The Journal of Thoracic and Cardiovascular Surgery
Volume 131, Issue 3 , Pages 579-586.e3 , March 2006

The effect of anteroapical aneurysm plication on end-systolic three-dimensional strain in the sheep: A magnetic resonance imaging tagging study

  • Julius M. Guccione, PhD

      Affiliations

    • Department of Surgery, University of California, San Francisco
    • Department of Veterans Affairs Medical Center, San Francisco, Calif
    • Corresponding Author InformationAddress for reprints: Julius M. Guccione, MD, Division of Surgical Services (112D), Department of Veterans Affairs Medical Center, 4150 Clement St, San Francisco, CA 94121
  • ,
  • Joseph C. Walker, PhD

      Affiliations

    • Department of Bioengineering, University of California, San Francisco
  • ,
  • Jeremy R. Beitler, BS

      Affiliations

    • Department of Veterans Affairs Medical Center, San Francisco, Calif
  • ,
  • Scott M. Moonly, PhD

      Affiliations

    • Department of Bioengineering, University of California, San Francisco
  • ,
  • Peng Zhang, MD, PhD

      Affiliations

    • Department of Veterans Affairs Medical Center, San Francisco, Calif
  • ,
  • Michael A. Guttman, MS

      Affiliations

    • Laboratory of Cardiac Energetics, National Institutes of Health–National Heart Lung and Blood Institute, Bethesda, Md
  • ,
  • Cengizhan Ozturk, MD, PhD

      Affiliations

    • Laboratory of Cardiac Energetics, National Institutes of Health–National Heart Lung and Blood Institute, Bethesda, Md
  • ,
  • Elliot R. McVeigh, PhD

      Affiliations

    • Laboratory of Cardiac Energetics, National Institutes of Health–National Heart Lung and Blood Institute, Bethesda, Md
  • ,
  • Arthur W. Wallace, MD, PhD

      Affiliations

    • Department of Veterans Affairs Medical Center, San Francisco, Calif
    • Department of Anesthesia, University of California, San Francisco
  • ,
  • David A. Saloner, PhD

      Affiliations

    • Department of Veterans Affairs Medical Center, San Francisco, Calif
    • Department of Radiology, University of California, San Francisco
  • ,
  • Mark B. Ratcliffe, MD

      Affiliations

    • Department of Surgery, University of California, San Francisco
    • Department of Veterans Affairs Medical Center, San Francisco, Calif

Received 20 January 2005 ,Revised 11 July 2005 ,Accepted 19 July 2005.

  • Image Result

    Long-axis MR images after myocardial infarction (A) and 10 days after plication (B) in sheep. MI, Dykinetic infarct; SI, septal infarct; IP, infarct plication.

    Long-axis MR images after myocardial infarction (A) and 10 days after plication (B) in sheep. MI, Dykinetic infarct; SI, septal infarct; IP, infarct plication.

  • Image Result

    Effects of aneurysm plication on selected end-systolic strain tensor components. A, Circumferential strain versus distance from LV base. B, Longitudinal strain versus distance from LV base. C, Circumf

    Effects of aneurysm plication on selected end-systolic strain tensor components. A, Circumferential strain versus distance from LV base. B, Longitudinal strain versus distance from LV base. C, Circumferential strain versus quadrant. D, Longitudinal strain versus quadrant.

  • Image Result
    End-diastolic 3-dimensional tagged MRI data set. A, Five short-axis (separated by 1 cm) and one long-axis image planes/slices. B, Six long-axis (equally separated by 30° around the LV circumference) a

    End-diastolic 3-dimensional tagged MRI data set. A, Five short-axis (separated by 1 cm) and one long-axis image planes/slices. B, Six long-axis (equally separated by 30° around the LV circumference) and one short-axis image slices. The endocardial contours are highlighted in green and yellow.

  • Image Result
    A, Time series throughout systole of the 3-dimensional Green strain component in the local circumferential direction (Ecc) at the midwall (shell 2) of 12 different sectors in a short-axis plane/slice

    A, Time series throughout systole of the 3-dimensional Green strain component in the local circumferential direction (Ecc) at the midwall (shell 2) of 12 different sectors in a short-axis plane/slice that was near the border zone at end-diastole (time 1) of a sheep before its anteroapical LV aneurysm was plicated. B, Sectors 2, 5, 8, and 11 correspond to the central/middle portions of the posterior LV wall, lateral LV wall, anterior LV wall, and interventricular septum, respectively.

  • Image Result
    End-diastolic (A) and end-systolic (B) long-axis tagged MR images of sheep heart with LV aneurysm. Note the significant through-plane motion, which varies monotonically from approximately the tag spac

    End-diastolic (A) and end-systolic (B) long-axis tagged MR images of sheep heart with LV aneurysm. Note the significant through-plane motion, which varies monotonically from approximately the tag spacing (8 mm) near the LV base to zero near the apex.

  • Image Result
    Effect of aneurysm plication on LV volume.

    Effect of aneurysm plication on LV volume.

  • Image Result
    Longitudinal variation in selected end-systolic strain tensor components before aneurysm plication. A, Circumferential strain. B, Longitudinal strain. C, Shear strain in the radial-circumferential pla

    Longitudinal variation in selected end-systolic strain tensor components before aneurysm plication. A, Circumferential strain. B, Longitudinal strain. C, Shear strain in the radial-circumferential plane. D, Shear strain in the radial-longitudinal plane. E, Shear strain in the circumferential-longitudinal plane. These plots represent aggregate absolute baseline strains versus distance from base. Error bars indicate 1 standard deviation.

 This study was supported by National Institutes of Health grant R01-HL58759 (Dr Guccione), Veterans Administration Merit Review (Dr Wallace), R01-HL-63348 (Dr Ratcliffe), and a predoctoral fellowship from the American Heart Association (Mr. Walker).

PII: S0022-5223(05)01759-9

doi: 10.1016/j.jtcvs.2005.07.065

The Journal of Thoracic and Cardiovascular Surgery
Volume 131, Issue 3 , Pages 579-586.e3 , March 2006