Pulmonary Arterial Thrombosis in a Murine Model of Blunt Thoracic Trauma

Ian Elliott Brown, Robert R. Rigor, Linda M. Schutzman, Nasim Khosravi, Karen Chung, James A. Becker, Christopher D. Pivetti, Gavin T. Best, Jessica C. Chavez, Joseph M Galante

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Pulmonary thromboembolic events cause significant morbidity and mortality after severe trauma. Clinically, these lesions are believed to be emboli arising secondary to deep venous thrombosis (DVT) in the lower extremities. Recently, this notion has been challenged by clinical studies, showing that pulmonary clots arise after trauma in the absence of DVT. This suggests that pulmonary blood clots arise in situ via de novo thrombosis. In the present study, we characterize a murine weight-drop model of lateral blunt thoracic trauma. Our model demonstrates severe unilateral lung contusion injury with low (10%) mortality in the absence of extrapulmonary injury, after impact with a 50-g weight dropped from 45 cm height (657 J/m). At 24 h after injury, immunofluorescence and histological evidence revealed early pulmonary arterial thrombosis in the form of eccentric accumulation of fibrin and CD41 positive eosinophilic proteinaceous material, on both coup and contrecoup lung lobes of injured mice, indicating early thrombotic events both within and outside of the area of primary lung injury. Our model is ideal in that lateral impact enables greater impact energy to be applied to achieve significant lung contusion without significant mortality or extrapulmonary injury, and the model has additional translational value in creating thrombosis analogous to pulmonary embolism observed clinically after blunt thoracic trauma. To our knowledge, this is the first demonstration of de novo pulmonary thrombosis in a clinically translational model of blunt thoracic trauma, and supports challenges to current assumptions about the origin of pulmonary blood clots in the wake of severe traumatic injury.

Original languageEnglish (US)
Pages (from-to)696-705
Number of pages10
JournalShock (Augusta, Ga.)
Volume50
Issue number6
DOIs
StatePublished - Dec 1 2018

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Thrombosis
Thorax
Lung
Wounds and Injuries
Contusions
Lung Injury
Venous Thrombosis
Mortality
Weights and Measures
Embolism
Fibrin
Pulmonary Embolism
Fluorescent Antibody Technique
Lower Extremity
Morbidity

ASJC Scopus subject areas

  • Emergency Medicine
  • Critical Care and Intensive Care Medicine

Cite this

Pulmonary Arterial Thrombosis in a Murine Model of Blunt Thoracic Trauma. / Brown, Ian Elliott; Rigor, Robert R.; Schutzman, Linda M.; Khosravi, Nasim; Chung, Karen; Becker, James A.; Pivetti, Christopher D.; Best, Gavin T.; Chavez, Jessica C.; Galante, Joseph M.

In: Shock (Augusta, Ga.), Vol. 50, No. 6, 01.12.2018, p. 696-705.

Research output: Contribution to journalArticle

Brown, IE, Rigor, RR, Schutzman, LM, Khosravi, N, Chung, K, Becker, JA, Pivetti, CD, Best, GT, Chavez, JC & Galante, JM 2018, 'Pulmonary Arterial Thrombosis in a Murine Model of Blunt Thoracic Trauma', Shock (Augusta, Ga.), vol. 50, no. 6, pp. 696-705. https://doi.org/10.1097/SHK.0000000000001109
Brown, Ian Elliott ; Rigor, Robert R. ; Schutzman, Linda M. ; Khosravi, Nasim ; Chung, Karen ; Becker, James A. ; Pivetti, Christopher D. ; Best, Gavin T. ; Chavez, Jessica C. ; Galante, Joseph M. / Pulmonary Arterial Thrombosis in a Murine Model of Blunt Thoracic Trauma. In: Shock (Augusta, Ga.). 2018 ; Vol. 50, No. 6. pp. 696-705.
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