Glutaraldehyde-Fixed Bioprosthetic Heart Valve Conduits Calcify and Fail From Xenograft Rejection
Author(s) -
Rizwan A. Manji,
Lin Zhu,
Nimrit K. Nijjar,
David C. Rayner,
Greg Korbutt,
Thomas A. Churchill,
Ray V. Rajotte,
Arvind Koshal,
David B. Ross
Publication year - 2006
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/circulationaha.105.549311
Subject(s) - adventitia , medicine , calcification , inflammation , dystrophic calcification , cellular infiltration , antigenicity , infiltration (hvac) , macrophage , pathology , transplantation , antibody , glutaraldehyde , immunohistochemistry , heart valve , immunology , biology , biochemistry , physics , in vitro , thermodynamics
Glutaraldehyde fixation (G-F) decreases but likely does not eliminate the antigenicity of bioprosthetic heart valves. Rejection (with secondary dystrophic calcification) may be why G-F xenograft valves fail, especially in young patients, who are more immunocompetent than the elderly. Therefore, we sought to determine whether rejection of G-F xenograft occurs and to correlate this with graft calcification.
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