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Reactivity to alpha agonists is heightened in immature porcine pulmonary arteries
Journal article   Open access   Peer reviewed

Reactivity to alpha agonists is heightened in immature porcine pulmonary arteries

Margit Kadletz, Rebecca J. Dignan and Andrew S. Wechsler
The Annals of thoracic surgery, v 61(5), pp 1359-1362
01 May 1996
PMID: 8633941
url
https://doi.org/10.1016/0003-4975(96)00054-9View
Published, Version of Record (VoR)Maybe Open Access (Publisher Bronze) Open

Abstract

Pulmonary hypertension after cardiopulmonary bypass is a common problem in pediatric cardiac operations. This study tested the hypothesis that there is a difference between adult and immature pulmonary artery constrictor and dilator responses. Reactivity of pulmonary artery ring segments from 22 mature (15 to 19 weeks) and 15 immature pigs (4 to 5 weeks) was tested in a vessel myograph. Potassium as s receptor-independent vasoconstrictor and phenylephrine as an α-receptor-mediated vasoconstrictor were used to assess smooth-muscle vasoconstriction. To assess endothelial cell function (nitric oxide production and secretion), we used increasing concentrations of bradykinin or acetylcholine. Sodium nitroprusside was used to produce maximum smooth-muscle relaxation at the end of each experiment. The data demonstrated maturation-independent endothelium and smooth-muscle-mediated vasodilation. Pulmonary artery ring segments from immature pigs had significantly less KCI constriction compared with mature pigs ( p < 0.05). In contrast, pulmonary ring segments from immature pigs demonstrated enhanced α-receptor-mediated constriction compared with mature pigs. These data may explain perioperative pulmonary vasoconstriction in pediatric patients.

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Web of Science research areas
Cardiac & Cardiovascular Systems
Respiratory System
Surgery
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