51. Helical myofiber orientation after myocardial infarction and left ventricular surgical restoration in sheep
- Author
-
Yi Jiang, Julius M. Guccione, Peng Zhang, Joseph C. Walker, Edward W. Hsu, Arthur W. Wallace, and Mark B. Ratcliffe
- Subjects
Male ,Pulmonary and Respiratory Medicine ,Heart disease ,Heart Ventricles ,Myocardial Infarction ,Diastole ,030204 cardiovascular system & hematology ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,Imaging, Three-Dimensional ,0302 clinical medicine ,Aneurysm ,medicine ,Animals ,Myocardial infarction ,Cardiac Surgical Procedures ,Heart Aneurysm ,Surgical repair ,Sheep ,medicine.diagnostic_test ,business.industry ,Myocardium ,Models, Cardiovascular ,Magnetic resonance imaging ,Anatomy ,medicine.disease ,Radiographic Image Enhancement ,Disease Models, Animal ,Diffusion Magnetic Resonance Imaging ,Surgery ,business ,Cardiology and Cardiovascular Medicine ,Perfusion - Abstract
Objectives It has been proposed that successful left ventricular surgical restoration should restore normal helical myofiber orientation. A magnetic resonance imaging technique, magnetic resonance diffusion tensor imaging, has been developed to measure myocyte orientation. By using magnetic resonance diffusion tensor imaging, this study tested the hypothesis that (1) myocyte orientation is altered after anteroapical myocardial infarction and (2) left ventricular surgical restoration restores normal helix angles. Methods Thirteen sheep underwent anteroapical myocardial infarction (25% of left ventricular mass). Ten weeks later, animals underwent either aneurysm plication (n = 8) or sham operations (n = 5). Six weeks after this operation, hearts were excised, perfusion fixed in diastole, and underwent magnetic resonance diffusion tensor imaging. Hearts from normal sheep (n = 5) were also harvested and imaged. Primary eigenvectors of the diffusion tensors from magnetic resonance diffusion tensor imaging were resolved into helix angles relative to a local wall coordinate system. Transmural samples of the helix angles were compared at the border zone of the aneurysm or repair (or a comparable distance from the base in normal sheep), 1 cm below the valves, and halfway between. Results The helical myofiber orientation did not change after myocardial infarction. However, aneurysm plication caused myofibers in the anterior border zone to rotate counterclockwise (−35.6 ± 10.5°, P = .028) and those in the lateral border zone to rotate clockwise (34.4 ± 8.1°, P = .031). Conclusions Surgical restoration alters myocyte orientation adjacent to the surgical repair. However, myofiber orientation is not abnormal after myocardial infarction, and thus surgical restoration techniques intent on restoring normal helix angles might not be warranted.
- Published
- 2005
- Full Text
- View/download PDF