Ventricular volume, chamber stiffness, and function after anteroapical aneurysm plication in the sheep  Mark B. Ratcliffe, MDa, Arthur W. Wallace, MD,

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Presentation transcript:

Ventricular volume, chamber stiffness, and function after anteroapical aneurysm plication in the sheep  Mark B. Ratcliffe, MDa, Arthur W. Wallace, MD, PhDb, Ali Salahieh, BSa, James Hong, MSa, Stuart Ruch, MD, PhDa, Timothy S. Hall, MDa  The Journal of Thoracic and Cardiovascular Surgery  Volume 119, Issue 1, Pages 115-124 (January 2000) DOI: 10.1016/S0022-5223(00)70225-X Copyright © 2000 Mosby, Inc. Terms and Conditions

Fig. 1 Schema of an experimental animal during data collection. A pneumatic occluder and a transit-time flow probe (AFM) were placed around the inferior vena cava (IVC) and ascending aorta (Ao), respectively. A 7F pigtail 12-pole multielectrode conductance catheter (CC) was inserted from the carotid artery into the left ventricle (LV). An echo probe (ECHO) was inserted through a subxiphoid incision into the retroperitoneal space. S, Sternum; D, diaphragm; VCO, vena cava occluder. The Journal of Thoracic and Cardiovascular Surgery 2000 119, 115-124DOI: (10.1016/S0022-5223(00)70225-X) Copyright © 2000 Mosby, Inc. Terms and Conditions

Fig. 2 Long-axis echocardiograms of a sheep immediately before myocardial infarction (MI) (top), 10 weeks after infarction (before aneurysm plication) (second row), immediately after aneurysm plication (third row), and 6 weeks after aneurysm plication (bottom). In each case, end-diastole is on the left and end-systole is on the right. In all frames the left ventricle (LV) is oriented so that the inferior apex is up and the aortic valve is down and to the left. The aneurysm (second row) and aneurysm plication (third row) are marked with arrows. RV, Right ventricle. The Journal of Thoracic and Cardiovascular Surgery 2000 119, 115-124DOI: (10.1016/S0022-5223(00)70225-X) Copyright © 2000 Mosby, Inc. Terms and Conditions

Fig. 3 LV volume obtained with transdiaphragmatic echocardiography before and after aneurysm plication. Black bars are end-systole. White bars are end-diastole. The Journal of Thoracic and Cardiovascular Surgery 2000 119, 115-124DOI: (10.1016/S0022-5223(00)70225-X) Copyright © 2000 Mosby, Inc. Terms and Conditions

Fig. 4 The effect of aneurysm plication on end-systolic elastance. A, End-systolic elastance before infarction compared with end-systolic elastance 10 weeks after infarction. B, End-systolic elastance 10 weeks after infarction compared with end-systolic elastance immediately after plication. C, End-systolic elastance immediately after plication compared with end-systolic elastance 6 weeks after plication. ES, End-systole. The Journal of Thoracic and Cardiovascular Surgery 2000 119, 115-124DOI: (10.1016/S0022-5223(00)70225-X) Copyright © 2000 Mosby, Inc. Terms and Conditions

Fig. 5 The effect of aneurysm plication on diastolic compliance. A, Diastolic compliance before infarction compared with diastolic compliance 10 weeks after infarction. B, Diastolic compliance 10 weeks after infarction compared with diastolic compliance immediately after plication. C, Diastolic compliance immediately after plication compared with diastolic compliance 6 weeks after plication. ED, End-diastole. The Journal of Thoracic and Cardiovascular Surgery 2000 119, 115-124DOI: (10.1016/S0022-5223(00)70225-X) Copyright © 2000 Mosby, Inc. Terms and Conditions

Fig. 6 The effect of aneurysm plication on the stroke work/end-diastolic volume relationship (PRSW). A, PRSW before infarction compared with PRSW 10 weeks after infarction. B, PRSW 10 weeks after infarction compared with PRSW immediately after plication. C, PRSW immediately after plication compared with PRSW 6 weeks after plication. ED, End-diastole. The Journal of Thoracic and Cardiovascular Surgery 2000 119, 115-124DOI: (10.1016/S0022-5223(00)70225-X) Copyright © 2000 Mosby, Inc. Terms and Conditions

Fig. 7 The effect of aneurysm plication on stroke volume/end-diastolic pressure (Starling) relationship. A, The Starling relationship before infarction compared with the Starling relationship 10 weeks after infarction. B, The Starling relationship 10 weeks after infarction compared with the Starling relationship immediately after plication. C, The Starling relationship immediately after plication compared with the Starling relationship 6 weeks after plication. ED, End-diastole. The Journal of Thoracic and Cardiovascular Surgery 2000 119, 115-124DOI: (10.1016/S0022-5223(00)70225-X) Copyright © 2000 Mosby, Inc. Terms and Conditions

Fig. 8 Measure of agreement between conductance catheter and flow probe measurements of stroke volume (SV). The solid line is the average and the dashed lines are ± 2 standard deviations of measurement difference. The Journal of Thoracic and Cardiovascular Surgery 2000 119, 115-124DOI: (10.1016/S0022-5223(00)70225-X) Copyright © 2000 Mosby, Inc. Terms and Conditions