Abstract
As outlined in Chapter 1 definite advantages were realized with the use of “fresh” wet-stored antibiotic-sterilized human homograft valves for the reconstruction of left and right ventricular outflow tracts. However, problems with availability and lack of certainty concerning preservation and storage techniques limited their widespread use. The combination of their resistance to infection, excellent hydraulic function, absence of need for anticoagulation, and versatility in difficult outflow reconstructions made them optimal choices for many categories of patients— beyond the single issue of durability. The durability of the nonviable but gently preserved homografts was certainly as good as xenografts in adults and even better than xenografts in children. If durability could be improved, a homo- graft would combine the superior attributes of xenografts with the superior attributes of mechanical prostheses and thus be the valve of choice.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Similar content being viewed by others
References
O’Brien MF, Stafford EG, Gardner MAH, et al: The viable cryopreserved allograft aortic valve. J Cardiac Surg 2 (suppl): 153–167, 1987.
Barratt-Boyes BG: Long-term follow-up of aortic valvar grafts. B Heart J 33 (suppl): 60–65, 1971.
Kosek JC, Iben AB, Shumway NE, et al: Morphology of fresh heart valve homografts. Surgery 66: 269–277, 1969.
O’Brien MF, Stafford EG, Gardner MAH, et al: A comparison of aortic valve replacement with viable cryopreserved and fresh allograft valves with a note on chromosomal studies. J Thorac Cardiovasc Surg 94: 812–823, 1987.
Thompson R, Yacoub M, Ahmed M, et al: The use of “fresh” unstented homograft valves for re-placement of the aortic valve. J Thorac Cardiovasc Surg 79: 896–903, 1980.
Thompson R, Yacoub M, Seabra-Gomes R, et al: Influence of preoperative left ventricular func-tion on results of homograft replacement of aortic valve for aortic regurgitation. J Thorac Cardiovasc Surg 77: 411–421, 1979.
Thompson R, Yacoub MH, Ahmed M, et al: Influence of preoperative left ventricular function on results of homograft replacement of the aortic valve for aortic stenosis. Am J Cardiol 43: 929, 1979.
Ross D, Yacoub MH: Homograft replacement of the aortic valve: a critical review. Prog Cardiovasc Dis 11: 275–293, 1969.
Jonas RA, Freed MD, Mayer JE Jr, Castaneda AR: Long-term follow-up of patients with syn-thetic right heart conduits. Circulation 72(suppl II): II77–II83, 1985.
Angell WW, Angell JD, Oury JH, et al: Long- term follow-up of viable frozen aortic homografts: a viable homograft valve bank. J Thorac Cardiovasc Surg 93: 815–822, 1987.
O’Brien MF, Stafford G, Gardner M, et al: The viable cryopreserved allograft aortic valve. J Cardiac Surg 2 (suppl 1): 153–167, 1987.
Kirklin JW, Barratt-Boyes BG: Cardiac Surgery, New York: Wiley, 1986, pp. 409–412.
Matsuki O, Okita Y, Almeida RS, McGoldrick JP, Hooper TL, Robles A, Ross DN. Two decades’ experience with aortic valve replacement with pulmonary autograft.
J. Thorac Cardiovasc Surg 95:705–711, 1988. O’Brien MF, Stafford EG, Gardner AH, PohlnerP, McGiffin DC, Johnston N, Tesar P, Brosnan A, Duffy P. Cryopreserved viable allograft valves in Yonkah AC, Hetzer R, Miller DC, et al (eds) Cardiac Valve Allografts 1962-1987. New York: Springer Verlag 1988, pp 311–321.
Livi U, Abdulla AK, Parker R, et al: Viability and morphology of aortic and pulmonary homo- grafts. J Thorac Cardiovasc Surg 93: 755–760, 1987.
Borkon AM, Soule LM, Baughman KL, et al: Comparative analysis of mechanical and bio-prosthetic valves after aortic valve replacement. J Thorac Cardiovasc Surg 94: 20–33, 1987.
Hammond GL, Geha AS, Kopf GS, Hashim SW: Biological versus mechanical valves: analysis of 1,116 valves inserted in 1,012 adult patients with a 4,818 patient-year and a 5.327 valve-year follow- up. J Thorac Cardiovasc Surg 93: 182–198, 1987.
Oyer PE, Stinson EB, Griepp RB, Shumway NE: Valve replacement with Starr-Edwards and Han¬cock prosthesis: comparative analysis of late morbidity and mortality. Ann Surg 186: 301–309, 1977.
Fontan F, Choussat A, Deville C, et al: Aortic valve homografts in surgical treatment of complex cardiac malformations. J Thorac Cardiovasc Surg 87: 649–657, 1984.
Shabbo FB, Wain WH, Ross DN. Right ventricular outflow reconstructions with aortic homograft: analysis of long-term results. Thorac Cardiovasc Surg 29: 21–27, 1981.
Saravalli O, Somerville J, Jefferson KE: Calcification of aortic homografts used for reconstruction of the right ventricular outflow tract. J Thorac Cardiovasc Surg 80: 909–920, 1980.
DiCarlo D, Stark J, Revignas A, DeLeval MR: Conduits containing antibiotic preserved homografts in the treatment of complex congenital heart defects. In Cohn LH, Gallucci V (eds): Cardiac Bioprostheses. New York: Yorke, 1982, pp. 259–265.
Kay PH, Ross DN: Fifteen years’ experience with the aortic homograft; the conduit of choice for right ventricular outflow tract reconstructions. Ann Thorac Surg 40: 360–364, 1985.
Danielson DK Jr: Discussion of Kay PH, Ross DN: Fifteen years experience with aortic homo- graft: the conduit of choice for right ventricular outflow tract reconstructions. Ann Thorac Surg 40: 360–364, 1985.
Kirklin JW, Blackstone EH, Maehara T, et al: Intermediate-term fate of cryopreserved allograft and xenograft valved conduits. Ann Thorac Surg 44: 598–606, 1987.
Boyce SW, Turley K, Yee ES, et al: The fate of the 12 mm porcine valved conduit from the right ventricle to the pulmonary artery. J Thorac Cardiovasc Surg 95: 201–207, 1988.
McGrath LB, Gonzalez-Lavin L, Graf D: Pulmonary homograft implantation for ventricular outflow tract reconstruction: early phase results. Ann Thorac Surg 45: 273–277, 1988.
Ebert PA: Second operations for pulmonary stenosis or insufficiency after repair of tetralogy of Fallot. Am J Cardio 50: 637–640, 1982.
Ebert PA: Second operations for pulmonary stenosis or insufficiency after repair of tetralogy of Fallot. In Engle MA, Perloff JK (eds): Congenital Heart Disease After Surgery: Benefits, Residua, Sequela. New York: Yorke, 1983, pp. 202–209.
Iyer KS, Reddy KS, Rao IM, et al: Valve replacement in children under twenty years of age. J Thorac Cardiovasc Surg 88: 217–224, 1984.
Williams DB, Danielson GK, McGoon DC, et al: Porcine heterograft valve replacement in children. J Thorac Cardiovasc Surg 84: 446–450, 1982.
Williams WG, Pollock JC, Geiss DM, et al: Experience with aortic and mitral valve replacement in children. J Thorac Cardiovasc Surg 81: 326–333, 1981.
Makhlouf AE, Friedli B, Oberhansli I, et al: Prosthetic heart valve replacement in children. J Thorac Cardiovasc Surg 93: 80–85, 1987.
Edmonds LH: Thrombotic and bleeding complications of prosthetic heart valves. Ann Thorac Surg 44: 430–445, 1987.
Robbins RC, Bowman FO Jr, Malm JR: Cardiac valve replacement in children: a twenty year series. Ann Thorac Surg 45: 56–61, 1988.
Ilbawi MN, Idriss FS, DeLeon SY, et al: Valve replacement in children: guidlelines for selection of prosthesis and timing of surgical intervention. Ann Thorac Surg 44: 398–403, 1987.
Ilbawi MN, Idriss FS, DeLeon SY, et al: Valve replacement in children: guidlelines for selection of prosthesis and timing of surgical intervention. Ann Thorac Surg 44: 398–403, 1987.
Pass HI, Sade RM, Crawford FA, Hohn AR: Cardiac valve prostheses in children without anticoagulation. J Thorac Cardiovasc Surg 87: 832–835, 1984.
Kessler DA, Pape SM, Sundwall DN: The federal regulation of medical devices. N Engl J Med 317: 357–366, 1987.
Penta A, Qureshi S, Radley Smith R, Yacoub MH: Patient status 10 or more years after “fresh” homograft replacement of the aortic valve.
Barratt-Boyes BG, Roche AHG, Subramanyan R, et al: Long-term follow-up of patients with the antibiotic-sterilized aortic homograft valve inserted freehand in the aortic position. Circulation 75: 768–777, 1987.
Rights and permissions
Copyright information
© 1989 Springer-Verlag New York Inc.
About this chapter
Cite this chapter
Hopkins, R.A. (1989). Rationale for Use of Cryopreserved Allograft Tissues for Cardiac Reconstructions. In: Cardiac Reconstructions with Allograft Valves. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-3568-2_2
Download citation
DOI: https://doi.org/10.1007/978-1-4612-3568-2_2
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4612-8159-7
Online ISBN: 978-1-4612-3568-2
eBook Packages: Springer Book Archive