Impact of coronary vasa vasorum functional structure on coronary vessel wall perfusion distribution

M. Gössl, N. M. Malyar, M. Rosol, P. E. Beighley, E. L. Ritman

Research output: Contribution to journalArticle

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Abstract

Noncoronary vasa vasorum have been described as networks of microvessels in the wall of arteries and veins. However, we have shown, using microcomputerized tomography (micro-CT) imaging methods, that porcine coronary vasa vasorum have a tree-like branching structure similar to the vasculature in general. In this study, we elucidate functional aspects of coronary vasa vasorum perfusion territories. Three pig hearts were injected with radiopaque Microfil via the coronary sinus to fill the left anterior descending coronary arteries (LADs) retrogradely at atmospheric pressure. In three other hearts, LADs were injected antegradely at 100-mmHg pressure via the left main carotid artery. Additionally, six LADs were injected in vivo with a suspension of 100- or 300-μm-diameter microspheres before harvesting of the hearts and injection of the LADs with Microfil. All harvested LADs were scanned intact with micro-CT (20 μm cubic voxels). The spatial density of vasa vasorum (no. of vasa/mm2) was measured in 20-μm-thick cross sections (at 0. 4-mm intervals). Retrogradely injected LADs showed high and uniformly distributed vasa vasorum densities in the adventitia (means ± SE; 5.38 ± 0.09 vs. 3.58 ± 0.1 vasa/mm2 in antegradely prepared LADs; P < 0.001). Antegradely prepared LADs showed patchy distributed, low-vasa-vasorum-density territories especially on the myocardial side of the coronary artery wall (epicardial density: 4.29 ± 0.13 vasa/mm 2 vs. myocardial density: 2.80 ± 0.1 vasa/mm2, P < 0.001). Microembolization reduced vasa vasorum densities significantly (100-μm-diameter microspheres: 3.26 ± 0.07 vasa/mm2, P < 0.05; 300-μm-diameter microspheres: 2.66 ± 0.07 vasa/mm 2, P < 0.001 vs. antegrade controls) and increased the size of low-vasa-vasorum-density territories. We conclude that coronary vasa vasorum are functional endarteries not connected via a plexus. This characteristic may have a significant impact on the spatial distribution of perfusion and drainage of the coronary vessel wall.

Original languageEnglish (US)
JournalAmerican Journal of Physiology - Heart and Circulatory Physiology
Volume285
Issue number5 54-5
StatePublished - Nov 2003

Fingerprint

Vasa Vasorum
Coronary Vessels
Perfusion
Microspheres
Silicone Elastomers
Swine
Tomography
Adventitia
Atmospheric Pressure
Coronary Sinus
Microvessels
Carotid Arteries
Drainage
Veins
Suspensions
Arteries

Keywords

  • Intraluminal coronary artery pressure
  • Microcomputerized tomography
  • Microembolization

ASJC Scopus subject areas

  • Physiology

Cite this

Impact of coronary vasa vasorum functional structure on coronary vessel wall perfusion distribution. / Gössl, M.; Malyar, N. M.; Rosol, M.; Beighley, P. E.; Ritman, E. L.

In: American Journal of Physiology - Heart and Circulatory Physiology, Vol. 285, No. 5 54-5, 11.2003.

Research output: Contribution to journalArticle

Gössl, M. ; Malyar, N. M. ; Rosol, M. ; Beighley, P. E. ; Ritman, E. L. / Impact of coronary vasa vasorum functional structure on coronary vessel wall perfusion distribution. In: American Journal of Physiology - Heart and Circulatory Physiology. 2003 ; Vol. 285, No. 5 54-5.
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