Biomechanical Properties and Microstructure of Heart Chambers: A Paired Comparison Study in an Ovine Model

Mechanical properties of the cardiac tissue play an important role in normal heart function. The goal of this study was to determine the passive mechanical properties of all heart chambers through a paired comparison study in an ovine model. Ovine heart was used due its physiological and anatomical similarities to human heart. A total of 189 specimens from anterior and posterior portions of the left and right ventricles, atria, and appendages underwent biaxial mechanical testing. A Fung-type strain energy function was used to fit the experimental data. Tissue behavior was quantified based on the magnitude of strain energy, as indicator of tissue stiffness, at equibiaxial strains of 0.10, 0.15, and 0.20. Statistical analysis revealed no significant difference in strain energy storage between anterior and posterior portions of each chamber, except for the right ventricle where strain energy storage in the posterior specimens were higher than the anterior specimens. Additionally, all chambers from the left side of the heart had significantly higher strain energy storage than the corresponding chambers on the right side. Furthermore, the highest to lowest stored strain energy were associated with ventricles, appendages, and atria, respectively. Microstructure of tissue specimens from different chambers was also compared using histology.

[1]  M. Gladwin,et al.  Right ventricular function and failure: report of a National Heart, Lung, and Blood Institute working group on cellular and molecular mechanisms of right heart failure. , 2006, Circulation.

[2]  James J. Pilla,et al.  Computational Modeling of Healthy Myocardium in Diastole , 2015, Annals of Biomedical Engineering.

[3]  A. Moorman,et al.  Development of the human heart , 2014, American journal of medical genetics. Part A.

[4]  Chiara Bellini,et al.  A mechanical characterization of the porcine atria at the healthy stage and after ventricular tachypacing. , 2012, Journal of biomechanical engineering.

[5]  Gerhard Sommer,et al.  Biomechanical properties and microstructure of human ventricular myocardium. , 2015, Acta biomaterialia.

[6]  Elena S. Di Martino,et al.  Mechanical Behaviour of the Human Atria , 2012, Annals of Biomedical Engineering.

[7]  P. Hunter,et al.  Stretch-induced changes in heart rate and rhythm: clinical observations, experiments and mathematical models. , 1999, Progress in biophysics and molecular biology.

[8]  S. Hunyor,et al.  A Stable Ovine Congestive Heart Failure Model A Suitable Substrate for Left Ventricular Assist Device Assessment , 1997, ASAIO journal.

[9]  W Grossman,et al.  Cardiac hypertrophy: useful adaptation or pathologic process? , 1980, The American journal of medicine.

[10]  Douglas Cook,et al.  Unrealistic statistics: how average constitutive coefficients can produce non-physical results. , 2014, Journal of the mechanical behavior of biomedical materials.

[11]  Katarina Kindberg,et al.  Myocardial strains from 3D displacement encoded magnetic resonance imaging , 2012, BMC Medical Imaging.

[12]  Gabriel Acevedo-Bolton,et al.  Distribution of normal human left ventricular myofiber stress at end diastole and end systole: a target for in silico design of heart failure treatments. , 2014, Journal of applied physiology.

[13]  Gerhard A Holzapfel,et al.  Constitutive modelling of passive myocardium: a structurally based framework for material characterization , 2009, Philosophical Transactions of the Royal Society A: Mathematical, Physical and Engineering Sciences.

[14]  Robert H. Anderson,et al.  DEVELOPMENT OF THE HEART: (1) FORMATION OF THE CARDIAC CHAMBERS AND ARTERIAL TRUNKS , 2003, Heart.

[15]  D. Bers Cardiac excitation–contraction coupling , 2002, Nature.

[16]  F. Spinale,et al.  Large animal models of heart failure: a critical link in the translation of basic science to clinical practice. , 2009, Circulation. Heart failure.

[17]  M. Sacks,et al.  Structural and Mechanical Adaptations of Right Ventricle Free Wall Myocardium to Pressure Overload , 2014, Annals of Biomedical Engineering.

[18]  Joseph H. Gorman,et al.  Algisyl-LVR™ with coronary artery bypass grafting reduces left ventricular wall stress and improves function in the failing human heart. , 2013, International journal of cardiology.

[19]  D K Bogen,et al.  Changes in passive mechanical stiffness of myocardial tissue with aneurysm formation. , 1994, Circulation.

[20]  M. Jahangiri,et al.  Current concepts in the pathogenesis of atrial fibrillation. , 2009, American heart journal.

[21]  Jianjun Guan,et al.  Cellular cardiomyoplasty and cardiac tissue engineering for myocardial therapy. , 2010, Advanced drug delivery reviews.

[22]  A. Azadani,et al.  Leaflet stress and strain distributions following incomplete transcatheter aortic valve expansion. , 2015, Journal of biomechanics.

[23]  J. Leor,et al.  Bioengineered Cardiac Grafts: A New Approach to Repair the Infarcted Myocardium? , 2000, Circulation.

[24]  Randall J. Lee,et al.  TM with coronary artery bypass grafting reduces left ventricular wall stress and improves function in the failing human heart , 2015 .

[25]  Y. Fung,et al.  Pseudoelasticity of arteries and the choice of its mathematical expression. , 1979, The American journal of physiology.

[26]  James J Pilla,et al.  Estimating passive mechanical properties in a myocardial infarction using MRI and finite element simulations , 2014, Biomechanics and Modeling in Mechanobiology.

[27]  J. Liao,et al.  Fabrication of cardiac patch with decellularized porcine myocardial scaffold and bone marrow mononuclear cells. , 2010, Journal of biomedical materials research. Part A.

[28]  Ursula Ravens,et al.  Mechano-electric feedback and arrhythmias. , 2003, Progress in biophysics and molecular biology.

[29]  T. Alexander Quinn,et al.  The importance of non-uniformities in mechano-electric coupling for ventricular arrhythmias , 2013, Journal of Interventional Cardiac Electrophysiology.