Stentless Valves Treated by the L-Hydro Process in the Aortic Position in Sheep

Calcification of glutaraldehyde-treated bioprosthetic heart valves is a major cause of long-term failure. We studied porcine aortic valves treated by the L-Hydro process and implanted into 14 juvenile sheep (group 1). Another 10 sheep were implanted with glutaraldehyde-treated porcine bioprostheses...

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Veröffentlicht in:Asian cardiovascular & thoracic annals 2007-10, Vol.15 (5), p.413-417
Hauptverfasser: Santos, Paulo C, Gerola, Luis R, Casagrande, Ivan, Buffolo, Enio, Cheung, David T
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container_end_page 417
container_issue 5
container_start_page 413
container_title Asian cardiovascular & thoracic annals
container_volume 15
creator Santos, Paulo C
Gerola, Luis R
Casagrande, Ivan
Buffolo, Enio
Cheung, David T
description Calcification of glutaraldehyde-treated bioprosthetic heart valves is a major cause of long-term failure. We studied porcine aortic valves treated by the L-Hydro process and implanted into 14 juvenile sheep (group 1). Another 10 sheep were implanted with glutaraldehyde-treated porcine bioprostheses (group 2). The animals were sacrificed after 150 days and the explanted valves were analyzed for calcification. Hemodynamic measurements by echocardiography and angiography were carried out prior to sacrifice. Macroscopic analysis showed calcification and loss of mobility of the leaflets in all group 2 implants and in one group 1 implant. Light microscopy showed foci of calcification in all group 2 implants and in 3 valves from group 1. A significant reduction in the level of calcification was found in porcine bioprostheses treated by the L-Hydro process and implanted into the juvenile sheep model.
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We studied porcine aortic valves treated by the L-Hydro process and implanted into 14 juvenile sheep (group 1). Another 10 sheep were implanted with glutaraldehyde-treated porcine bioprostheses (group 2). The animals were sacrificed after 150 days and the explanted valves were analyzed for calcification. Hemodynamic measurements by echocardiography and angiography were carried out prior to sacrifice. Macroscopic analysis showed calcification and loss of mobility of the leaflets in all group 2 implants and in one group 1 implant. Light microscopy showed foci of calcification in all group 2 implants and in 3 valves from group 1. 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subjects Animals
Aortic Valve - pathology
Aortic Valve - physiopathology
Aortic Valve - surgery
Bioprosthesis
Calcinosis - chemically induced
Calcinosis - pathology
Calcinosis - physiopathology
Equipment Failure Analysis
Female
Fixatives - adverse effects
Glutaral - adverse effects
Heart Valve Diseases - chemically induced
Heart Valve Diseases - pathology
Heart Valve Diseases - physiopathology
Heart Valve Prosthesis
Heart Valve Prosthesis Implantation - instrumentation
Hemodynamics
Male
Models, Animal
Prosthesis Design
Prosthesis Failure
Sheep
Tissue Fixation - methods
Treatment Outcome
title Stentless Valves Treated by the L-Hydro Process in the Aortic Position in Sheep
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