Effects of prostacyclin on the fetal pulmonary circulation

Academic Article

Abstract

  • The effects of prostacyclin (PGI2) and its metabolite, 6-keto-PGF(1α), on pulmonary and systemic circulations of anesthetized, unventilated fetal goats and sheep were evaluated in situ using an isolated perfused lower left lobe preparation. Results from infusions of PGI2into the left pulmonary artery suggested dose-dependent decreases in pulmonary vascular resistance (PVR) and mean systemic arterial pressure (S̄ĀP̄). Two-minute infusions produced more pronounced reductions in PVR than 1-minute infusions, and fetal goats exhibited greater depressor responses to PGI2(2-minute infusions) than fetal lambs. For every 10% decrease in mean pulmonary arterial pressure (P̄ĀP̄), S̄ĀP̄ decreased by 3% in sheep receiving 1-minute infusions of PGI2. Systemic hypotensive responses and increases in heart rate were similar in both species. PGI2appears to be a more powerful dilator of the fetal pulmonary circulation than PGE1or PGE2; also, intrapulmonary infusions of PGI2resulted in greater and more sustained systemic hypotensive effects than similar infusions of PGE1and PGE2. The stable metabolite of PGI2, 6-keto-PGF(1α), produced attenuated pulmonary vasodilation. Since PGI2may produce systemic hypotension, the use of this agent in treatment of persistent pulmonary hypertension should be considered with caution.
  • Author List

  • Cassin S; Winikor I; Tod M; Philips J; Frisinger J; Jordan J; Gibbs C
  • Start Page

  • 197
  • End Page

  • 207
  • Volume

  • 1
  • Issue

  • 3