徐驰, 曹燕飞, 陈炜生, 姜淑云, 陈龙, 盛继红, 李慧忠. 非缝合式无支架异种主动脉生物瓣膜的研制[J]. 心脏杂志, 2011, 23(2): 250-254.
    引用本文: 徐驰, 曹燕飞, 陈炜生, 姜淑云, 陈龙, 盛继红, 李慧忠. 非缝合式无支架异种主动脉生物瓣膜的研制[J]. 心脏杂志, 2011, 23(2): 250-254.
    Research on sutureless and stentless heterologous aortic bioprosthesis[J]. Chinese Heart Journal, 2011, 23(2): 250-254.
    Citation: Research on sutureless and stentless heterologous aortic bioprosthesis[J]. Chinese Heart Journal, 2011, 23(2): 250-254.

    非缝合式无支架异种主动脉生物瓣膜的研制

    Research on sutureless and stentless heterologous aortic bioprosthesis

    • 摘要: 目的: 研制新型非缝合式无支架异种主动脉生物瓣膜,在体外对其功能进行初步研究。方法: 将猪主动脉瓣缝合到NiTi形状记忆合金支架上,在离体猪心脏内置入新型瓣膜,肉眼及彩超下观测瓣膜闭合、冠状动脉血流及瓣周漏情况。通过TH-1200型人工心脏瓣膜脉动流测试系统测定25#非缝合式无支架异种主动脉生物瓣膜平均跨瓣压差、返流百分比、瓣膜开口面积。结果: 新型瓣膜能较简单的植入离体猪心脏内。且不同压力(80~250mmHg)下,瓣膜闭合良好,无明显瓣周漏,冠状动脉血流良好;心脏彩超检测瓣周结构与主动脉壁之间可见无回声间隙,无明显的瓣周漏。体外脉动实验提示新型瓣膜与机械瓣膜相比跨瓣压差小,返流少,开口面积大。结论: 该型瓣膜制备相对简单,具有血流动力学良好,跨瓣压小,无需抗凝等优点,可简化手术操作,降低手术难度。

       

      Abstract: AIM: To devise a new sutureless and stentless heterologous aortic bioprosthesis and to test the function of the new valve in vitro. METHODS: The pig aortic valve was sewn in the NiTi shape memory alloy stent and the new valve was then inserted in a pig heart in vitro. Valve closure, coronary blood flow and parabasilar leak were observed by the naked eye and color Doppler ultrasound. New type valves (#25) and mechanical valves (#25) were tested and compared by TH-1200 H.V. Prosthesis Pulsatile Flow Tester in vitro. Mean transvalvular pressure gradient, effective orifice area and regurgitant fraction were also tested. RESULTS: The new sutureless and stentless autologous aortic bioprosthesis was easily inserted into the pig heart in vitro. Between different pressures (80-250 mmHg), the valve closure was good without apparent perivalvular leakage. Coronary blood flow was smooth. The valves had a tight closure, and no apparent parabasilar leak was observed under color Doppler ultrasound. The new-type valves had less mean transvalvular gradient, less regurgitation and more effective orifice area compared with mechanical valves. CONCLUSION: It is relatively easy to make the new valves. Sutureless and stentless heterologous aortic bioprostheses are characterized by excellent hemodynamic flow and lower transvalvular pressure gradient. Their use simplifies the operative process, thus making performance of the procedure easier.

       

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