Morphology and fibrinolytic activity of canine autogenous mesothelium used as venous substitute

Publisher Website
Google Scholar
Abstract
Autogenous mesothelium was used as venous substitute in ten dogs. Patches of mesothelium of three different origins were grafted into the anterior wall of the common iliac veins (CIV): peritoneum taken from and including the posterior rectus sheath (PRS), simple peritoneum (P) and mesentery (M). Animals were killed after 2, 4, 8, and 16 days and after 3 months. The segments of CIV, including the patches, were removed for study. On light microscopy, the PRS grafts showed a normal mesothelium but marked submesothelial fibrosis. The M and P grafts showed normal mesothelium and only mild fibrous thickening. On scanning electron microscopy, there was a perfect continuity of the mesothelial cells and the normal endothelium at the suture line. In the center of the graft, the cells had become elongated along the axis of blood flow. Fibrinolytic activity (FA) was measured by a standardized fibrin plate technique and quantitated in tissue activator units per gram of tissue (TAU/g). The mean FA of iliac vein specimens was 1101.7 ± 133.3TAU/g (mean±SEM). The mean FA determined before grafting for each kind of mesothelium was the following: PRS = 418.8±26.9TAU/g; P = 873.0±107.1TAU/g; M = 1142.3 ± 91.4TAU/g where only PRS showed values significantly lower than iliac vein mean FA (P < 0.001). Postoperatively, the mesothelial FA, after an initial reduction, increased on day 4 and reached values significantly higher than the control values (1445.7±204.1TAU/g tissue vs 853.1±62.3 TAU/g tissue;P < 0.001). The morphologic adaptation and the maintained fibrinolytic activity of mesothelial cells in the venous system suggest that they can replace endothelium.