Tissue Engineered -
[Cached Version]
Published on: 11/12/2003
Last Visited: 5/22/2009
"Using this tissue-engineered valve overcomes many of the problems with mechanical or donor valves because it is a living structure from the patient's own tissue, and so it does not cause an immunological reaction," said Pascal M. Dohmen, M.D., head of tissue engineering research and staff surgeon of the department of cardiovascular surgery at Charité Hospital in Berlin, Germany.
Dohmen and colleagues presented data on the first 23 patients to receive tissue-engineered pulmonary valves in the heart.
...
Dohmen and colleagues engineered a new pulmonary valve from the patients' own cells.
They implanted the patients' healthy pulmonary valve into the aortic position.
Then they implanted the tissue-engineered valve in the right ventricular outflow tract, where the pulmonary valve originally was.
With up to three years of follow-up, the engineered valve's performance was "excellent," Dohmen reported.
Echocardiography showed that the valves were functioning normally; the valve leaflets or flaps appeared smooth and pliable and showed no signs of calcification.
The patients were discharged from the hospital earlier, and were in better condition than other patients.
They had no post-operative fever, which is often found in patients receiving donor heart valves, Dohmen said.
...
"In animal studies, we have seen that this matrix or scaffold will be absorbed by the body," Dohmen said.
...
Dohmen limits the use of the tissue-engineered valves to adults up to 60 years of age, but plans to explore the growth potential of the valves, with the hope of using them in children with congenital heart disease.
The heart valve scaffold technique is still considered experimental, he said.