Ahn, Dongchoon, Linda Cheng, Chanil Moon, Harold Spurgeon, Edward G. Lakatta, and Mark I. Talan. Induction of myocardial infarcts of a predictable size and location by branch pattern probability-assisted coronary ligation in C57BL/6 mice. Am J Physiol Heart Circ Physiol 286: H1201-H1207, 2004; 10.1152/ajpheart. 00862.2003.-The ability to create experimental myocardial infarctions of reproducible size and location is tantamount to progress in multiple facets of ischemic heart disease research. Branches of the mouse left main descending coronary artery penetrate the myocardium close to their origin and require "blind" ligation. Our objective was to develop a technique for ligation of nonvisible coronary artery branches to permit the reliable creation of infarcts of uniformly small size and location. From latex castings of the left coronary artery of C57BL/6J mice (n ϭ 53), we calculated the highest probability for the location of branch points of two of three left ventricular (LV) branches distal to the origin of the left main descending artery. On the basis of these anatomic probabilities, we blindly ligated two areas that were likely to be locations of these nonvisible LV branches. We were successful in producing two types of small transmural myocardial infarctions (16.04 Ϯ 3.64 and 4.68 Ϯ 1.47% of the LV) in 57% of attempts. Thus our branch pattern probability-assisted method permits routine creation of small infarcts of uniform size in the mouse.heart; anatomy; method; cardiovascular physiology MYOCARDIAL INFARCTION (MI) resulting from coronary artery thrombosis is often followed by structural remodeling, progressive ventricular dysfunction, and severe heart failure. Animal models of MI have been employed to elucidate pathophysiological and genetic mechanisms of this progressive heart remodeling and failure and to search for therapies to reduce these adverse sequelae. Long-term survival after the creation of an MI is a desirable characteristic of such models, particularly with respect to developing and testing novel therapies for chronic heart failure and/or studying the interaction of post-MI chronic heart failure and aging. The mouse is widely employed in studies of experimental MI, in part because of the ease of genetic manipulation in this species. In nearly all studies reported in mice, the left main descending coronary artery (LMDA) was ligated between the conus arteriosus and the left auricle, resulting usually in large MIs with a short-term survival (e.g., survival Ͼ3 mo is rare). Creation of a more moderately sized and small transmural MI with precision would appear to be tantamount to long-term survival in this model, enabling mechanistic studies of long-term left ventricular (LV) remodeling, contractile dysfunction, and realistic therapeutic trials. However, precise creation of a moderately sized MI of a relatively uniform size has proven to be a formidable task in mice, because branches of the LMDA penetrate the myocardium close to their origin and are not accessible to view; even with the assista...