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Ann Thorac Surg 1989;48:838-845
© 1989 The Society of Thoracic Surgeons

Articles

Large animal model of left ventricular aneurysm

Lawrence J. Markovitz, MD, Edward B. Savage, MD, Mark B. Ratcliffe, MD, Joseph E. Bavaria, MD, Gerhard Kreiner, MD, Renato V. Iozzo, MD, W.Clark Hargrove, III, MD, Daniel K. Bogen, MD, PhD, L.Henry Edmunds, Jr, MD*

Cardiothoracic Surgical Division, Department of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA

Accepted for publication August 29, 1989.

* Address reprint requests to Dr Edmunds, Department of Surgery, Hospital of the University of Pennsylvania, 3400 Spruce 5t, Philadelphia, PA 19104.

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 aceurysmal dilalation 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. Crdiac 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 infants into aneurysms are important advantages of the ovine model for both metabolic and ventricular maechanical studies of acute myocardial infarction and left ventricular aneurysm.




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F. V. DiPierro, J. E. Bavaria, E. B. Lankford, D. J. Polidori, M. A. Acker, J. T. Streicher, and T. J. Gardner
Triiodothyronine Optimizes Sheep Ventriculoarterial Coupling for Work Efficiency
Ann. Thorac. Surg., September 1, 1996; 62(3): 662 - 669.
[Abstract] [Full Text]

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J. H. Gorman III, K. B. Gupta, J. T. Streicher, R. C. Gorman, B. M. Jackson, M. B. Ratcliffe, D. K. Bogen, and L. H. Edmunds Jr.
Dynamic Three-Dimensional Imaging of the Mitral Valve and Left Ventricle by Rapid Sonomicrometry Array Localization
J. Thorac. Cardiovasc. Surg., September 1, 1996; 112(3): 712 - 726.
[Abstract] [Full Text]

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M. J. Moulton, S. W. Downing, L. L. Creswell, D. S. Fishman, D. M. Amsterdam, B. A. Szabo, J. L. Cox, and M. K. Pasque
Mechanical dysfunction in the border zone of an ovine model of left ventricular aneurysm
Ann. Thorac. Surg., October 1, 1995; 60(4): 986 - 998.
[Abstract] [PDF]

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A. H. Goldstein, J. J. Pacella, and R. E. Clark
Predictable reduction in left ventricular stroke work and oxygen utilization with an implantable centrifugal pump
Ann. Thorac. Surg., October 1, 1994; 58(4): 1018 - 1024.
[Abstract] [PDF]

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H. Nakajima, H. Niinami, T. L. Hooper, R. L. Hammond, H. O. Nakajima, H. Lu, R. Ruggiero, G. A. Thomas, F. W. Mocek, R. Fietsam Jr, et al.
Cardiomyoplasty: Probable mechanism of effectiveness using the pressure-volume relationship
Ann. Thorac. Surg., February 1, 1994; 57(2): 407 - 415.
[Abstract] [PDF]

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M. R. Llaneras, M. L. Nance, J. T. Streicher, J. A. C. Lima, J. S. Savino, D. K. Bogen, R. F. P. Deac, M. B. Ratcliffe, and L. H. Edmunds Jr
Large animal model of ischemic mitral regurgitation
Ann. Thorac. Surg., February 1, 1994; 57(2): 432 - 439.
[Abstract] [PDF]

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S. Furukawa, G. Kreiner, J. E. Bavaria, J. T. Streicher, and L. H. Edmunds Jr
Recovery of oxygen utilization efficiency after global myocardial ischemia
Ann. Thorac. Surg., November 1, 1991; 52(5): 1063 - 1068.
[Abstract] [PDF]

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R. W. J. Millner, J. M. Mann, I. Pearson, and J. R. Pepper
Experimental model of left ventricular failure
Ann. Thorac. Surg., July 1, 1991; 52(1): 78 - 83.
[Abstract] [PDF]

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S. Furukawa, J. E. Bavaria, G. Kreiner, and L. H. Edmunds Jr
Relationship between total mechanical energy and oxygen consumption in the stunned myocardium
Ann. Thorac. Surg., April 1, 1990; 49(4): 543 - 549.
[Abstract] [PDF]

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J. E. Bavaria, S. Furnlaw, G. Kreiner, K. B. Gupta, J. Stretchcs, and L. H. Edmunds Jr
Effect of circulatory assist devices on stunned myocardium
Ann. Thorac. Surg., January 1, 1990; 49(1): 123 - 128.
[Abstract] [PDF]


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