Name: a closed-chest model to induce transverse aortic constriction in mice
Uploaded: 2018-04-05T15:00:00
Description: Watch this Scientific Journal Video about A Closed-chest Model to Induce Transverse Aortic Constriction in Mice at JoVE.com

We thank Stilla Frede and Susanne Schulz for their technical assistance. This study received no funding.

This protocol was approved by the Ethics Committee for Animal Experimentation LANUV Recklinghausen (#84-02.04.2016.A374). Generally, this procedure is performed on adult mice &#62;10 weeks of age. However, it is possible to perform this surgery on younger animals as well. Surgical tools must be sterilized before use and all steps are to be performed under aseptic conditions.
1. Induction of Anesthesia and Intubation
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	<li>Inject buprenorphine 0.1 &#181;g/g body weight intraperitoneally f...

<ol>
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The rapid onset of hypertension due to TAC differs from clinically relevant hypertrophy caused by aortic stenosis or hypertension. Nevertheless, the use of small animal models to induce heart failure has many advantages and is, therefore, chosen by many investigators11. This closed chest-model improves the already existing models of the surgical technique to induce transverse aortic constriction in mice4.
The most critical step is the passage und...

Mouse models are often used to mimic human diseases1. Transverse aortic constriction (TAC) is used to induce pressure overload and left ventricular hypertrophy2. The open-chest TAC model in mice was validated by Rockman et al.3 and the surgical procedure is described in detail by DeAlmeida et al.4. Banding of the transverse aorta is more favorable in comparison to abdominal aortic constriction because a larger portion of the circulation can compensate negative effects of this latter procedure2.
The banding of the transverse aorta leads to an increased arterial pressure in the ascending aorta and brachiocephalic artery but leaves sufficient perfusion of the organs via the distal vessels (i.e. the left common carotid artery, the left subclavian artery, and descending aorta). This leads to an increased cardiac afterload and an elevated cardiac wall stress. The wall stress subsequently decreases due to fiber thickening5. The chronic change in cardiac hemodynamics results in maladaptation and dilatation of the left ventricle. This way the TAC creates a reproducible model of cardiac hypertrophy eventually leading to heart failure.
The standard procedure for TAC as described by DeAlmeide et al.4 approaches the aortic arch via a partial upper thoracotomy via dissection of the ribs or the sternum and entering the mediastinum as well as the pleural cavity. This allows for a good view of the aortic arch and its side branches. Unfortunately, the dissected ribs cannot be reattached, which leaves them floating freely and thereby altering the breathing dynamics.
We, therefore, established a minimally invasive closed-chest approach to the aortic arch using a lateral surgical approach via the 2nd intercostal space. The greatest advantage of this model is the ability to perform TAC without even cutting through the ribs. The surgical trauma is limited to the incision of the skin and the dissection of the intercostal muscles. This procedure minimizes the trauma itself and helps to maintain adequate chest stability.
Here we describe a detailed step-by-step procedure to perform TAC surgery in mice without performing the total or the upper thoracotomy. High frequency Doppler was used to ensure the success of TAC as previously described 6,7.

<table border="0" cellpadding="0" cellspacing="0" width="1303">
	<tbody>
		<tr height="20">
			<td height="20" style="height:20px;width:312px;">Pressure-volume catheter</td>
			<td style="width:243px;">Millar Instruments, USA</td>
			<td style="width:591px;">SPR-839</td>
			<td style="width:159px;"></td>
		</tr>
		<tr height="20">
			<td height="20" style="height:20px;">Mouse ventilator</td>
			<td>Harvard Apparatus GmbH, Germany</td>
			<td>Minivent - TYPE 845</td>
			<td></td>
		</tr>
		<tr height="20">
			<td height="20" style="height:20px;">Mouse ventilator</td>
			<td>Harvard Apparatus GmbH, Germany</td>
			<td>Y-connection with intubation cannula OD 1.2mm 73-2844</td>
			<td></td>
		</tr>
		<tr height="20">
			<td height="20" style="height:20px;">Vaporizer</td>
			<td>Dr&#228;ger Medical AG&#38;CO.KG, Germany</td>
			<td>19.3 Isofluran-Vaporizer (a newer version is available under catalog number&#160; D-877-2010)</td>
			<td></td>
		</tr>
		<tr height="20">
			<td height="20" style="height:20px;">Microscope&#160;</td>
			<td>Leica Microsystems, Germany</td>
			<td>MZ 7.5</td>
			<td></td>
		</tr>
		<tr height="20">
			<td height="20" style="height:20px;">Light source&#160;</td>
			<td>Schott AG, Germany</td>
			<td>KL 1500 LCD</td>
			<td></td>
		</tr>
		<tr height="20">
			<td height="20" style="height:20px;">6-0 Prolene</td>
			<td>Ethicon, USA</td>
			<td>Polypropylene suture BV-1 9.3 mm 3/8c</td>
			<td>suture for surgery</td>
		</tr>
		<tr height="20">
			<td height="20" style="height:20px;">Seraflex</td>
			<td>Serag Wiessner, Germany</td>
			<td>USP 5/0 schwarz;&#160; IC108000&#160;</td>
			<td>suture for constriction</td>
		</tr>
		<tr height="20">
			<td height="20" style="height:20px;">Homoeothermic Controlled Operating Tables</td>
			<td>Harvard Apparatus GmbH, Germany</td>
			<td>Typ 872/3 HT with tripod stand and homoeothermic controller Type 874; 73-4233</td>
			<td></td>
		</tr>
		<tr height="20">
			<td height="20" style="height:20px;">Flexible Rectal Probe</td>
			<td>Harvard Apparatus GmbH, Germany</td>
			<td>1.6 mm OD; 55-7021</td>
			<td></td>
		</tr>
		<tr height="20">
			<td height="20" style="height:20px;">Doppler Signal Visualisation Instrument</td>
			<td>Indus Instruments, USA</td>
			<td>Doppler Signal Processing Workstation (DSWP) with 20MHz Pulsed Doppler Module</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Doppler Probe</td>
			<td>Indus Instruments, USA</td>
			<td>20MHz Tubing-mounted Probe</td>
			<td></td>
		</tr>
	</tbody>
</table>

a closed-chest model to induce transverse aortic constriction in mice

Research on cardiac hypertrophy and heart failure is frequently based on pressure overload mouse models induced by TAC. The standard procedure is to perform a partial thoracotomy to visualize the transverse aortic arch. However, the surgical trauma caused by the thoracotomy in open-chest models changes the respiratory physiology as the ribs are dissected and left unattached after chest closure. To prevent this, we established a minimally invasive, closed chest approach via lateral thoracotomy. Herein we approach the aortic arch via the 2nd intercostal space without entering the chest cavities, leaving the mouse with a less traumatic injury to recover from. We perform this operation using standard laboratory settings for open chest TAC procedures with equal survival rates. Apart from maintaining physiological breathing patterns due to the closed chest approach, the mice seem to benefit by showing rapid recovery, as the less invasive technique appears to facilitate a fast healing process and to reduce immune response after trauma.

A successful TAC guarantees the induction of pressure overload and left ventricular hypertrophy. An ad hoc validation of pressure overload can be achieved using Doppler flow velocity measurement as shown in Figure 2. While preoperative blood flow velocity is equal in both carotid arteries, TAC causes an augmented blood velocity in the right carotid artery due to elevated pressure in the left ventricle and aorta while causing post-stenotic attenuated blood flo...

Watch this Scientific Journal Video about A Closed-chest Model to Induce Transverse Aortic Constriction in Mice at JoVE.com

A Closed-chest Model to Induce Transverse Aortic Constriction in Mice

Here, we present a protocol of Transverse Aortic constriction (TAC) via a lateral thoracotomy. This technique is a minimally invasive, closed chest surgical procedure aiming to simulate pressure overload and heart failure in mice utilizing standard TAC laboratory settings.

Research on cardiac hypertrophy and heart failure is frequently based on pressure overload mouse models induced by TAC. The standard procedure is to ...

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