The hemodynamic interplay between pulmonary ischemia-reperfusion injury and right ventricular function in lung transplantation: a translational porcine model

Author:

Orlitová Michaela12ORCID,Verbelen Tom13ORCID,Frick Anna E.14ORCID,Vanstapel Arno56ORCID,Van Beersel Dieter17ORCID,Ordies Sofie17ORCID,Van Slambrouck Jan26ORCID,Kaes Janne6ORCID,Jin Xin6ORCID,Coudyzer Walter8ORCID,Verleden Stijn E.9ORCID,Verleden Geert M.610ORCID,Vanaudenaerde Bart M.6ORCID,Van Raemdonck Dirk E.26ORCID,Vos Robin610ORCID,Ceulemans Laurens J.26ORCID,Claus Piet1ORCID,Neyrinck Arne P.17ORCID

Affiliation:

1. Department of Cardiovascular Sciences, KU Leuven, Leuven, Belgium

2. Department of Thoracic Surgery, University Hospitals Leuven, Leuven, Belgium

3. Department of Cardiac Surgery, University Hospitals Leuven, Leuven, Belgium

4. Department of Thoracic Surgery, Medical University of Vienna, Vienna, Austria

5. Department of Pathology, University Hospitals Leuven, Leuven, Belgium

6. Laboratory of Respiratory Diseases and Thoracic Surgery (BREATHE), Department of Chronic Diseases and Metabolism, KU Leuven, Leuven, Belgium

7. Department of Anesthesiology, University Hospitals Leuven, Leuven, Belgium

8. Department of Radiology, University Hospitals Leuven, Leuven, Belgium

9. Antwerp Surgical Training, Anatomy and Research Center, University of Antwerp, Antwerp, Belgium

10. Department of Respiratory Diseases, University Hospitals Leuven, Leuven, Belgium

Abstract

In contrast to the abundant literature of mechanical pulmonary artery clamping to increase right ventricular afterload, we developed a model adding a biological factor of pulmonary ischemia-reperfusion injury. We did not only focus on the right ventricular behavior, but also on the interaction with the injured lung. We are the first to describe this interaction while addressing the hemodynamic intraoperative phases of clinical lung transplantation.

Funder

KU Leuven

Publisher

American Physiological Society

Subject

Cell Biology,Physiology (medical),Pulmonary and Respiratory Medicine,Physiology

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