A precise radiographic technique for the measurement of dimensional changes in heart valve biomaterials following fixation.

Accurate tissue thickness measurements are difficult to acquire by present techniques. Error is introduced by tissue compression during measurements or by tissue processing prior to measurement. In the field of valve replacement, tissue dimensional changes from fixation prior to implantation may predispose implants to premature tissue failure and it becomes important to have an accurate method for comparing cusp dimensions pre- and post-fixation.

Aortic valve cusp vessel density: relationship with tissue thickness.

Objectives: The presence of a microvasculature within aortic cusps implies that tissue oxygen requirements exceed the amount deliverable by diffusion from the tissue surfaces alone. For the design of a successful tissue-engineered valve replacement, the effect of diffusion distance (tissue thickness) on oxygen delivery must be considered. We therefore examined in normal aortic valve cusps the relationship between the presence of microvessels and the tissue thickness.

Oxygen diffusion and consumption of aortic valve cusps.

To maintain tissue oxygenation, normal aortic valves contain a vascular bed where tissue thickness is greatest. Avascular "living" tissue-engineered heart valves have been proposed, yet little information exists regarding the magnitude of valve tissue metabolic activity or oxygen requirements. We therefore set out to measure the oxygen diffusivity (DO(2)) and oxygen consumption (VO(2)) of seven porcine aortic valve cusps in vitro at 37 degrees C using a chamber with a Clark oxygen sensor.

The aortic valve blood supply.

Background And Aim Of The Study: Normal valves are known to be metabolically active, yet the route of oxygen delivery is unclear. Although diffusion from the valve surface is the presumed source, the presence, distribution and importance of the aortic valve's vascular bed is unclear.

Methods: Seventeen porcine hearts (51 cusps) were obtained at slaughter.