On the way to the Optimal Design of an Aortic Heart Valve -or- Discovering the Obvious?

Author(s):  
Albert Ryszard Liberski ◽  
Radoslaw Kot
2010 ◽  
Vol 58 (S 01) ◽  
Author(s):  
H Schröfel ◽  
G Schymik ◽  
A Würth ◽  
V Elsner ◽  
BD Gonska ◽  
...  

2021 ◽  
Vol 12 (1) ◽  
pp. 20
Author(s):  
Rabia Nazir ◽  
Arne Bruyneel ◽  
Carolyn Carr ◽  
Jan Czernuszka

In addition to biocompatibility, an ideal scaffold for the regeneration of valvular tissue should also replicate the natural heart valve extracellular matrix (ECM) in terms of biomechanical properties and structural stability. In our previous paper, we demonstrated the development of collagen type I and hyaluronic acid (HA)-based scaffolds with interlaced microstructure. Such hybrid scaffolds were found to be compatible with cardiosphere-derived cells (CDCs) to potentially regenerate the diseased aortic heart valve. This paper focused on the quantification of the effect of crosslinking density on the mechanical properties under dry and wet conditions as well as degradation resistance. Elastic moduli increased with increasing crosslinking densities, in the dry and wet state, for parent networks, whereas those of interlaced scaffolds were higher than either network alone. Compressive and storage moduli ranged from 35 ± 5 to 95 ± 5 kPa and 16 ± 2 kPa to 113 ± 6 kPa, respectively, in the dry state. Storage moduli, in the dry state, matched and exceeded those of human aortic valve leaflets (HAVL). Similarly, degradation resistance increased with increasing the crosslinking densities for collagen-only and HA-only scaffolds. Interlaced scaffolds showed partial degradation in the presence of either collagenase or hyaluronidase as compared to when exposed to both enzymes together. These results agree with our previous findings that interlaced scaffolds were composed of independent collagen and HA networks without crosslinking between them. Thus, collagen/HA interlaced scaffolds have the potential to fill in the niche for designing an ideal tissue engineered heart valve (TEHV).


2015 ◽  
Vol 137 (5) ◽  
Author(s):  
Oleksandr Barannyk ◽  
Peter Oshkai

In this paper, performance of aortic heart valve prosthesis in different geometries of the aortic root is investigated experimentally. The objective of this investigation is to establish a set of parameters, which are associated with abnormal flow patterns due to the flow through a prosthetic heart valve implanted in the patients that had certain types of valve diseases prior to the valve replacement. Specific valve diseases were classified into two clinical categories and were correlated with the corresponding changes in aortic root geometry while keeping the aortic base diameter fixed. These categories correspond to aortic valve stenosis and aortic valve insufficiency. The control case that corresponds to the aortic root of a patient without valve disease was used as a reference. Experiments were performed at test conditions corresponding to 70 beats/min, 5.5 L/min target cardiac output, and a mean aortic pressure of 100 mmHg. By varying the aortic root geometry, while keeping the diameter of the orifice constant, it was possible to investigate corresponding changes in the levels of Reynolds shear stress and establish the possibility of platelet activation and, as a result of that, the formation of blood clots.


2019 ◽  
Vol 20 (6) ◽  
pp. 468-474 ◽  
Author(s):  
S. Chiu Wong ◽  
Ilhwan Yeo ◽  
Geoffrey Bergman ◽  
Dmitriy N. Feldman ◽  
Harsimran Singh ◽  
...  

2016 ◽  
Vol 102 (1) ◽  
pp. 48-54 ◽  
Author(s):  
Laura C. Guglielmetti ◽  
Robert Sorabella ◽  
Codruta Chiuzan ◽  
Marc Najjar ◽  
Estibaliz Castillero ◽  
...  

1988 ◽  
Vol 96 (6) ◽  
pp. 952-961 ◽  
Author(s):  
Erwin Knott ◽  
Helmut Reul ◽  
Martin Knoch ◽  
Ulrich Steinseifer ◽  
Günter Rau

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