IMPROVED ENDOTHELIAL VIABILITY OF HEART-VALVES CRYOPRESERVED BY A NEW TECHNIQUE

被引:8
作者
FENG, XJ [1 ]
VANHOVE, CE [1 ]
MOHAN, R [1 ]
ANDRIES, L [1 ]
RAMPART, M [1 ]
HERMAN, AG [1 ]
WALTER, PJ [1 ]
机构
[1] UNIV HOSP ANTWERP,DEPT CARDIAC SURG,WILRIJKSTR 10,B-2650 EDEGEM,BELGIUM
关键词
AORTIC VALVE; HOMOGRAFT; PROSTACYCLIN; ENDOTHELIAL CELL; VIABILITY;
D O I
10.1016/1010-7940(92)90107-9
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The aim of this study was to compare different techniques of aortic valve cryopreservation by studying the viability of the endothelial cells. Viability was assessed by measuring their in vitro prostacyclin (PGI2) production under basal and stimulated conditions. Fresh and cryopreserved porcine valves were incubated at 37-degrees-C in tissue culture medium and PGI2 content in the medium was measured every 15 min up to 300 min. Cryopreservation by the older procedure A included 5% fetal calf serum (FCS) in the preservation medium, a plastic box inside a freezing plastic bag, a cooling schedule approximating -2-degrees-C/min, a long thawing time and few dilution steps of the cryoprotectant dimethylsulphoxide (DMSO). The newer procedure B differed from A in packaging, freezing and thawing rates and DMSO dilution. Procedure C was similar to B with the exception that FCS was omitted. Leaflets preserved by procedure A produced significantly less prostacyclin as compared to those treated according to procedures B or C. We conclude that minor differences in the cryopreservation method can become critical to endothelial functional viability.
引用
收藏
页码:251 / 255
页数:5
相关论文
共 36 条
[1]  
Ager A., Gordon J.L., Differential effects of hydrogen peroxide on indices of endothelial cell function, J Exp Med, 159, pp. 592-603, (1984)
[2]  
Al-Janabi N., Ross D.N., Enhanced viability of fresh aortic homografts stored in nutrient medium, Cardiovasc Res, 7, pp. 817-822, (1973)
[3]  
Angell J.D., Christopher B.S., Hawtrey O., Angell W.M., A fresh viable human heart valve bank: Sterilization, sterility and cryogenic preservation, Transplant Proc, 8, pp. 139-147, (1976)
[4]  
Angell W.W., Buch W.S., Shumway N.E., The viable aortic homograft, Biological tissue in heart valve replacement, pp. 383-397, (1972)
[5]  
Balch C.M., Karp R.B., Blood group compatibility and aortic valve allotransplantation in man, J Thorac Cardiovasc Surg, 70, pp. 256-259, (1975)
[6]  
Barratt-Boyes B.G., Roche A.H.G., A review of aortic valve homografts over a six and one-half year period, Ann Surg, 170, pp. 483-492, (1969)
[7]  
Barratt-Boyes B.G., Roche A.H.G., Subramanyan R., Pemberton J.R., Whitlock R.M.L., Long term follow-up of patients with the antibiotic sterilized aortic homograft valve inserted free hand in the aortic position, Circulation, 75, pp. 768-777, (1987)
[8]  
Baue A.E., Donawick D.V.M., Blakemore W.S., The immunological response to heterotopic allovital aortic valve transplants in presensitized and nonsensitized recipients, J Thorac Cardiovasc Surg, 56, pp. 775-789, (1968)
[9]  
Bodnar E., Matsuki O., Parker R., Ross D.N., Viable and nonviable aortic homografts in the subcoronary position: A comparative study, Ann Thorac Surg, 47, pp. 799-805, (1989)
[10]  
Bodnar E., Olsen E.G.J., Florio R., Guerreiro D., Ross D.N., Heterologous antigenicity induced in human aortic homografts during preservation, Eur J Cardiothorac Surg, 2, pp. 43-47, (1988)