Fetal sheep central haemodynamics and cardiac function during occlusion of the ascending aorta

Autor: Juulia Junno, Pasi Ohtonen, A. Roger Hohimer, Heikki Huhta, Juha Rasanen, Tiina Erkinaro, Mervi Haapsamo, Lowell E. Davis, Ganesh Acharya
Rok vydání: 2017
Předmět:
Zdroj: Experimental Physiology. 103:58-67
ISSN: 0958-0670
DOI: 10.1113/ep086500
Popis: Fetal aortic isthmus (AoI) allows communication between left (LV) and right (RV) ventricular outputs and represents arterial watershed between the brachiocephalic (brain) and subdiaphragmatic (placenta) circulations. To understand the capability of AoI to maintain the balance between upper and lower body circulations, we performed a complete fetal ascending aorta occlusion in 9 chronically instrumented sheep at near term gestation. We hypothesized that the occlusion would significantly decrease LV output and concomitantly increase RV output in order to maintain adequate systemic cardiac output and perfusion pressure to the fetal brain circulation through retrograde filling of the AoI. Fetal cardiac function and hemodynamics were assessed by pulsed and tissue Doppler at baseline, 15 and 60 minutes after ascending aorta occlusion, and 15 minutes after occlusion was released. Carotid artery and jugular vein pressures were monitored. Ascending aorta occlusion increased (P
Databáze: OpenAIRE