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Experimental study of freehand cryopreserved mitral homograft

Research Project

Project/Area Number 08457354
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Thoracic surgery
Research InstitutionKansai Medical University

Principal Investigator

IMAMURA Hiroji  Kansai Medical University, Dept.of Thorac.and Cardiovasc.Surg., prof., 医学部, 教授 (10118911)

Co-Investigator(Kenkyū-buntansha) OSAKO Motohiko  Kansai Medical University, Dept.of Thorac.and Cardiovasc.Surg., asst.prof., 医学部, 助手 (90223784)
OTANI Hajime  Kansai Medical University, Dept.of Thorac.and Cardiovasc.Surg., asst.prof., 医学部, 講師 (60168979)
Project Period (FY) 1996 – 1998
Project Status Completed (Fiscal Year 1998)
Budget Amount *help
¥3,300,000 (Direct Cost: ¥3,300,000)
Fiscal Year 1998: ¥1,900,000 (Direct Cost: ¥1,900,000)
Fiscal Year 1997: ¥1,400,000 (Direct Cost: ¥1,400,000)
Keywordsmitral valve / homograft / valve plasty / cryopreservation
Research Abstract

Objection : Cry opreserved allografts have been utilized as alternatives for aortic and pulmonary valvular prosthesis with satisfactory results. However, allogarfts in the mitral position has not been popular because of dificulty in placing mitral allograft in proper position due to complexed anatomy of subvalvular apparatus. We have, therefore, investigated the feasibility of freehand cryopreserved allograft in the mitral position in pigs.
Methods : Hole cry op reserved mitral valvular allografts with papillary muscle, chordae, and leaflets from donor pigs were implanted to the mitral position of recipient pigs under cardiopolmonary bypass. Post-implantation hemodynamics and valvular function were evaluated by measuring arterial pressure (AP), left ventricular end diastoric pressure (LVEDP), and left atrial pressure (LAP) and by evalurating two-dimensional echocardiography. Pathohistological evaluation of allografts after cry opreservation and operation were performed by light microscopy.
Results : Hemodynamic data were shown as follows : AP ; 124*6mmHg, LVEDP 7*1 mmHg, LAP ; 8*2mmHg. Echocardiography showed the satisfactory opening of the mitral valve in diastole and the good leaflet coaptation in systole. Light microscopic examination of allografts after cry opreservation and operation showed almost normal structure. Adventital inflammatory change in the papillary muscle after operation was not observed.
Conclusions : Acute hemodynamic function of freehand cryopreserved allografts replacement in the mitral position in pig was acceptable.

Report

(4 results)
  • 1998 Annual Research Report   Final Research Report Summary
  • 1997 Annual Research Report
  • 1996 Annual Research Report
  • Research Products

    (14 results)

All Other

All Publications (14 results)

  • [Publications] 大迫 茂登彦: "僧帽弁用homograftに関する実験的研究" 第3回 日本凍結保存胸部組織移植研究会 抄録集. 6 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] 大迫 茂登彦: "僧帽弁用freehand cryopreserved allograftの血行動態的評価" 第4回 日本凍結保存胸部組織移植研究会 抄録集. 10 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] 今村 洋二: "僧帽弁用freehand cryopreserved allograftの開発に関する実験的研究" 第99回 日本外科学会 総会号. 206 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Motohiko OSAKO: "Freehand cryopreserved mitral allograft replacement in pig" Inter national Society of Cardio Thoracic Surgeons The XIIth Annual meeting : July 8-9 1999.

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Rastelli GC,Berghuis J,Swan HJC: "Evaluation of function of mitral valve after homoptransplantation in the dog" J Thorac Cardiovasc Surg. 49. 459-74 (1965)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Yacoub MH,Kittle CF: "A new thchnique for replacement of the mitral valve by a semilur valve homograft" J Thorac Cardiovasc Surg. 58. 859-69 (1969)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Yankah AC,Sievers HH,Lange PE,Bernhard A: "Clinical report on stentless mitral allografts" J Heart Valve Dis. 4. 40-4 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Sievers HH,Lange PE,Yankah AC,Wessel A,Bernhard A: "Allogeneous transplantation of the mitral valve.An open question" Thorac Cardiovasc Surg. 33. 227-9 (1985)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Acar C,Gaer J,Chauvaud S,Carpentier A: "Technique of homograft replacement of the mitral valve" J Heart Valve Dis. 4. 31-4 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Acar C,Tolan M,Berrebi A,Gaer J,Gouezo R,Marchix T,Gerota J,Chauvaud S,Fabiani JN,Deloche A: "Carpentier.Homograft replacement of the mitral valve.Graft selection, technique of implantation, and results in forty-three patients" J Thorac Cardiovasc Surg. 111. 367-80 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Tamura K,Jones M,Yamada I,Ferrans VJ: "A comparison of failure modes of glutaraldehyde-treated versus antibiotic-preserved mitral allografts implantation in sheep" J Thorac Cardiovasc Surg. 110. 224-38 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Vetter H,Nerlich A,Welsh U,Liao K,DaggeA,Strenkert C,Reichart B.: "Total replacement of the mitral apparatus with a stentless, chordally supported mitral valve allograft : an experimental study" J Thorac Cardiovasc Surg. 111. 595-604 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] 大迫 茂登彦: "僧帽弁用freehand cryopreserved allograftの血行動態的評価" 第4回 日本凍結保存胸部組織移植研究会 抄録集. 10 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 今村 洋二: "僧帽弁用freehand cryopreserved allograftの開発に関する実験的研究" 第99回 日本外科学会 総会号. 206 (1999)

    • Related Report
      1998 Annual Research Report

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Published: 1997-04-01   Modified: 2016-04-21  

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