Library Subscription: Guest
Journal of Long-Term Effects of Medical Implants

Published 4 issues per year

ISSN Print: 1050-6934

ISSN Online: 1940-4379

SJR: 0.184 SNIP: 0.485 CiteScore™:: 1.1 H-Index: 39

Indexed in

Cuspal Dehiscence at a Post and Along the Stent Cloth in a Bovine Pericardium Heart Valve Implanted for Seven Years

Volume 22, Issue 2, 2012, pp. 95-111
DOI: 10.1615/JLongTermEffMedImplants.v22.i2.10
Get accessGet access

ABSTRACT

A failing mitral valve prosthesis made from bovine pericardium was explanted from a 50-year-old patient. Preoperative transthoracic–echocardiography had confirmed severe mitral regurgitation due to structural failure of this HP Bio bovine pericardium heart valve prosthesis. The explanted device was examined macroscopically, by scanning electron microscopy (SEM), by light microscopy, and by transmission electron microscopy (TEM). Samples of unassembled patches of bovine pericardium were used as a pre-implantation control to better understand the changes that occurred in the structure of the pericardium following the 7 years of implantation. Examination confirmed complete dehiscence of a cusp along a valve post and the stent: This detached cusp was observed floating in the bloodstream at echocardiography. The fibrous pannus overgrowth was well developed along the stent and extended to the bottom of the cusps both on the inflow and the outflow sides. The fibrous panni were found to be poorly adhesive to the pericardium cusps and had become stiff, thus impairing the opening and closure of the valve. The structure of the pericardium cusps was severely deteriorated compared to the control bovine pericardium tissue samples. The collagen bundles were frequently broken and more stretched in the explanted device, lacking the wavy histological pattern of normal collagen fibers. However, the tissues were devoid of any calcification. In conclusion, the failure mode of this valve was the dehiscence of a cusp from a valve post and along the stent cloth in the absence calcification.

CITED BY
  1. Mao J., Wang Y., Philippe E., Cianciulli T., Vesely I., How D., Bourget J.-M., Germain L., Zhang Z., Guidoin R., Microstructural alterations owing to handling of bovine pericardium to manufacture bioprosthetic heart valves: A potential risk for cusp dehiscence, Morphologie, 101, 333, 2017. Crossref

  2. Mao Jifu, Rassoli Aisa, Tong Yiwei, Rouse Elizabeth Nicole, Le‐Bel Gaёtan, How Daniel, Germain Lucie, Fatouraee Nasser, Zhang Ze, Reed Robert R., Guidoin Robert, Donkey pericardium compares favorably with commercial xenopericardia used in the manufacture of transcatheter heart valves, Artificial Organs, 43, 10, 2019. Crossref

  3. Rassoli Aisa, Fatouraee Nasser, Guidoin Robert, Zhang Ze, Comparison of tensile properties of xenopericardium from three animal species and finite element analysis for bioprosthetic heart valve tissue, Artificial Organs, 44, 3, 2020. Crossref

  4. Zhao Long-Mei, Wang Long, Zhang Wen-Qian, Wang Rui, Zhang Xiu-Zhen, Lei Xiong-Xin, Liang Yan, Song Yu-Ting, Zhang Qing-Yi, Lin Ke, Xie Hui-Qi, Promotion of right ventricular outflow tract reconstruction using a novel cardiac patch incorporated with hypoxia-pretreated urine-derived stem cells, Bioactive Materials, 14, 2022. Crossref

  5. Rassoli Aisa, Fatouraee Nasser, Guidoin Robert, Zhang Ze, Ravaghi Saba, A comparative study of different tissue materials for bioprosthetic aortic valves using experimental assays and finite element analysis, Computer Methods and Programs in Biomedicine, 220, 2022. Crossref

825 Article views 13 Article downloads Metrics
825 VIEWS 13 DOWNLOADS 5 Crossref CITATIONS Google
Scholar
CITATIONS

Articles with similar content:

Trends in CSF Leakage Associated with Duraplasty in Infratentorial Procedures over the Last 20 Years: A Systematic Review Critical Reviews™ in Biomedical Engineering, Vol.51, 2023, issue 2
Katherine G. Achinger, Lakiesha N. Williams
Persistent Type II Endoleak Unrelated to an Anaconda Aortic Stent Graft Fulfilling the 3Bs Requirements of Biofunctionality, Biodurability, and Biocompatibility Journal of Long-Term Effects of Medical Implants, Vol.18, 2008, issue 3
Xingyi Xie, Robert Guidoin, Randolph Guzman, Tieying Yin, Robert McGregor, Yvan Douville, Martin King, Mahmoud Rouabhia, Georgi R. Marinov, Mark Nutley, Lu Xu, Yahye Merhi, Ze Zhang, Lu Wang, Guixue Wang, Guy Dionne, Stephane Turgeon
Effects of Periosteum Wrapped Around Tendon in a Bone Tunnel: A Biomechanical and Histological Study in Rabbits Critical Reviews™ in Biomedical Engineering, Vol.28, 2000, issue 1&2
Yasuharu Yamada, Tetsuto Sasaki, Kozo Ohtera, Ken-ichi Yamakoshi, Mitsuhiro Aoki
Correlative Experimental Animal and Human Clinical Retrieval Evaluations of Hydroxyapatite (HA)-Coated and Non-Coated Implants in Orthopaedics and Dentistry Critical Reviews™ in Biomedical Engineering, Vol.28, 2000, issue 3&4
David E. Steflik, Raymond Y. Whitehead, Michael D. Wilson, Carlos Jaramillo, Timothy R. Young, R. Scott Corpe
A Floating Thrombus Anchored at the Proximal Anastomosis of a Woven Thoracic Graft Mimicking a Genuine Aortic Dissection Journal of Long-Term Effects of Medical Implants, Vol.25, 2015, issue 3
Olexandr Bondarenko, Robert Guidoin, Randolph Guzman, Lucie Germain, Zaiping Jing, Yvan Douville, Jing Lin, Yijun Fu, Alain Verdant, Ze Zhang, Lu Wang, Olivier Rochette-Drouin, Bing Liu, Bin Li, Jean-Michel Bourget

Forthcoming Articles

Transfer of guided emergence profile developed using customized provisional implant restoration and cementation using an abutment replica technique- A case report. Vinay Sivaswamy, Balaji Anand S D, Jacob Mathew Philip, C J Venkatakrishnan, Narasimman M, Helen Mary Abraham, Pavithra B Marijuana use is Associated with Increased Rates of Hip Dislocation and Lower Insurance Reimbursement among THA Recipients Andrew Recker, Chukwuweike Gwam, Erin Kelly, Scott Douglas, Johannes Plate Surface modification of Mg alloy AZ91D using nanopowder mixed EDM for Biodegradable Implant Alok Kumar, Abhishek Singh The history of orthopedics in the long term: from general medicine to medical specialties Pavlos Altsitzioglou, Ioannis Zafeiris, Fotini Soucacos, Pantelis Limneos, Eleftheria Souliotis, Evanthia Mitsiokapa, Theodosis Saranteas, Andreas Mavrogenis COMPARISON OF ROUGHNESS, WETTABILITY AND SCANNING ELECTRON MICROSCOPY FEATURES BETWEEN SANDBLASTED ACID-ETCHED AND OXIDIZED TITANIUM DENTAL IMPLANTS Kshitiz Chhabra, Arvina Rajasekar CORRELATION BETWEEN PRIMARY STABILITY OF DENTAL IMPLANTS AND BONE DENSITY: A RETROSPECTIVE ANALYSIS Padmaja S, Arvina Rajasekar C-Reactive Protein and Erythrocyte Sedimentation Rates after total and unicompartmental knee arthroplasty - less implant equals quicker normalization Kasım Kılıçarslan, Ömer Faruk Naldöven, Enejd Veizi, Şahan Güven, Şahin Çepni, Ahmet Fırat COMPLICATIONS FOLLOWING SHORT FEMORAL NAIL FIXATION FOR INTETROCHANTERIC HIP FRACTURES. A RETROSPECTIVE STUDY Anastasia Vasilopoulou, Antonios Trichonas, Konstantinos Palaiologos, Emmanouel Antonogiannakis, Christos Nikakis, Stavros Angelis, Spyridon Maris, Christos Grekas , Efthimios Karadimas, Alexandros Apostolopoulos FEA: Connector Designs and Pontic Stress Distribution of Fixed Partial Denture Implant-Supported Metal Framework Saja Muhsin, Enas Mohammed, Khalid Bander Design and Frequency Stability Analysis of an Adaptive Neuro-Fuzzy Inference System based Artificial Pacemaker Controller in MATLAB Nader Jafarnia Dabanloo, Asghar Dabiriaghdam, Fereidoon Nooshirvan Rahatabad, Keivan Maghooli Complications following intraosseous injections of calcium phosphate bone cement in Subchondroplasty. Christos Zachariadis, Helen Leligou, Stauros Kourkoulis, Evaggelos Magnisalis, Panayiotis Papagelopoulos, Olga Savvidou The Impact of Patient Characteristics on Outcomes of Surgically Managed Vertebral Osteomyelitis in the United States: Insights from a National Database Study Jennifer Kurowicki, Stuart Changoor, Daniel Coban, Neil Patel, Kumar Sinha, Ki Hwang, Arash Emami ASSOCIATION OF AGE, GENDER AND SITE OF IMPLANT PLACEMENT - AN INSTITUTION BASED RETROSPECTIVE STUDY Harini Sri, Nabeel Ahmed, Keerthi Shasanka
Begell Digital Portal Begell Digital Library eBooks Journals References & Proceedings Research Collections Prices and Subscription Policies Begell House Contact Us Language English 中文 Русский Português German French Spain