Lyophilized glutaraldehyde-preserved bovine pericardium for experimental atrial septal defect closure.
A variety of patch materials has been used to close large atrial septal defects (ASD). Autologous pericardium and glutaraldehyde-preserved bovine pericardium are the most used. Lyophilized bovine pericardium has not been tested inside the cardiovascular system. The aim of this work was to study the behaviour and effectiveness of lyophilized glutaraldehyde-preserved bovine pericardium in ASD closure. Sixteen mongrel dogs were operated on. A 3 cm diameter atrial septal defect was created, and closed with: Group I (n=8): Lyophilized glutaraldehyde preserved bovine pericardium (LGPBP). Group II (n=8): Vascular Dacron patch. The animals were evaluated clinically, by echocardiography, macroscopically, and microscopically. Statistical analysis was done with analysis of variance (ANOVA) and Student's t-test. All the animals survived the surgical procedure and study time (6 months). Clinically all the animals displayed normal physical activity, with normal cardiac sounds. Echocardiography showed that both groups had a normal heart without intracardiac shunts, no thrombus formation, and no vegetations. Macroscopically all the animals showed good integration of the lyophilized bioprosthesis and Dacron patch. All group I animals presented a decrease of the area of the ASD in the left atrium (p<0.001 by ANOVA and Student's t-test). Microscopically, group I presented dense and well-organized collagenous tissue, areas of cartilaginous metaplasia and remnants of the lyophilized bioprosthesis (p<0.001 by ANOVA and Student's t-test). Group II showed encapsulated Dacron patch covered with collagenous tissue and cartilaginous metaplasia. In conclusion, the new lyophilized bioprosthesis is well integrated into the atrial septum, without complications and is effective for ASD closure.
Santibáñez-Salgado
J Alfredo
JA
Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas - Surgical Research, Tlalpan, D.F., Mexico. alf36@hotmail.com
Olmos-Zúñiga
J Raúl
JR
Pérez-López
María
M
Aboitiz-Rivera
Carlos
C
Gaxiola-Gaxiola
Miguel
M
Jasso-Victoria
Rogelio
R
Sotres-Vega
Avelina
A
Baltazares-Lipp
Matilde
M
Pérez-Covarrubias
Diana
D
Villalba-Caloca
Jaime
J
D000818:Animals; D001672:Biocompatible Materials / Q000494:pharmacology* / Q000627:therapeutic use; D006348:Cardiac Surgical Procedures / Q000295:instrumentation / Q000379:methods; D002356:Cartilage / Q000166:cytology / Q000502:physiology; D002417:Cattle; D003094:Collagen / Q000378:metabolism; D004195:Disease Models, Animal; D004285:Dogs; D004452:Echocardiography; D005404:Fixatives; D005612:Freeze Drying / Q000379:methods; D005976:Glutaral; D006344:Heart Septal Defects, Atrial / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006346:Heart Septum / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D008422:Materials Testing / Q000379:methods*; D010496:Pericardium / Q000737:chemistry / Q000187:drug effects / Q000637:transplantation*; D011093:Polyethylene Terephthalates / Q000627:therapeutic use; D011183:Postoperative Complications; D019736:Prostheses and Implants / Q000592:standards* / Q000639:trends; D019919:Prosthesis Implantation / Q000379:methods*; D016707:Tissue Fixation / Q000379:methods; D016896:Treatment Outcome
D001672:Biocompatible Materials; D005404:Fixatives; D011093:Polyethylene Terephthalates; D003094:Collagen; D005976:Glutaral