half
was immediately implanted in an abdominal pouch fashioned from the rectus
abdominis muscle (control). One week later, the cryopreserved segment was
thawed and then implanted in a similar contralateral muscular pouch. Five
weeks later, the control and cryopreserved autografts were removed and
compared with the in situ trachea. Ciliary beat frequency was assessed by
transmitted light technique. Histology was evaluated by light microscopy.
Gross anatomy and mucus production were maintained after cryopreservation.
Histologically the cryopreserved segment displayed both normal epithelium
and smooth muscle cells, but the cartilage was abnormal as characterized by
empty lacunae. Mean ciliary beat frequency of in situ, control, and
cryopreserved segments was 13.3 +/- 1.8, 13.5 +/- 1.5, and 13.3 +/- 1.1
beats per second (+/- the standard deviation), respectively. We conclude
that smooth muscle, epithelium with mucus production, and ciliary function
were retained after cryopreservation and reimplantation. Histological
changes, however, were suggestive of early cartilage ischemia. These
findings support further evaluation of cryopreserved canine tracheal
grafts.
ARTICLES
Cryopreservation of canine trachea: functional and histological changes
Division of Thoracic Diseases and Internal Medicine, Mayo Clinic and Mayo Foundation, Rochester, Minnesota 55905.
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