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Am J Physiol Heart Circ Physiol 285: H653-H660, 2003; doi:10.1152/ajpheart.00090.2003
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Effect of passive myocardium on the compliance of porcine coronary arteries

Leila H. Hamza,1 Quang Dang,1 Xiao Lu,1 Ayesha Mian,1 Sabee Molloi,2 and Ghassan S. Kassab1

1Department of Biomedical Engineering, University of California, 92697-2715; and 2Department of Radiological Science, University of California, Irvine, California 92697-5000

Submitted 30 January 2003 ; accepted in final form 25 April 2003

The objective of this study was to determine the effect of passive myocardium on the coronary arteries under distension and compression. To simulate distension and compression, we placed a diastolic-arrested heart in a Lucite box, where both the intravascular pressure and external (box) pressure were varied independently and expressed as a pressure difference ({Delta}P = intravascular pressure – box pressure). The {Delta}P-cross-sectional area relationship of the first several generations of porcine coronary arteries and the {Delta}P-volume relationship of the coronary arterial tree (vessels >0.5 mm in diameter) were determined using a video densitometric technique in the range of +150 to –150 mmHg. The vasodilated left anterior descending (LAD) coronary artery of six KCl-arrested hearts were perfused with iodine and 3% Cab-O-Sil. The intravascular pressure was varied in a triangular pattern, whereas the absolute cross-sectional area of each vessel and the total arterial volume were calculated using video densitometry under different box pressures (0, 50, 100, and 150 mmHg). In the range of positive {Delta}P, we found that the compliance of the proximal LAD artery in situ (4.85 ± 3.8 x 103 mm2/mmHg) is smaller than that of the same artery in vitro (16.5 ± 6 x 103 mm2/mmHg; P = 0.009). Hence, the myocardium restricts the compliance of the epicardial artery under distension. In the negative {Delta}P range, the LAD artery does not collapse, whereas the same vessel readily collapses when tested in vitro. Hence, we conclude that myocardial tethering prevents collapse of large blood vessel under compression.

digital subtraction angiography; video densitometry; mechanical properties; mechanics; tethering



Address for reprint requests and other correspondence: G. S. Kassab, Dept. of Biomedical Engineering, Univ. of California, Irvine, 204 Rockwell Engineering Centre, Irvine, CA 92697-2715 (E-mail: gkassab{at}uci.edu).




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