Comparison of human and porcine aortic valves.
We compared the anatomy of human and porcine aortic valves. Porcine hearts were collected from the abattoir. Human hearts from patients who had died of non-cardiac causes were examined in the mortuary; only undamaged and anatomically normal hearts were used. Silicon casts were prepared by injecting engineering silicon at 80 mm Hg into the aortic arch. Various features of the aortic valve were measured: circumference, length between the commissural end point and central point of coaptation, surface diameter, and surface area. In total, 12 porcine and 12 human aortic valves were studied. The average circumferences of the human and porcine aortic valves were 8.00 +/- 0.2 (SD) cm and 7.90 +/- 1.0 cm, respectively. The central point of coaptation in human valves was skewed toward the left coronary cusp, whereas in porcine valves it was skewed toward the non-coronary cusp. In human aortic valves, the non-coronary cusp had the largest surface diameter and surface area with mean measurements of 3.6 +/- 0.2 cm and 1.230 +/- 0.228 cm(2), respectively; the left coronary cusp was smallest for the same variables with measurements of 3.1 +/- 0.3 cm and 0.898 +/- 0.357 cm(2). In porcine valves, the right coronary cusp had the largest surface diameter and surface area with mean measurements of 3.9 +/- 0.7 cm and 1.716 +/- 0.81 cm(2), respectively; the non-coronary cusp was the smallest for the same variables with measurements of 2.9 +/- 0.5 cm and 1.023 +/- 0.659 cm(2). These differences suggest that when using porcine valves as transplant material (e.g., stentless valves), geometric considerations, such as commissural length, may be important.
Sim
Eugene K W
EK
Division of Cardiothoracic Surgery, National University Hospital, Singapore. sursimkw@nus.edu.sg
Muskawad
Sanjeev
S
Lim
Chu-Sing
CS
Yeo
Joon Hock
JH
Lim
Khee Hiang
KH
Grignani
Robert T
RT
Durrani
A
A
Lau
Gilbert
G
Duran
Carlos
C
D000717:Anatomy, Comparative / Q000379:methods*; D000818:Animals; D001021:Aortic Valve / Q000033:anatomy & histology*; D001837:Body Weights and Measures; D006801:Humans; D008953:Models, Anatomic; D013552:Swine