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Treating A 20 Mm Hg Gradient Alleviates Myocardial Hypertrophy In Experimental Aortic Coarctation, David C. Wendell, Ingeborg Friehs, Margaret M. Samyn, Leanne Harmann, John F. Ladisa
Treating A 20 Mm Hg Gradient Alleviates Myocardial Hypertrophy In Experimental Aortic Coarctation, David C. Wendell, Ingeborg Friehs, Margaret M. Samyn, Leanne Harmann, John F. Ladisa
Biomedical Engineering Faculty Research and Publications
Background
Children with coarctation of the aorta (CoA) can have a hyperdynamic and remodeled left ventricle (LV) from increased afterload. Literature from an experimental model suggests the putative 20 mm Hg blood pressure gradient (BPG) treatment guideline frequently implemented in CoA studies may permit irreversible vascular changes. LV remodeling from pressure overload has been studied, but data are limited following correction and using a clinically representative BPG.
Materials and methods
Rabbits underwent CoA at 10 weeks to induce a 20 mm Hg BPG using permanent or dissolvable suture thereby replicating untreated and corrected CoA, respectively. Cardiac function was evaluated at …