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The Annals of Thoracic Surgery, Vol 48, 838-845, Copyright © 1989 by The Society of Thoracic Surgeons
LJ Markovitz, EB Savage, MB Ratcliffe, JE Bavaria, G Kreiner, RV Iozzo, WC Hargrove 3d, DK Bogen and LH Edmunds Jr
In 28 Dorsett sheep, ligation of the distal homonymous (equivalent to human
left anterior descending) and second diagonal coronary arteries produced a
constant transmural infarct of 22.9% +/- 2.5% (mean +/- standard deviation)
of the left ventricular mass. Serial left ventriculograms showed that
within four hours the infarct segment expands, wall thickness decreases,
and aneurysmal dilatation occurs and progresses over the next 60 days in
all sheep. Epicardial ventricular point references indicated that adjacent
noninfarcted myocardium participates in the formation of the aneurysm.
Anatomy of the coronary vasculature was studied in 22 excised sheep hearts.
In sheep, coronary arterial anatomy is remarkably constant. The left
coronary artery provides all of the blood supply to the left ventricle and
septum and only a small rim of both the anterior and posterior right
ventricles. Cardiac veins from the left ventricle drain into the coronary
sinus, which also receives the left azygos vein. Right ventricular veins
drain separately. The essentially separate coronary circulations to the two
ventricles, the paucity of coronary collateral circulation, and the
consistent evolution of left ventricular infarcts into aneurysms are
important advantages of the ovine model for both metabolic and ventricular
mechanical studies of acute myocardial infarction and left ventricular
aneurysm.
ARTICLES
Large animal model of left ventricular aneurysm
Department of Surgery, University of Pennsylvania, Philadelphia 19104.
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