This preclinical study established the use of radioactive microspheres to quantify regional myocardial blood flow and arteriovenous shunting in the canine heart.
SummaryA known quantity of radioactive glass microspheres either 20 or 50 ± in diameter were injected into the coronary system of the dog heart being perfused at a known and physiological rate with oxygenated blood at 38°C. With the assumption that spheres were distributed at arterial bifurcation in the same proportion as blood, the fraction which appeared in the venous drainage was taken as a measure of arteriovenous shunts the size of or larger than the spheres injected. Those spheres which remained in the tissue provided a measure of flow through vessels smaller than the spheres. Since the spheres were small enough to pass through all arteriovenous shunts except capillaries, the radioactivity of the tissue was a measure of tissue capillary flow (less than 20 μ for the purposes of the present study). There was a uniform distribution of spheres in the normal dog heart. A calculated tissue blood flow of approximately 1.2 cc/g/min existed in the right ventricle and throughout the left ventricle. This flow diminished to approximately .30 cc/g/min in the distribution of the left anterior descending coronary artery after ligation of this vessel. Evidence is presented to suggest that arteriovenous shunts account for 2–4% of total flow across the heart and that these vessels are probably greater than 50 μ in diameter. No evidence for arterioluminal shunts 20 μ or greater in size communicating with the left ventricle was found.
MacLean et al. (Tue,) studied this question.