Viable kidney mass has been reduced in dogs by branch-artery ligation combined with uninephrectomy. 1. When viable kidney remnants amount to about 1/4 of the original kidney mass dogs survive in apparent good health with moderate azotaemia; with 1/8 to 1/10 kidney remnants azotaemia is progressive and uraemic death supervenes within some days. 2. Reduction of renal blood flow and of glomerular filtration rate to about one-fourth of their respective control values seems to be compatible with survival; with further reduction death ensues. An inverse and linear relationship between NPN and GFR on a log-log basis has been found. 3. Mean nephron blood flow is equally enhanced in both the more and the less severely infarcted kidneys. On the other hand, mean nephron glomerular filtration is increased when about one half of the kidney is viable, but decreased with more extensive infarction. 4. Mean nephron vascular resistance is diminished; considering the pronounced decrease in Ein, i.e. filtration fraction, predominance of postglomerular vasodilatation is assumed. The formation of non-filtering, actively perfused nephrons is taken into consideration.
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http://dx.doi.org/10.1007/BF01851346 | DOI Listing |
Surg Today
September 2009
Department of Surgery, University of California San Francisco, San Francisco, CA, USA.
We report a case of spontaneous intraperitoneal hemorrhage from a ruptured mesenteric branch artery aneurysm in a patient presenting with syncope. A 54-year-old woman was brought to our emergency department as a medical code, following two syncopal episodes. Computed tomography, carried out to rule out aortic aneurysmal disease, revealed hemoperitoneum without evidence of solid organ injury.
View Article and Find Full Text PDFChin Med J (Engl)
March 2009
Sir Run Run Shaw Institution of Clinical Medicine of Zhejiang University, Department of Cardiology, Sir Run Run Shaw Hospital Affiliated to Medical College of Zhejiang University, Hangzhou, China.
Background: Tumor necrosis factor a receptor 1 (TNFalphaR1) plays an important role in the signal pathway of apoptosis. The objective of this study was to investigate the effects of TNFalphaR1 knockout on the up-regulation of erythropoietin receptor (Epo-R) and the coordinated anti-apoptosis functions during myocardial ischemia-reperfusion injury in mice.
Methods: The ischemia-reperfusion injury model for cardiomyocytes was performed by ligating the left circumflex branch artery of TNFalphaR1 knockout (P55(-/-)) C17 B6 mice, as well as wild-type (P55(+/+)) C17 B6 mice.
J Huazhong Univ Sci Technolog Med Sci
December 2008
Department of Anesthesiology, the Second Xiangya Second Hospital of Central South University, Changsha, 410013, China.
This study observed the protective effect of hypercapnic acidosis preconditioning on rabbit heart suffered from ischemia-reperfusion injury. Hypercapnic acidosis was established in animals with mechanical hypoventilation before ischemia-reperfusion. Thirty-two rabbits were randomly divided into 4 groups, with each having 8 animals in term of the degree of acidification: hypercapnic acidosis group A (group A), hypercapnic acidosis group B (group B), hypercapnic acidosis group C (group C), ischemia and reperfusion group (group IR).
View Article and Find Full Text PDFAnn Vasc Surg
May 2007
Indiana University Division of Vascular Surgery, Indianapolis, IN, USA.
Mesenteric arterial branch aneurysms are rare. Giant, multiple, mesenteric branch artery aneurysms are even more uncommon, and only a few reports exist in the literature. We describe a 73-year-old asymptomatic female found to have an abdominal bruit and subsequently diagnosed with multiple mesenteric branch artery aneurysms by computed tomography and angiography.
View Article and Find Full Text PDFNeurol Med Chir (Tokyo)
October 2004
Department of Neurosurgery, International Goodwill Hospital, Yokohama, Kanagawa, Japan.
A 53-year-old man presented with cerebral infarction associated with a dissecting aneurysm of the left middle cerebral artery (MCA), with enlargement and fluid collection. Anticoagulant therapy was performed as the first stage treatment for cerebral infarction. Serial magnetic resonance imaging showed that the dissecting aneurysm had enlarged and fluid collection adjacent to the aneurysm had developed since the first admission.
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