Identification of Aortic Proteins Involved in Arterial Stiffness in Spontaneously Hypertensive Rats Treated With Perindopril:A Proteomic Approach.

Arterial stiffness, frequently associated with hypertension, is associated with disorganization of the vascular wall and has been recognized as an independent predictor of all-cause mortality. The identification of the molecular mechanisms involved in aortic stiffness would be an emerging target for hypertension therapeutic intervention. This study evaluated the effects of perindopril on pulse wave velocity (PWV) and on the differentially expressed proteins in aorta of spontaneously hypertensive rats (SHR), using a proteomic approach. SHR and Wistar rats were treated with perindopril (SHRP) or water (SHRc and Wistar rats) for 8 weeks. At the end, SHRC presented higher systolic blood pressure (SBP, +70%) and PWV (+31%) compared with Wistar rats. SHRP had higher values of nitrite concentration and lower PWV compared with SHRC. From 21 upregulated proteins in the aortic wall from SHRC, most of them were involved with the actin cytoskeleton organization, like Tropomyosin and Cofilin-1. After perindopril treatment, there was an upregulation of the GDP dissociation inhibitors (GDIs), which normally inhibits the RhoA/Rho-kinase/cofilin-1 pathway and may contribute to decreased arterial stiffening. In conclusion, the results of the present study revealed that treatment with perindopril reduced SBP and PWV in SHR. In addition, the proteomic analysis in aorta suggested, for the first time, that the RhoA/Rho-kinase/Cofilin-1 pathway may be inhibited by perindopril-induced upregulation of GDIs or increases in NO bioavailability in SHR. Therefore, we may propose that activation of GDIs or inhibition of RhoA/Rho-kinase pathway could be a possible strategy to treat arterial stiffness.

Open surgical thrombectomy and coronary stent placement for treatment of aortic thrombotic disease in a bitch

Background: The thrombotic aortic disease in dogs and cats is characterized by the pathological formation of blood clots that can rupture and obstruct the blood flow. Abdominal ultrasonography can identify the location and extension of thrombus in the main vasculature and using the doppler it is possible to observe the blood flow around the thrombus. Stents are expandable tube-shaped endoprosthesis characterized as a metal mesh and used to prevent or repair stenoses, allowing liquid, gas, or solids to flow. This report aims to describe the surgical and medical treatment of aortic thrombotic disease followed by coronary stents placement in a bitch. Case: An 8-year-old Shih Tzu bitch, presented for evaluation of a 1-month progressive hind limbs paresis. Nociception was present in both limbs, but the patient presented discomfort and vocalization when manipulating the pelvic limbs. A complete blood count demonstrated anemia, mild neutrophilia, and lymphopenia. Serum biochemistry found an increase in ALT, ALP, blood urea nitrogen, and CK. Abdominal ultrasonography detected mild bulging of the caudal aorta and trifurcation of the iliac arteries. Increased intraluminal echogenicity and absence of blood flow were also detected using duplex doppler. The initial medical treatment was ineffective in improving clinical signs, therefore surgical repair was performed. The aorta was isolated and clamped with Satinsky forceps and incised. The thrombus fragmented during removal. A non-compliant high-pressure balloon was used to dilated and remove small fragments of blood clots from the right and left external iliac arteries. Coronary stents of 32 mm length by 2.75 mm diameter were placed to keep both iliac arteries free. Immediately after the procedure, there was a detectable distal pulse in both hind limbs...(AU)

Open surgical thrombectomy and coronary stent placement for treatment of aortic thrombotic disease in a bitch

Background: The thrombotic aortic disease in dogs and cats is characterized by the pathological formation of blood clots that can rupture and obstruct the blood flow. Abdominal ultrasonography can identify the location and extension of thrombus in the main vasculature and using the doppler it is possible to observe the blood flow around the thrombus. Stents are expandable tube-shaped endoprosthesis characterized as a metal mesh and used to prevent or repair stenoses, allowing liquid, gas, or solids to flow. This report aims to describe the surgical and medical treatment of aortic thrombotic disease followed by coronary stents placement in a bitch. Case: An 8-year-old Shih Tzu bitch, presented for evaluation of a 1-month progressive hind limbs paresis. Nociception was present in both limbs, but the patient presented discomfort and vocalization when manipulating the pelvic limbs. A complete blood count demonstrated anemia, mild neutrophilia, and lymphopenia. Serum biochemistry found an increase in ALT, ALP, blood urea nitrogen, and CK. Abdominal ultrasonography detected mild bulging of the caudal aorta and trifurcation of the iliac arteries. Increased intraluminal echogenicity and absence of blood flow were also detected using duplex doppler. The initial medical treatment was ineffective in improving clinical signs, therefore surgical repair was performed. The aorta was isolated and clamped with Satinsky forceps and incised. The thrombus fragmented during removal. A non-compliant high-pressure balloon was used to dilated and remove small fragments of blood clots from the right and left external iliac arteries. Coronary stents of 32 mm length by 2.75 mm diameter were placed to keep both iliac arteries free. Immediately after the procedure, there was a detectable distal pulse in both hind limbs...

Anatomy of the abdominal aorta in the hoary fox (Lycalopex vetulus,Lund, 1842) / Anatomia da aorta abdominal em raposa-do-campo (Lycalopex vetulus, Lund, 1842)

The hoary fox (Lycalopex vetulus,Lund, 1842) is the smallest Brazilian canid, whose weight varies between 2 and 4 kg, has a slender body, a small head, and a short and blackened snout. Despite being considered an endemic species, little is known about the hoary fox as it is one of the seven less studied canids in the world. Thus, this study aimed to describe the anatomy of the abdominal aorta artery of the hoary fox and to compare it with the pre-established literature data in domestic canids. For this purpose, we used two adult hoary foxes without definite age. We collected the corpses of these animals along roadsides of Catalão-GO, being later fixed and conserved in a 10% formalin solution. The results showed that the abdominal aorta in hoary fox is at the ventral face of the lumbar region vertebral bodies, being slightly displaced to the left of the median plane. The first branch is visceral, named celiac artery, followed by a paired parietal branch: the phrenic abdominal arteries. The third and fourth branches are the cranial mesenteric arteries and the right and left are the renal arteries, respectively. The posterior branches of the renal arteries are equally visceral, paired, being called testicular arteries. Distal to the latter, both the caudal mesenteric artery and deep circumflex iliac arteries originate. Finally, two large external iliac arteries and its terminal branches composed of internal iliac arteries and the median sacral artery originate. In addition, five pairs of lumbar arteries originate alongside the abdominal segment of the aorta. Considering these findings, it is possible to conclude that despite the hoary fox being a wild animal, the anatomy of its abdominal aorta is very similar to that of domestic canids.(AU)

A raposa-do-campo (Lycalopex vetulus,Lund, 1842) é o menor canídeo brasileiro, cujo peso varia entre 2 e 4 quilos, possui corpo esguio, a cabeça é pequena, focinho curto e enegrecido. Considerada uma espécie endêmica, pouco se sabe a seu respeito, e é um dos sete canídeos menos estudados no mundo. Assim, o presente estudo teve o objetivo de descrever a anatomia da parte abdominal da artéria aorta em raposa-do-campo e comparar com dados literários pré-estabelecidos de canídeos domésticos. Para a realização deste estudo foram utilizados dois exemplares de raposa-do-campo, adultos, sem idade definida. Os cadáveres dos animais foram recolhidos às margens de rodovias no entorno da Catalão-Goiás, fixados em solução aquosa de formol a 10% e conservados na mesma solução. Os resultados mostraram que a aorta abdominal da raposa-do-campo está localizada sobre a face ventral dos corpos vertebrais da região lombar, levemente deslocada para a esquerda do plano mediano. O primeiro ramo é visceral, denominado artéria celíaca, seguido por um ramo parietal, pareado, as artérias frênico-abdominais. O terceiro e quarto ramos são a artéria mesentérica caudal e as artérias renais direita e esquerda, respectivamente. Os ramos posteriores das artérias renais são igualmente viscerais, pareados, denominados artérias testiculares. Distal à essas últimas, originam-se a artéria mesentérica caudal e as artérias circunflexas ilíacas profundas. Finalmente surgem duas grandes artérias ilíacas externas e os ramos terminais compostos pelas artérias ilíacas internas e artéria sacral mediana. Ao longo do trajeto da aorta abdominal, cinco pares de artérias lombares se originam da face dorsal. Considerando esses achados, pode ser concluído que a anatomia da aorta abdominal da raposa-do-campo é muito similar àquela de canídeos domésticos, embora ela seja um animal silvestre. (AU)

Anatomy of the abdominal aorta in the hoary fox (Lycalopex vetulus, Lund, 1842) / Anatomia da aorta abdominal em raposa-do-campo (Lycalopex vetulus, Lund, 1842)

The hoary fox (Lycalopex vetulus, Lund, 1842) is the smallest Brazilian canid, whose weight varies between 2 and 4 kg, has a slender body, a small head, and a short and blackened snout. Despite being considered an endemic species, little is known about the hoary fox as it is one of the seven less studied canids in the world. Thus, this study aimed to describe the anatomy of the abdominal aorta artery of the hoary fox and to compare it with the pre-established literature data in domestic canids. For this purpose, we used two adult hoary foxes without definite age. We collected the corpses of these animals along roadsides of Catalão-GO, being later fixed and conserved in a 10% formalin solution. The results showed that the abdominal aorta in hoary fox is at the ventral face of the lumbar region vertebral bodies, being slightly displaced to the left of the median plane. The first branch is visceral, named celiac artery, followed by a paired parietal branch: the phrenic abdominal arteries. The third and fourth branches are the cranial mesenteric arteries and the rightand left are the renal arteries, respectively. The posterior branches of the renal arteries are equally visceral, paired, being called testicular arteries. Distal to the latter, both the caudal mesenteric artery and deep circumflex iliac arteries originate. Finally, two large external iliac arteries and its terminal(AU)

A raposa-do-campo (Lycalopex vetulus) é o menor canídeo brasileiro, cujo peso varia entre 2 e 4 quilos, possui corpo esguio, a cabeça é pequena, focinho curto e enegrecido. Considerada uma espécie endêmica, pouco se sabe a seu respeito, e é um dos sete canídeos menos estudados no mundo. Assim, o presente estudo teve o objetivo de descrever a anatomia da parte abdominal da artéria aorta em raposa-do-campo e comparar com dados literários pré-estabelecidos de canídeos domésticos. Para a realização deste estudo foram utilizados dois exemplares de raposa-do-campo, adultos, sem idade definida. Os cadáveres dos animais foram recolhidos às margens de rodovias no entorno da Catalão-Goiás, fixados em solução aquosa de formol a 10% e conservados na mesma solução. Os resultados mostraram que a aorta abdominal da raposa-do-campo está localizada sobre a face ventral dos corpos vertebrais da região lombar, levemente deslocada para a esquerda do plano mediano. O primeiro ramo é visceral, denominado artéria celíaca, seguido por um ramoparietal, pareado, as artérias frênico-abdominais. O terceiro e quarto ramos são a artéria mesentérica caudal e as artérias renais direita e esquerda, respectivamente. Os ramos posteriores das artérias renais são igualmente viscerais, pareados, denominados artérias testiculares. Distal à essas últimas, originam-se a artéria mesentérica caudal(AU)

Variantes anatómicas de origen de los ramos viscerales de la arteria aorta descendente infradiafragmática / Anatomical variants of the origin of the infra-diaphragmatic descendent aorta artery visceral branches

Introducción: la arteria aorta es el mayor de los vasos elásticos del cuerpo humano. Las variantes a la norma anatómica de los ramos arteriales son formaciones que deben ser reconocidas por sus implicaciones durante las cirugías. Objetivo: determinar las variantes de origen a la norma anatómica de los ramos viscerales de la arteria aorta infradiafragmática. Materiales y Métodos: se realizó un estudio observacional, descriptivo y prospectivo en 44 pacientes, mayores de 16 años, fallecidos por causas naturales en el Hospital Provincial Celia Sánchez, Manzanillo. Se observó, en el curso de la necropsia, el origen de los diferentes ramos viscerales de la arteria aorta infradiafragmática. Resultados: las variantes a la norma anatómica se constataron en el 45,45 % de los bloques predominando en el sexo femenino (59,09 %). Las arterias renales fueron las que más variantes a la norma anatómica presentaron, con el 57,69 % del total. En las arterias suprarrenales medias y gonadales se encontraron el 19,23 % del total de variantes. El tronco celiaco fue el único ramo visceral impar en el que se constataron variantes a la norma anatómica (11,54 %). El 11,54 % de las variantes se corresponden con bifurcaciones anómalas de la arteria aorta. Conclusiones: las variantes de origen a la norma anatómica, de los ramos viscerales de la arteria aorta infradiafragmática, tienen una frecuencia alta. Las mayores variantes se localizan en las arterias renales no encontrando variantes en las arterias mesentéricas. El conocimiento de estas variantes es importante en procedimientos quirúrgicos.

Background: aorta artery is the biggest of the human body elastic vases. The variants of the arterial branches anatomic norm are formations that should be recognized, because of their implications during surgeries. Aim: to determine the origin variants to the anatomic norm of the infra-diaphragmatic aorta artery visceral branches. Materials and Methods: an observational, descriptive, prospective study was carried out in 44 patients, elder than 16 years old, who died due to natural causes in the Provincial Hospital Celia Sanchez, Manzanillo. The origin of the different infra-diaphragmatic aorta artery visceral branches was observed in the course of the necropsy. Outcomes: variants to anatomic norm were stated in 45.45 % of the blocks, predominating in the female gender (59.09 %). Renal arteries were the ones presenting more variants to anatomic norm, with 57.69 % of the total. 19.23 % of the total of variants was found in the medial suprarenal and gonadal arteries. The celiac trunk was the only odd visceral branch where variants to anatomic branches were found (11.54 %). 11.54 % of the variants correspond to aorta artery anomalous bifurcations. Conclusions: the origin variants to anatomic norm of the infra-diaphragmatic aorta artery visceral branches have a high frequency. The biggest variants are located in the renal arteries. Variants were not found in the mesenteric arteries. These variants knowledge is important in surgical procedures.

Branching pattern of aortic arch in the white-eared opossum (Didelphis albiventris) / Ramescência do arco aortico no gambá-de-orelha-branca (Didelphis albiventris)

Knowledge of the aortic arch main and collateral branches is important because these arteries supply vital organs found in the head, neck, thoracic cavity and forelimbs of domestic and wild animals. This study aimed to contribute to the anatomical knowledge in opossums and collaborate with veterinary medical and surgical clinics. Thus, the anatomy of aortic arch was described in eighteen opossums. The results indicated that the aortic arch gives off the brachiocephalic trunk and the left subclavian artery in all animals studied. The branching pattern of the aortic arch is similar to that reported in the guinea pig, chinchilla, paca, raccoon, nutria, red squirrel, and ocelot. The brachiocephalic trunk showed as collateral branches, the right subclavian artery and the bicarotid trunk, that originated in the right and left common carotid arteries (77.7%). Bicarotid trunk was absent in four animals (22.2%). The right and left subclavian arteries originated in the vertebral artery, costocervical trunk, internal thoracic artery, and superficial cervical artery. Collateral branches of the subclavian artery showed similarities to that observed in other wild animals such as paca, ocelot and rock cavy.(AU)

O conhecimento do comportamento das artérias que emergem do arco aórtico é importante, pois estas artérias irrigam órgãos vitais encontrados na cabeça, pescoço, cavidade torácica e membros torácicos de animais domésticos e selvagens. Com o objetivo de contribuir com o conhecimento anatômico em gambás e colaborar com a clínica médica e cirúrgica de animais selvagens, descreveu-se neste estudo, a ramescência do arco aórtico em dezoito gambás. Os resultados indicaram que o tronco braquiocefálico e a artéria subclávia esquerda se originaram do arco aórtico em todos os animais estudados. Este padrão de ramescência do arco aórtico é similar ao descrito para a cobaia, chinchila, paca, mão-pelada, nutria, esquilo-vermelho e jaguatirica. O tronco braquiocefálico apresentou como ramos colaterais, a artéria subclávia direita e o tronco bicarotídeo, o qual se bifurcou nas artérias carótidas comuns direita e esquerda (77,7%). O tronco bicarotídeo não apareceu em quatro animais (22,2%). As artérias subclávias direita e esquerda originaram a artéria vertebral, o tronco costocervical e, as artérias torácica interna e cervical superficial. A ramescência encontrada nas artérias subclávias do gambá mostrou similaridades quando comparada com a descrita para outros animais selvagens como a paca, jaguatirica e o mocó.(AU)

Branching pattern of aortic arch in the white-eared opossum (Didelphis albiventris) / Ramescência do arco aórtico no gambá-de-orelha-branca (Didelphis albiventris)

Knowledge of the aortic arch main and collateral branches is important because these arteries supply vital organs found in the head, neck, thoracic cavity and forelimbs of domestic and wild animals. This study aimed to contribute to the anatomical knowledge in opossums and collaborate with veterinary medical and surgical clinics. Thus, the anatomy of aortic arch was described in eighteen opossums. The results indicated that the aortic arch gives off the brachiocephalic trunk and the left subclavian artery in all animals studied. The branching pattern of the aortic arch is similar to that reported in the guinea pig, chinchilla, paca, raccoon, nutria, red squirrel, and ocelot. The brachiocephalic trunk showed as collateral branches, the right subclavian artery and the bicarotid trunk, that originated in the right and left common carotid arteries (77.7%). Bicarotid trunk was absent in four animals (22.2%). The right and left subclavian arteries originated in the vertebral artery, costocervical trunk, internal thoracic artery, and superficial cervical artery. Collateral branches of the subclavian artery showed similarities to that observed in other wild animals such as paca, ocelot and rock cavy.(AU)

O conhecimento do comportamento das artérias que emergem do arco aórtico é importante, pois estas artérias irrigam órgãos vitais encontrados na cabeça, pescoço, cavidade torácica e membros torácicos de animais domésticos e selvagens. Com o objetivo de contribuir com o conhecimento anatômico em gambás e colaborar com a clínica médica e cirúrgica de animais selvagens, descreveu-se neste estudo, a ramescência do arco aórtico em dezoito gambás. Os resultados indicaram que o tronco braquiocefálico e a artéria subclávia esquerda se originaram do arco aórtico em todos os animais estudados. Este padrão de ramescência do arco aórtico é similar ao descrito para a cobaia, chinchila, paca, mão-pelada, nutria, esquilo-vermelho e jaguatirica. O tronco braquiocefálico apresentou como ramos colaterais, a artéria subclávia direita e o tronco bicarotídeo, o qual se bifurcou nas artérias carótidas comuns direita e esquerda (77,7%). O tronco bicarotídeo não apareceu em quatro animais (22,2%). As artérias subclávias direita e esquerda originaram a artéria vertebral, o tronco costocervical e, as artérias torácica interna e cervical superficial. A ramescência encontrada nas artérias subclávias do gambá mostrou similaridades quando comparada com a descrita para outros animais selvagens como a paca, jaguatirica e o mocó.(AU)

Anomalías congénitas de la arteria aorta: Evaluación mediante tomografía computada multicorte en neonatos y niños / Congenital abnormalities of aortic artery: Assessment in neonates and early childhodd with multislice tomography

Para la evaluación de los defectos congénitos de la arteria aorta, los métodos de imágenes utilizados tradicionalmente son la ecocardiografia y la radiología simple. La angiotomografía computada multicorte aparece como un método de relevancia en el diagnóstico de estas entidades, permitiendo evaluar en forma no invasiva, rápida y precisa las distintas anormalidades, otorgando de esta manera información sumamente útil a los cirujanos cardiovasculares para definir la estrategia quirúrgica. En el presente artículo revisamos las aplicaciones de la angiotomografia computada multicorte en la evaluación de las malformaciones congénitas de la arteria aorta más frecuentes en el periodo neonatal y en la primera infancia.

In the evaluation of aortic artery congenital abnormalities, the echocardiography and the plain X ray are the traditionally used imaging methods. Multislice angiotomography appears as an important method in diagnosis of these different diseases allowing evaluate these entities in a non invasive, fast and accurate form, giving to cardiovascular surgeons very important information to delineate the surgical strategy. In this article, we review the applications of multislice angiotomography in the evaluation of most frequent congenital anomalies of aorta artery, performed in neonates and early childhood.