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Full-Text Articles in Biomedical Engineering and Bioengineering
Vena Cava As An Alternative To Pericardium In Bioprosthetic Percutaneous Heart Valves, Amy Munnelly
Vena Cava As An Alternative To Pericardium In Bioprosthetic Percutaneous Heart Valves, Amy Munnelly
All Theses
Valve disease is a specialized form of cardiovascular disease that specifically affects the heart valves. Heart valves serve the vital function of maintaining unidirectional blood flow through the chambers of the heart during the cardiac cycle; however, as valve disease progresses, this function can become severely compromised [1]. Currently, the only cure for valve disease is to replace the defective valve with an engineered substitute. Each year, over 300,000 heart valve replacement surgeries are performed worldwide [2], and this number is expected to continue growing as life expectancies increase [3].
In the United States, the most common form of valve …
Neomycin Enhances Glutaraldehyde Crosslinking And Glycosaminoglycan Stability In Bioprosthetic Heart Valves, Vincent Friebe
Neomycin Enhances Glutaraldehyde Crosslinking And Glycosaminoglycan Stability In Bioprosthetic Heart Valves, Vincent Friebe
All Theses
The native heart valve will open and close an astonishing 3 billion times in the average lifetime, implicating immense biomechanical ramifications that necessitate near-flawless structure and functional behavior. Deviations from this idyllic function as a result of heart valve disease (HVD) affect millions of individuals worldwide and result in over 275,000 heart valve replacements worldwide every year. Glutaraldehyde (GLUT) cross-linked porcine aortic heart valves, a common type of bioprosthetic heart valve (BHV), are used frequently in these valve replacement surgeries. The native valve leaflets entail a tri-composite design of type I collagen, elastin and glycosaminoglycans (GAGs), each of which are …
Glycosaminoglycan Stabilization Reduces Tissue Buckling In Bioprosthetic Heart Valves, Sagar Shah
Glycosaminoglycan Stabilization Reduces Tissue Buckling In Bioprosthetic Heart Valves, Sagar Shah
All Theses
Currently, bioprosthetic heart valves are crosslinked with glutaraldehyde to prevent tissue degradation and to reduce tissue antigenicity. Glutaraldehyde forms stable crosslinks with collagen via a Schiff base reaction of the aldehyde with an amine group of the hydroxylysine/lysine in collagen. However, within a decade of implantation, 20-30% of these bioprostheses will become dysfunctional and over 50% will fail due to degeneration within 12-15 years post-operatively.
Gylcosaminoglycans, a major constituent of valvular tissue, play an important role in maintaining a hydrated environment necessary for absorbing compressive loads, modulating shear stresses, and resisting tissue buckling. One of the disadvantages of glutaraldehyde crosslinking …