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Effect of ductus ligation on cardiopulmonary function in premature baboons.


ABSTRACT: The role of the patent ductus arteriosus in the development of chronic lung disease in surfactant-treated premature newborns remains unclear.To examine the effects of ductus ligation on cardiopulmonary function and lung histopathology in premature primates.Baboons were delivered at 125 d, (term = 185 d) treated with surfactant, and ventilated for 14 d. Serial echocardiograms and pulmonary function tests were performed. Animals were randomized to ligation (n = 12) or no ligation (controls, n = 13) on Day 6 of life. Necropsy was performed on Day 14.Compared with nonligated control animals, ligated animals had lower pulmonary-to-systemic flow ratios, higher systemic blood pressures, and improved indices of right and left ventricular performance. The ligated animals tended to have better compliance and ventilation indices for the last 3 d of the study. There were no differences between the groups in proinflammatory tracheal cytokines (interleukin [IL] 6 and IL-8), static lung compliance, or lung histology.Although a persistent patent ductus arteriosus results in diminished cardiac function and increased ventilatory requirements at the end of the second week of life, ligation on Day 6 had no measurable effect on the histologic evolution of chronic lung injury in this 14-d baboon model.

SUBMITTER: McCurnin DC 

PROVIDER: S-EPMC2718457 | biostudies-other | 2005 Dec

REPOSITORIES: biostudies-other

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Effect of ductus ligation on cardiopulmonary function in premature baboons.

McCurnin Donald C DC   Yoder Bradley A BA   Coalson Jacqueline J   Grubb Peter P   Kerecman Jay J   Kupferschmid John J   Breuer Chris C   Siler-Khodr Theresa T   Shaul Philip W PW   Clyman Ronald R  

American journal of respiratory and critical care medicine 20050922 12


<h4>Rationale</h4>The role of the patent ductus arteriosus in the development of chronic lung disease in surfactant-treated premature newborns remains unclear.<h4>Objective</h4>To examine the effects of ductus ligation on cardiopulmonary function and lung histopathology in premature primates.<h4>Methods</h4>Baboons were delivered at 125 d, (term = 185 d) treated with surfactant, and ventilated for 14 d. Serial echocardiograms and pulmonary function tests were performed. Animals were randomized t  ...[more]

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