[A new approach to the creation of heart valve xenograft bioprostheses resistant to calcification].

Grudnaia khirurgiia (Moscow, Russia) Pub Date : 1989-09-01
I Iu Zhuravleva, N B Dobrova, S P Novikova, G M Derkach, L D Kosterina
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引用次数: 0

Abstract

The calcium binding activity of xenograft tissue in stages of modification with papain, diphosphonates, and heparin was studied on a model of accelerated calcification in subcutaneous implantation of cusps of pig's aortic bioprostheses to 42 rats. In immobilization of 3-amino-1-oxypropylidendiphosphonic acid and xydiphon the amount of calcium in the implants reduced 50 times as compared to the control. The first stage of ion-covalent heparin immobilization--treatment with albumin--increased the calcium-binding activity of the biomaterial, but subsequent heparinization reduced again the calcium content in the cusp tissue to the level attained in the stage of diphosphonate immobilization. The results of the chemical analysis correlated with the findings of morphological examination. Besides, the new method of treatment made it possible to increase the strength of the biological tissue by 20%. This method of storage of bioprostheses is promising for clinical approbation.

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[创造抗钙化心脏瓣膜异种移植生物假体的新方法]。
在42只大鼠皮下植入猪主动脉瓣尖加速钙化模型上,研究了木瓜蛋白酶、二膦酸盐和肝素修饰不同阶段异种移植组织的钙结合活性。用3-氨基-1-氧丙基二膦酸和xydiphon固定后,种植体中钙的含量比对照减少了50倍。离子共价肝素固定的第一阶段——白蛋白处理——增加了生物材料的钙结合活性,但随后的肝素化再次降低了尖端组织中的钙含量,达到了二磷酸盐固定阶段的水平。化学分析结果与形态检查结果相吻合。此外,新的治疗方法使生物组织的强度增加了20%。这种生物假体的储存方法具有临床应用前景。
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[MEDIASTINAL LEIOMYOMA]. [Surgical treatment of mitral stenosis complicated by massive thrombosis of the left atrium]. [Development of clinical physiology in heart surgery]. [Central hemodynamics during correction of acquired aortic defects without artificial blood circulation]. [Angiocardiographic and echocardiographic diagnosis of complete transposition of great vessels in association with pathology of the aorta].
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