Document Detail

The influence of stenting on the behavior of amino-oleic acid-treated, glutaraldehyde-fixed porcine aortic valves in a sheep model.
MedLine Citation:
PMID:  10947049     Owner:  NLM     Status:  MEDLINE    
BACKGROUND AND AIM OF THE STUDY: The durability of freehand-sewn aortic valve homografts used for valve replacement in humans is greater than for stented aortic homografts. In analogy with this, it is expected that the durability of a stentless heterograft will be superior to that of its stented counterpart. Our objective was to investigate the influence of stenting on amino-oleic acid (AOA)-treated, glutaraldehyde-fixed porcine aortic valve bioprostheses. METHODS: Twelve young sheep underwent implantation of porcine aortic valves in the pulmonary artery: six porcine aortic stentless valves (Freestyle) and six porcine aortic stented valves (Mosaic). In each series, three valves were explanted after three months, and three after six months. Valves were analyzed by gross inspection, radiography, histology, and transmission electron microscopy. Quantitative determination of calcium content was made with atomic absorption spectrometry. RESULTS: The porcine aortic stentless valve showed extensive calcification of its aortic wall portion, but had perfectly functioning, pliable cusps without calcification up to six months. The cusps of porcine aortic stented valves were also pliable and functioning without calcification up to six months. Only minimal calcification was seen in the aortic wall of the stented valves. At six months after implantation the cusps of stentless valves contained significantly less calcium than those of stented valves (2.7+/-1.2 microg/mg and 7.9+/-2.3 microg/mg, respectively; p = 0.011). However, the aortic wall from stentless valves contained significantly more calcium than that of stented valves (three-month explants: 39.2+/-14.4 versus 7.2+/-2.8 microg/mg; p <0.05; six-month explants: 49.3+/-14.0 versus 14.1+/-5.9 microg/mg; p <0.05). CONCLUSION: These data suggest that stenting does influence cuspal calcification of AOA-treated, glutaraldehyde-fixed porcine aortic valves.
S Ozaki; P Herijgers; E Verbeken; A Van Lommel; T Nishida; B Perek; M Zietkiewicz; V Leunens; W Flameng
Related Documents :
15797089 - Aortic valve-sparing procedure with cusp elongation and free edge reinforcement for bic...
16022969 - Direct-access valve replacement a novel approach for off-pump valve implantation using ...
10535829 - The aortic valve with two leaflets--a study in 2,000 autopsies.
21870059 - Resveratrol in the prevention and treatment of coronary artery disease.
17904809 - Rapid progression of aortic wall vegetation.
17669799 - An expanded polytetrafluoroethylene-autologous aortic hybrid valve for right ventricula...
7349009 - Biomechanics of vascular occlusion in neurosurgery.
21459669 - Anomalous systemic arterial supply to normal basal segment of the left lung.
11779009 - Rt-pa thrombolysis in acute thromboembolic upper-extremity arterial occlusion.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of heart valve disease     Volume:  9     ISSN:  0966-8519     ISO Abbreviation:  J. Heart Valve Dis.     Publication Date:  2000 Jul 
Date Detail:
Created Date:  2000-12-19     Completed Date:  2000-12-19     Revised Date:  2006-05-04    
Medline Journal Info:
Nlm Unique ID:  9312096     Medline TA:  J Heart Valve Dis     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  552-9; discussion 559-60     Citation Subset:  IM    
Department of Cardiac Surgery, Katholieke Universiteit Leuven, Belgium.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Amino Acids / pharmacology
Aortic Valve / chemistry,  ultrastructure
Calcium / analysis
Heart Valve Prosthesis*
Heart Valve Prosthesis Implantation
Microscopy, Electron
Oleic Acid / pharmacology
Prosthesis Design
Reg. No./Substance:
0/Amino Acids; 112-80-1/Oleic Acid; 7440-70-2/Calcium

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  The Quattro valve and active infective endocarditis of the mitral valve.
Next Document:  Prevention of glutaraldehyde-fixed bioprosthetic heart valve calcification by alcohol pretreatment: ...