Table 2.
Group | Description | Implant pathologya | AI at 6 monthsb |
---|---|---|---|
1 | Conventional freezing method | Mild diffuse leaflet fibrosis. 3/4 exhibited focal nodular vegetation (organized thrombi) and 1/4 exhibited calcified foci. 1/4 exhibited a basal dehiscence and 1/4 a paravalvular aneurysm. 1/4 conduits mineralized | 1–2+, 1–2+, 2+, 2–3+ |
2 | VS83 stored at −80 °C | Implants all exhibited mild diffuse fibrosis; 2 of 4 conduits were mineralized | −2+, none,1+, trace-1+ |
3 | VS83 stored in vapor-phase nitrogen | Diffuse and focal fibrosis, 2 of 4 exhibited thrombi and 1 of 4 exhibited focal nodular vegetation on leaflets. 3 of 4 conduits were mineralized | None, 2–3+, 2–3+, 2–3+ |
Leaflets in all groups were devoid of cells except for recipient overgrowth that appears to be a chronic low-grade inflammatory response with a marked tendency for all leaflets to exhibit some thinning with thicker fibrous overgrowth at the base of the cusps resulting in leaflet thickening and stiffening
Aortic Insufficiency(AI) was assessed by echocardiographic evaluation just prior to sacrifice