In vitro hemodynamic characteristics of tissue bioprostheses in the aortic position

The in vitro hemodynamic characteristics of a variety of old and new generation porcine and bovine pericardial bioprostheses were investigated in the aortic position under pulsatile flow conditions. The following valves were studied: Carpentier-Edwards porcine (Models 2625 and 2650), Carpentier-Edwards pericardial, Hancock porcine (Models 242, 250, and 410), Hancock pericardial, and Ionescu-Shiley (standard and low-profile) bioprostheses. The pressure drop results indicated that the old design valves had performance indices in the range of 0.30 to 0.42, whereas the new low-pressure fixed designs have performance indices of 0.50 to 0.70. Flow visualization and velocity and turbulent shear stress measurements, conducted with a two-dimensional laser Doppler anemometer system, indicated that all tissue valve designs created jet-type flow fields. The intensity of the jets and turbulence levels were less severe with the new designs. The old designs created higher peak jet velocities and higher levels of turbulent shear stresses. On the whole, pericardial bioprostheses have better in vitro hemodynamic characteristics than porcine bioprostheses. These observations should have applications regarding the clinical choice of bioprosthetic valves and have implications regarding further improvements in the preparation and design of bioprosthetic valves.