| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
The Journal of Thoracic and Cardiovascular Surgery, Vol 94, 367-374, Copyright © 1987 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
DJ Wheatley, J Fisher, IJ Reece, T Spyt and P Breeze
A number of centers have recorded a significant incidence of primary tissue
failure with the standard Ionescu-Shiley pericardial valve. In most cases
severe regurgitation was caused by leaflet tears adjacent to the edge of
the cloth-covered stent. Our early clinical experience (up to 4 years'
follow-up) with two new pericardial valves (Ionescu-Shiley low-profile and
Hancock pericardial valves) has shown that primary tissue failure also
occurs in these new valves. In vitro accelerated fatigue studies on seven
of these valves (size 29 mm) showed that in vitro premature leaflet failure
was caused by abrasion of the leaflet on the cloth-covering at the edge of
the stent. Clinically, endothelialization and host tissue ingrowth on the
cloth and the leaflets at the edge of the frame greatly reduced the amount
of abrasion and the incidence of tissue failure. In seven of the eight
explanted valves studied, leaflet tears occurred at the top of the stent
posts where there was less endothelialization and tissue ingrowth, close to
the points where sutures pass through the leaflets. It is likely that both
abrasion and stress concentration around these sutures contributed to the
tissue failures in the clinical valves.
ARTICLES
Primary tissue failure in pericardial heart valves
This article has been cited by other articles:
|
|
 |
|
  J. Butany, T. Feng, A. Luk, K. Law, R. Suri, and V. Nair Modes of Failure in Explanted Mitroflow Pericardial Valves Ann. Thorac. Surg., November 1, 2011; 92(5): 1621 - 1627. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. P.A. Puvimanasinghe, J. J.M. Takkenberg, M. J.C. Eijkemans, E. W. Steyerberg, L. A. van Herwerden, G. L. Grunkemeier, J. D. F. Habbema, and A. J.J.C. Bogers Prognosis After Aortic Valve Replacement With the Carpentier-Edwards Pericardial Valve: Use of Microsimulation Ann. Thorac. Surg., September 1, 2005; 80(3): 825 - 831. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Takakura, T. Sasaki, K. Hashimoto, T. Hachiya, K. Onoguchi, M. Oshiumi, and S. Takeuchi Hemodynamic evaluation of 19-mm Carpentier-Edwards pericardial bioprosthesis in aortic position Ann. Thorac. Surg., February 1, 2001; 71(2): 609 - 613. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. M. Garcia Paez, A. Carrera, A. Cordon, E. Jorge-Herrero, A. Rocha, J. Salvador, J. Mendez, J. L. Castillo-Olivares, I. Millaan, and N. Sainz Uniaxial and Biaxial Tensile Strength of Calf Pericardium Used in the Construction of Bioprostheses: Biomaterial Selection Criteria J Biomater Appl, July 1, 2000; 15(1): 47 - 64. [Abstract] [PDF]
|
|
|
|
 |
|
 T. Le Tourneau, C. Savoye, E. P. McFadden, D. Grandmougin, H.-F. Carton, J.-L. Hennequin, A. Dubar, G. Fayad, and H. Warembourg Mid-Term Comparative Follow-Up After Aortic Valve Replacement with Carpentier-Edwards and Pericarbon Pericardial Prostheses Circulation, November 9, 1999; 100(90002): II-11 - II-16. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. Gross, P. Simon, M. Grabenwoger, R. Mair, K. Sihorsch, A. Kypta, M. Grimm, and P. Brucke Midterm results after aortic valve replacement with the autologous tissue cardiac valve Eur J Cardiothorac Surg, November 1, 1999; 16(5): 533 - 539. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. M. G. Paez and E. Jorge-Herrero Assessment of Pericardium in Cardiac Bioprostheses: A Review J Biomater Appl, April 1, 1999; 13(4): 351 - 388. [Abstract] [PDF]
|
|
|
|
 |
|
 J. W. Borowiec, T. W. Dubiel, H.-E. Hansson, J. Landelius, S.-O. Nystrom, and J. W. Borowiec Pericarbon Pericardial Valve Prosthesis: Midterm Results of the Aortic Valve Replacement Angiology, January 1, 1998; 49(1): 1 - 11. [Abstract] [PDF]
|
|
|
|
 |
|
 D. M. Cosgrove, B. W. Lytle, P. C. Taylor, M. T. Camacho, R. W. Stewart, P. M. McCarthy, D. P. Miller, M. R. Piedmonte, and F. D. Loop The Carpentier-Edwards pericardial aortic valve: Ten-year results J. Thorac. Cardiovasc. Surg., September 1, 1995; 110(3): 651 - 662. [Abstract] [Full Text]
|
|
|
|
|
|
J. M. Bernal, J. M. Rabasa, R. Lopez, J. Francisco Nistal, R. Muniz, and J. M. Revuelta Durability of the Carpentier-Edwards porcine bioprosthesis: Role of age and valve position Ann. Thorac. Surg., August 1, 1995; 60(suppl_2): S248 - S252. [Abstract] [PDF]
|
|
|
|
|
|
M. Pellerin, S. Mihaileanu, J. Paul Couetil, J. Y. M. Relland, A. Deloche, J.-N. Fabiani, A. Jindani, and A. F. Carpentier Carpentier-edwards pericardial bioprosthesis in aortic position: Long-term follow-up 1980 to 1994 Ann. Thorac. Surg., August 1, 1995; 60(suppl_2): S292 - S296. [Abstract] [PDF]
|
|
|
|
|
|
R. A. Moggio, R. W. Pooley, M. R. Sarabu, J. Christiana, A. W. Ho, and G. E. Reed Experience with the Mitroflow aortic bioprosthesis J. Thorac. Cardiovasc. Surg., August 1, 1994; 108(2): 215 - 220. [Abstract] [Full Text]
|
|
|
|
|
|
S. Gabbay Reply Ann. Thorac. Surg., April 1, 1993; 55(4): 1049 - 1049. [PDF]
|
|
|
|
|
|
V. M. Walley, C. A. Keon, M. Khalili, D. Moher, M. Campagna, and W. J. Keon Ionescu-Shiley valve failure I: Experience with 125 standard-profile explants Ann. Thorac. Surg., July 1, 1992; 54(1): 111 - 116. [Abstract] [PDF]
|
|
|
|
|
|
V. M. Walley, C. A. Keon, M. Khalili, D. Moher, M. Campagna, and W. J. Keon Ionescu-Shiley valve failure II: Experience with 25 low-profile expiants Ann. Thorac. Surg., July 1, 1992; 54(1): 117 - 122. [Abstract] [PDF]
|
|
|
|
|
|
R. W. M. Frater, N. W. Salomon, W. G. Rainer, D. M. Cosgrove III, and E. Wickham The Carpentier-Edwards pericardial aortic valve: Intermediate results Ann. Thorac. Surg., May 1, 1992; 53(5): 764 - 771. [Abstract] [PDF]
|
|
|
|
|
|
K. H. Teoh, J. Ivanov, R. D. Weisel, and The Cardiovascular Surgeons at the Toronto General Determinants of survival and valve failure after mitral valve replacement Ann. Thorac. Surg., April 1, 1990; 49(4): 643 - 648. [Abstract] [PDF]
|
|
|
|
 |
|
 J. Fisher, T. J. Spyt, and D. J. Wheatley Failure and Hydrodynamic Function Testing of Explanted Pericardial and Porcine Bioprosthetic Valves Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine, June 1, 1989; 203(2): 65 - 70. [Abstract] [PDF]
|
|
|
|
|
|
L. C. Pelletier, M. Carrier, Y. Leclerc, G. Lepage, P. deGuise, and I. Dyrda Porcine versus pericardial bioprostheses: A comparison of late results in 1,593 patients Ann. Thorac. Surg., March 1, 1989; 47(3): 352 - 361. [Abstract] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
