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Transplantation of Pulmonary Valve Using a Mouse Model of Heterotopic Heart Transplantation
Authors:Yong-Ung Lee  Tai Yi  Iyore James  Shuhei Tara  Alexander J. Stuber  Kejal V. Shah  Avione Y. Lee  Tadahisa Sugiura  Narutoshi Hibino  Toshiharu Shinoka  Christopher K. Breuer
Affiliation:1.Tissue Engineering Program and Surgical Research, Nationwide Children''s Hospital;2.Cardiothoracic Surgery, Nationwide Children''s Hospital;3.Pediatric Surgery, Nationwide Children''s Hospital
Abstract:Tissue engineered heart valves, especially decellularized valves, are starting to gain momentum in clinical use of reconstructive surgery with mixed results. However, the cellular and molecular mechanisms of the neotissue development, valve thickening, and stenosis development are not researched extensively. To answer the above questions, we developed a murine heterotopic heart valve transplantation model. A heart valve was harvested from a valve donor mouse and transplanted to a heart donor mouse. The heart with a new valve was transplanted heterotopically to a recipient mouse. The transplanted heart showed its own heartbeat, independent of the recipient’s heartbeat. The blood flow was quantified using a high frequency ultrasound system with a pulsed wave Doppler. The flow through the implanted pulmonary valve showed forward flow with minimal regurgitation and the peak flow was close to 100 mm/sec. This murine model of heart valve transplantation is highly versatile, so it can be modified and adapted to provide different hemodynamic environments and/or can be used with various transgenic mice to study neotissue development in a tissue engineered heart valve.
Keywords:Medicine   Issue 89   tissue engineering   pulmonary valve   congenital heart defect   decellularized heart valve   transgenic mouse model   heterotopic heart transplantation
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