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Related Experiment Videos

Calcification and fatigue failure in a polyurethane heart value

G M Bernacca1, T G Mackay, R Wilkinson

  • 1University Department of Cardiac Surgery, Royal Infirmary, Glasgow, UK.

Biomaterials
|March 1, 1995
PubMed
Summary

Polyurethane heart valves showed slower calcification than bioprosthetic valves in vitro. Material failure regions and polyether soft segments were implicated in the calcification process, with extractables accelerating it.

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Area of Science:

  • Biomaterials Science
  • Polymer Chemistry
  • Cardiovascular Engineering

Background:

  • Bioprosthetic heart valves are prone to calcification, limiting their lifespan.
  • Polyurethanes are explored as alternative materials for prosthetic heart valves due to their tunable properties.

Purpose of the Study:

  • To evaluate the calcification rate and mechanisms of polyurethane-based prosthetic heart valves in a dynamic in vitro system.
  • To compare the calcification resistance of these polyurethane valves against traditional bioprosthetic valves.

Main Methods:

  • Fabrication of prosthetic heart valves from a specific polyurethane formulation (4,4'-diphenylmethane diisocyanate hard segment, butanediol chain-extender, polyether soft segment).
  • Dynamic in vitro testing system to simulate physiological conditions and assess calcification.

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  • Fourier transform infrared (FTIR) spectroscopy to analyze the chemical composition of calcified deposits.
  • Fractionation of the polymer to investigate the role of extractable components.
  • Main Results:

    • Polyurethane heart valves exhibited a significantly slower rate of calcification compared to bioprosthetic heart valves under dynamic in vitro conditions.
    • Calcified deposits were predominantly found at sites of material failure.
    • FTIR analysis revealed direct involvement of the polyether soft segments in the calcification process.
    • Calcification studies on polymer fractions indicated that low molecular weight extractable components act as accelerators for calcification.

    Conclusions:

    • Polyurethane-based prosthetic heart valves demonstrate improved resistance to calcification in vitro compared to bioprosthetic valves.
    • Material degradation and the polyether soft segment are key factors in the calcification of these polyurethane valves.
    • The presence of small molecular weight extractables can accelerate the calcification process, suggesting purification or stabilization strategies may enhance valve longevity.