Surgical pericardial heart valves: 50 Years of evolution. (October 2021)

• Record Type: Journal Article
• Authors: Attia, Rizwan Q.; Raja, Shahzad G.
• Is Part Of: International journal of surgery. Volume 94(2021)
• Publication Date: 2021-10
• Subjects: Pericardial heart valve -- Biological heart valve -- Bioprosthesis -- Heart valve disease; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; 617.005
• DOI: 10.1016/j.ijsu.2021.106121
• Languages: English
• ISSNs: 1743-9191

Abstract

Abstract: Valve disease carries a huge burden globally and the number of heart valve procedures are projected to increase from the current 300 000 to 800 000 annually by 2050. Since its genesis 50 years ago, pericardial heart valve has moved leaps and bounds to ever more ingenious designs and manufacturing methods with parallel developments in cardiology and cardiovascular surgical treatments. This feat has only been possible through close collaboration of many scientific disciplines in the fields of engineering, material sciences, basic tissue biology, medicine and surgery. As the pace of change continues to accelerate, we ask the readers to go back with us in time to understand developments in design and function of pericardial heart valves. This descriptive review seeks to focus on the qualities of pericardial heart valves, the advantages, successes and failures encapsulating the evolution of surgically implanted pericardial heart valves over the past five decades. We present the data on comparison of the pericardial heart valves to porcine valves, discuss structural valve deterioration and the future of heart valve treatments. Highlights: Evolution of pericardial heart valve has posed many technical challenges Design advantages and disadvantages of biological pericardial heart valve are discussed Future development of biological heart valves is discussed Improved up-to-date treatments of patients with heart valve disease are outlined