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  • Complications  (1)
  • Congestive, Remodeling, Animal models of human disease, Hypertrophy, Physiological and pathological control of gene expression, Receptor pharmacology  (1)
  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 382 (1997), S. 49-54 
    ISSN: 1435-2451
    Keywords: Key words Conventional reconstruction ; Abdominal aorta ; Complications ; Endovascular reconstructive surgery ; Schlüsselwörter Rekonstruktive Gefäßchirurgie der Beckenetage ; Komplikationen ; endovaskuläre Rekonstruktion
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Im Zeitraum von September 1985 bis Februar 1994 wurde bei 183 Patienten ein rekonstruktiver Eingriff im aortoiliakalen Bereich durchgeführt. Die Grunderkrankung war in 108 Fällen eine arterielle Verschlußkrankheit, in 75 Fällen ein abdominales Aortenaneurysma. Bei 120 Patienten wurde eine Bifurkationsprothese, bei 63 Patienten eine Rohrprothese implantiert. Die Früh- und Spätkomplikationen werden beschrieben, differenziert nach chirurgisch und nichtchirurgisch, wobei die chirurgischen Komplikationen im wesentlichen durch die Prothesenart und durch den Leistenanschluß bedingt waren, während die nichtchirurgischen Komplikationen vom Risikoprofil des Krankenguts abhängig waren. Die Unterschiede in der postoperativen Letalität ergaben sich durch die Dringlichkeit des Eingriffs. Der Stellenwert der endovaskulären Rekonstruktion im Vergleich zur rekonstruktiven Gefäßchirurgie wird diskutiert.
    Notes: Abstract From September 1985 to February 1994, 183 pa- tients (arterial occlusive disease n = 108, abdominal aneurysm n = 75) underwent reconstruction of the abdominal aorta. In 120 patients an aorto-bi-iliac or aorto-bi-femoral reconstruction was performed and in 63 patients a tube-type reconstruction. The early and late postoperative complications are described. The complications were dependent on the choice of graft, the distal anastomosis and the preoperative risk factors. The mortality from elective repairs was compared with the mortality in emergency repairs. The role of endovascular reconstructive surgery in comparison to conventional reconstructive procedures is discussed.
    Type of Medium: Electronic Resource
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  • 2
    Publication Date: 2012-10-16
    Description: Background— Cardiac remodeling in response to pressure or volume overload plays an important role in the pathogenesis of heart failure. Various mechanisms have been suggested to translate mechanical stress into structural changes, one of them being the release of humoral factors such as angiotensin II and endothelin-1, which in turn promote cardiac hypertrophy and fibrosis. A large body of evidence suggests that the prohypertrophic effects of these factors are mediated by receptors coupled to the G q/11 family of heterotrimeric G proteins. Most G q/11 -coupled receptors, however, can also activate G proteins of the G 12/13 family, but the role of G 12/13 in cardiac remodeling is not understood. Methods and Results— We use siRNA-mediated knockdown in vitro and conditional gene inactivation in vivo to study the role of the G 12/13 family in pressure overload–induced cardiac remodeling. We show in detail that inducible cardiomyocyte-specific inactivation of the α subunit of G 13 , Gα 13 , does not affect basal heart function but protects mice from pressure overload–induced hypertrophy and fibrosis as efficiently as inactivation of Gα q/11 . Furthermore, inactivation of Gα 13 prevents the development of heart failure up to 1 year after overloading. On the molecular level, we show that Gα 13 , but not Gα q/11 , controls agonist-induced expression of hypertrophy-specific genes through activation of the small GTPase RhoA and consecutive activation of myocardin-related transcription factors. Conclusion— Our data show that the G 12/13 family of heterotrimeric G proteins is centrally involved in pressure overload–induced cardiac remodeling and plays a central role in the transition to heart failure.
    Keywords: Congestive, Remodeling, Animal models of human disease, Hypertrophy, Physiological and pathological control of gene expression, Receptor pharmacology
    Electronic ISSN: 1524-4539
    Topics: Medicine
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