The myocardial architecture changes in persistent pulmonary hypertension of the newborn in an ovine animal model
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The myocardial architecture changes in persistent pulmonary hypertension of the newborn in an ovine animal model. / Agger, Peter; Lakshminrusimha, Satyan; Laustsen, Christoffer; Gugino, Sylvia; Frandsen, Jesper R; Smerup, Morten; Anderson, Robert H; Hjortdal, Vibeke; Steinhorn, Robin H.
I: Pediatric Research, Bind 79, Nr. 4, 04.2016, s. 565-74.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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T1 - The myocardial architecture changes in persistent pulmonary hypertension of the newborn in an ovine animal model
AU - Agger, Peter
AU - Lakshminrusimha, Satyan
AU - Laustsen, Christoffer
AU - Gugino, Sylvia
AU - Frandsen, Jesper R
AU - Smerup, Morten
AU - Anderson, Robert H
AU - Hjortdal, Vibeke
AU - Steinhorn, Robin H
PY - 2016/4
Y1 - 2016/4
N2 - BACKGROUND: Persistent pulmonary hypertension in the newborn remains a syndrome with high mortality. Knowledge of changes in myocardial architecture in the setting of heart failure in persistent pulmonary hypertension is lacking, and could aid in the explanation of the prevailing high mortality.METHODS: Persistent pulmonary hypertension was induced by antenatal ligation of the arterial duct in six ovine fetuses. The hearts were compared ex vivo with five matched control hearts, using diffusion tensor imaging to provide the overall anatomical arrangement, and assessment of the angulations and course of the cardiomyocytes. Fibrosis was assessed with histology.RESULTS: We found an overall increase in heart size in pulmonary hypertension, with myocardial thickening confined to the interventricular septum. An increase of 3.5° in angulation of myocyte aggregations was found in hypertensive hearts. In addition, we observed a 2.2% increase in collagen content in the right ventricular free wall. Finally, we found a previously undescribed subepicardial layer of strictly longitudinally oriented cardiomyocytes confined to the right ventricle in all hearts.CONCLUSION: Myocardial fibrosis and possibly changes in angulations of myocytes seem to play a part in the etiology of persistent pulmonary hypertension. Moreover, a new anatomical arrangement of right ventricular mural architecture is described.
AB - BACKGROUND: Persistent pulmonary hypertension in the newborn remains a syndrome with high mortality. Knowledge of changes in myocardial architecture in the setting of heart failure in persistent pulmonary hypertension is lacking, and could aid in the explanation of the prevailing high mortality.METHODS: Persistent pulmonary hypertension was induced by antenatal ligation of the arterial duct in six ovine fetuses. The hearts were compared ex vivo with five matched control hearts, using diffusion tensor imaging to provide the overall anatomical arrangement, and assessment of the angulations and course of the cardiomyocytes. Fibrosis was assessed with histology.RESULTS: We found an overall increase in heart size in pulmonary hypertension, with myocardial thickening confined to the interventricular septum. An increase of 3.5° in angulation of myocyte aggregations was found in hypertensive hearts. In addition, we observed a 2.2% increase in collagen content in the right ventricular free wall. Finally, we found a previously undescribed subepicardial layer of strictly longitudinally oriented cardiomyocytes confined to the right ventricle in all hearts.CONCLUSION: Myocardial fibrosis and possibly changes in angulations of myocytes seem to play a part in the etiology of persistent pulmonary hypertension. Moreover, a new anatomical arrangement of right ventricular mural architecture is described.
KW - Animals
KW - Animals, Newborn
KW - Disease Models, Animal
KW - Hypertension, Pulmonary/pathology
KW - Myocardium/pathology
KW - Sheep
U2 - 10.1038/pr.2015.263
DO - 10.1038/pr.2015.263
M3 - Journal article
C2 - 26679151
VL - 79
SP - 565
EP - 574
JO - Pediatric Research
JF - Pediatric Research
SN - 0031-3998
IS - 4
ER -
ID: 246355949