Artificial Heart Valves: By: Brian Volpe
Artificial Heart Valves: By: Brian Volpe
An artificial heart valve is a mechanism that mimics the function of a human heart valve Its used for patients with a heart valvular disease or have a damaged valve Heart valves are used to provide the heart with a unidirectional blood flow They act as pumps
What is it?
Mechanical- There are three types. The caged ball, tilting disk, and bileaflet Tissue(biological)- valves that are used from animals to implant them back into humans
History
1952- The first ever invented artificial heart valve was designed by Charles A. Hufnagel which was the caged-ball design 1960- On September 21, the first human was implanted with the ball and cage design Binet and associates, started using porcine aortic valves for humans 1969- The Bjork-Shiley valves was the first tiltingdisc design to come out 1979-the beleaflet design was introduced which was composed of two semicircular leaflets that shifted open and closed
All the types of mechanical heart valves are still in use today. Usually made of titanium or carbon which makes them strong and very durable Three types of mechanical heart valves
Using valves from other animals. The procine valve of a pig is the most comparable valve to a human. Xenotransplantation Pericardial valves: Biological valve tissue can be taken from a cow or horses pericardial sac and be sewed to a metal frame.
Advantages
Mechanical heart valves: The biggest advantage is the durability. While the tissue heart valves are estimated to last about 10-15 years, a mechanical heart valve can last 30 year Tissue heart valves: There is minimal blood regurgitation, minimal transvalvular pressure gradient, self repairing. Does not require and anticoagulant drug.
Disadvantages
Mechanical heart valves In order to decrease the risk of blood clotting, the patient must take blood thinners. Some patients can hear their mechanical heart valve open and close. Tissue heart valves Wear, there is a small possibility that the body will reject the valve, inability to implant them into infants and children.
Implanting
Both mechanical and tissue heart valves require open heart surgery Its more common in tissue valves for a reoperation Complete recovery from surgery could be a couple of weeks to several months Currently: 55% mechanical valves 45% tissue valves
Polymeric Heart Valves - Scientists are looking more into polymer materials for heart valves because its easy to fabricate, has a large range of polymer properties, and durability. Tissue engineered heart valves- Obtaining the number of types of cells for tissue valves, lack of scaffold material
Work cited
"Artificial Heart Valve." Wikipedia. Wikimedia Foundation, 16 Sept. 2012. Web. 16 Sept. 2012. <http://en.wikipedia.org/wiki/Artificial_heart_valve>. Fisher, John. Artificial Heart Valve. University of Leeds, assignee. Patent 5500016. 19 Mar. 1996. Print. Kidane, Asmeret G. "Current Developments and Future Prospects for Heart Valve Replacement Therapy." Wiley Online Library (n.d.): n. pag. Http://onlinelibrary.wiley.com/doi/10.1002/jbm.b.31151/full. 9 July 2008. Web. 19 Sept. 2012. <http://onlinelibrary.wiley.com/doi/10.1002/jbm.b.31151/full>. "Mechanical Heart Valve Replacement Devices." Mechanical Heart Valves. N.p., n.d. Web. 19 Sept. 2012. <http://www.heart-valve-surgery.com/mechanical-prosthetic-heart-valve.php>. Oakley, Reida E., Peter Kleine, and David Bach. "Choice of Prosthetic Heart Valve in Todays Practice." American Heart Association (2008): n. pag. American Heart Association. Circulation. Web. 16 Sept. 2012. <http://circ.ahajournals.org/content/117/2/253.full>. Peck, Peggy. "Replacement Heart Valves Built to Last, and Even Grow." WebMD. WebMD, n.d. Web. 16 Sept. 2012. <http://www.webmd.com/heart-disease/news/20000804/replacement-heart-valves-built-to-last-even-grow?page=2>. "Pericardial Heart Valves." Wikipedia. Wikimedia Foundation, 04 Jan. 2012. Web. 19 Sept. 2012. <http://en.wikipedia.org/wiki/Pericardial_heart_valves>. "Pericardial Heart Valves." Wikipedia. Wikimedia Foundation, 04 Jan. 2012. Web. 19 Sept. 2012. <http://en.wikipedia.org/wiki/Pericardial_heart_valves>. Pick, Adam. "Porcine Valves What Is A Porcine Heart Valve Replacement?" Porcine Valves What Is A Porcine Heart Valve Replacement? N.p., 27 Aug. 2007. Web. 19 Sept. 2012. <http://www.heart-valvesurgery.com/heart-surgery-blog/2007/08/27/porcine-valve/>. Pick, Adam. "Porcine Valves What Is A Porcine Heart Valve Replacement?" Porcine Valves What Is A Porcine Heart Valve Replacement? N.p., 27 Aug. 2007. Web. 19 Sept. 2012. <http://www.heart-valvesurgery.com/heart-surgery-blog/2007/08/27/porcine-valve/>. "Prosthetic Heart Valve." Prosthetic Heart Valve. AHA, 7 June 2011. Web. 16 Sept. 2012. <http://circ.ahajournals.org/content/123/22/2602/F3.expansion.html>. "Types of Artificial Heart Valves." Central Florida Hospitals. N.p., n.d. Web. 16 Sept. 2012. <http://www.cfhalliance.org/allianceheart/HeartValve-Artificial.html>.