Abstract

Metabolic studies using the in vitro non-recirculating blood-perfused isolated heart model require large volumes of blood. The present study was designed to determine whether heterologous pig blood collected from a slaughterhouse can be used as perfusate for isolated pig hearts perfused under aerobic and constant reduced flow conditions. Eight isolated working pig hearts perfused for 90 min at a constant flow of 1.5 ml g(-1) min(-1) with non-recirculated blood diluted with Krebs-Henseleit bicarbonate buffer at a hematocrit of 23% were compared to eight hearts subjected to the same protocol but perfused only with Krebs-Henseleit bicarbonate buffer solution. Hearts were paced at 100 bpm and subjected to aerobic perfusion at 38 degrees C. Hearts were weighed before perfusion and at the end of the experiment and the results are reported as percent weight gain (mean +/- SD). Comparisons between groups were performed by the Student t-test (P<0.05). After 90 min of perfusion with modified Krebs-Henseleit, perfused hearts presented a larger weight gain than blood-perfused hearts (39.34 +/- 9.27 vs 23.13 +/- 5.42%, P = 0.003). Left ventricular end-diastolic pressure was higher in the modified Krebs-Henseleit-perfused group than in the blood group (2.8 +/- 0.4 vs 2.3 +/- 0.3 mmHg, respectively, P = 0.01). We conclude that heterologous blood perfusion, by preserving a more physiological myocardial water content, is a better perfusion fluid than modified Krebs-Henseleit solution for quantitative studies of myocardial metabolism and heart function under ischemic conditions.

Highlights

  • Isolated perfused heart preparations provide controlled conditions for the study of myocardial function and metabolism

  • We have developed a bloodperfused working isolated pig heart preparation adapted from the work of Ferrera et al [6] in order to investigate the protective effect of a heterologous blood perfusate on the appearance of edema during a prolonged (90 min) perfusion under ischemic conditions

  • This study compares for the first time the weight gain of working isolated pig hearts perfused with crystalloid solution versus heterologous blood obtained from the slaughterhouse

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Summary

Introduction

Isolated perfused heart preparations provide controlled conditions for the study of myocardial function and metabolism. Metabolic studies are performed using an in vitro model of non-recirculating heart perfusion which requires a large perfusate volume, preventing blood utilization. In this context, blood obtained from slaughterhouses, available in large quantities, may be an interesting alternative. The present study was designed to quantify and compare the weight gain of working isolated pig hearts perfused with Krebs-Henseleit solution or with blood collected from a slaughterhouse. We have developed a bloodperfused working isolated pig heart preparation adapted from the work of Ferrera et al [6] in order to investigate the protective effect of a heterologous blood perfusate on the appearance of edema during a prolonged (90 min) perfusion under ischemic conditions

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