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The Annals of Thoracic Surgery, Vol 54, 921-924, Copyright © 1992 by The Society of Thoracic Surgeons
C Yamashita, H Oobo, F Tsuji, S Tobe, H Yamamoto, H Nakamura, M Okada and K Nakamura
A prostaglandin I2 (PGI2) analogue and superoxide dismutase (SOD) were
administered to dogs with pulmonary denervation, and their effects on warm
ischemic damage to the lung were studied. Twenty-seven adult mongrel dogs
were divided into a control group (6 dogs), a PGI2 group (7 dogs), an SOD
group (6 dogs), and a heparin group (8 dogs). The left pulmonary hilum was
dissected, with PGI2 (1 microgram/kg) being administered to the PGI2 group
and heparin (100 U/kg) to the heparin group. Then the left lung was placed
in a warm ischemic state for 1 hour. The SOD group also received 20 mg/kg
of SOD intravenously 1 minute before reperfusion. Before warm ischemia,
immediately after reperfusion, and 1 hour and 2 hours afterward, the blood
gases, left pulmonary vascular resistance, and other data were measured
under right pulmonary artery clamping. Arterial oxygen tension showed
significantly better values in the SOD and PGI2 groups than in the control
and heparin groups. The left pulmonary vascular resistance increased with
time in the control group but did not increase in the PGI2 group. Pulmonary
microangiography showed that dilatation of the pulmonary arterioles was
prominent in the PGI2 group. The quantity of pulmonary extravascular fluid
was significantly less in the PGI2 and SOD groups than in the control and
heparin groups. Histological examination showed marked collapse of
capillaries, intraalveolar hemorrhage, and edema in the control and heparin
groups, whereas these changes were only slight in the PGI2 and SOD
groups.(ABSTRACT TRUNCATED AT 250 WORDS)
ARTICLES
Effect of prostaglandin I2 and superoxide dismutase on reperfusion injury of warm ischemic lung
Department of Surgery, Kobe University School of Medicine, Japan.
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