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J Thorac Cardiovasc Surg 2003;126:2113-2114
© 2003 The American Association for Thoracic Surgery


Letter to the editor

A few critical aspects—and Achilles heels—of tissue engineering approaches to restore injured myocardium

Theo Kofidis, MD, Leora B. Balsam, MD, Robert C. Robbins, MD

Cardiothoracic Surgery/Falk Research Center, Stanford University Medical School, Stanford, CA 94305, USA

The first 20% of the full text of this article appears below.

To the Editor:

We enjoyed reading Osawa and colleagues' article about histologic changes of biomaterials used to repair ventricular heart defects in small animals1 as published in this Journal and also have followed this group's work elsewhere.2 Our own review on the current literature in this area has spawned many questions and suggestions for future study designs.

Most published studies do not present clinically applicable, reparative options. We believe that a critical analysis of these studies with respect to geometry, physiology, and inflammatory and immunologic responsiveness of myocardium will help identify flaws in current study designs and also help define standardized quality criteria to guide future attempts to manufacture implantable myocardium.

Few studies, for instance, have reliably and convincingly . . . [Full Text of this Article]


Related Article

Reply to the Editor
Shafie Fazel, Richard D. Weisel, and Ren-Ke Li
J. Thorac. Cardiovasc. Surg. 2003 126: 2114-2115. [Extract] [Full Text] [PDF]






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