Influences of localized aortic valve damage on coronary artery blood flow in acute aortic regurgitation: an experimental study.

作者: S Nakao , T Nagatomo , K Kiyonaga , T Kashima , H Tanaka

DOI: 10.1161/01.CIR.76.1.201

关键词:

摘要: We examined the influences of localized aortic valve damage on coronary artery blood flow and prognosis in acute regurgitation. Aortic regurgitation was produced 18 open-chest dogs by extensively cutting one three cusps with a nerve knife introduced via cardiac apex. The were separated into groups six each. In each group noncoronary cusp (NCC), right (RCC), or left (LCC) cut. ventricular pressures; phasic aortic, anterior descending (LAD), (RCA) flows; electrocardiograms simultaneously recorded before after production AR. All NCC RCC survived for at least 30 to 60 min, but all LCC died 5 9 min AR due failure. After 2 regurgitation, total, systolic, diastolic LAD flows 39 +/- 14, 19 9, 20 8 ml/min (mean SD) group, 41 15, 31 10 6 5, -10 respectively. corresponding RCA 15 6, 4 3 13 8, 21 12, -8 14 4, -5 1 respectively.(ABSTRACT TRUNCATED AT 250 WORDS)

参考文章(11)
Tift Mann, Lambert McLaurin, William Grossman, Ernest Craige, Assessing the Hemodynamic Severity of Acute Aortic Regurgitation Due to Infective Endocarditis New England Journal of Medicine. ,vol. 293, pp. 108- 113 ,(1975) , 10.1056/NEJM197507172930302
JOEL MORGANROTH, Acute Severe Aortic Regurgitation Annals of Internal Medicine. ,vol. 87, pp. 223- 232 ,(1977) , 10.7326/0003-4819-87-2-223
ROBERT B. KARP, BENSON- B. ROE, Effect of aortic insufficiency on phasic flow patterns in the coronary artery. Annals of Surgery. ,vol. 164, pp. 959- 966 ,(1966) , 10.1097/00000658-196612000-00004
Herman L. Falsetti, Robyn J. Carroll, James A. Cramer, Total and regional myocardial blood flow in aortic regurgitation. American Heart Journal. ,vol. 97, pp. 485- 493 ,(1979) , 10.1016/0002-8703(79)90396-X
Robert L. Feldman, Wilmer W. Nichols, C. Richard Conti, Carl J. Pepine, Influence of acute aortic insufficiency on the hemodynamic importance of a coronary artery narrowing. II. Various magnitudes of aortic insufficiency Journal of the American College of Cardiology. ,vol. 1, pp. 1281- 1289 ,(1983) , 10.1016/S0735-1097(83)80141-7
John D. Folts, George G. Rowe, Donald R. Kahn, William P. Young, Phasic changes in human right coronary blood flow before and after repair of aortic insufficiency. American Heart Journal. ,vol. 97, pp. 211- 215 ,(1979) , 10.1016/0002-8703(79)90358-2
D S Hirschfeld, N Schiller, Localization of aortic valve vegetations by echocardiography. Circulation. ,vol. 53, pp. 280- 285 ,(1976) , 10.1161/01.CIR.53.2.280
Gary S. Mintz, Morris N. Kotler, Bernard L. Segal, Wayne R. Parry, Comparison of two-dimensional and M-mode echocardiography in the evaluation of patients with infective endocarditis American Journal of Cardiology. ,vol. 43, pp. 738- 744 ,(1979) , 10.1016/0002-9149(79)90072-9
Janine Krivokapich, John S Child, David J Skorton, Flail aortic valve leaflets: M-mode and two-dimensional echocardiographic manifestations. American Heart Journal. ,vol. 99, pp. 425- 437 ,(1980) , 10.1016/0002-8703(80)90376-2
Michel E. Bertrand, Jean M. Lablanche, Pierre Y. Tilmant, François P. Thieuleux, Marc R. Delforge, Alain G. Carré, Coronary sinus blood flow at rest and during isometric exercise in patients with aortic valve disease. Mechanism of angina pectoris in presence of normal coronary arteries. American Journal of Cardiology. ,vol. 47, pp. 199- 205 ,(1981) , 10.1016/0002-9149(81)90384-2