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A Novel Coaptation Plate Device for Functional Mitral Regurgitation: An In Vitro Study

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Abstract

A novel mitral valve repair device, coaptation plate (CP), was proposed to treat functional mitral regurgitation. The objective of this study was to test efficacy of the CP in an in vitro model of functional mitral regurgitation. Ten fresh porcine mitral valves were mounted in a left heart simulator, Mitral regurgitation was emulated by means of annular dilatation, and the asymmetrical or symmetrical papillary muscles (PM) displacement. A rigid and an elastic CPs were fabricated and mounted in the orifice of regurgitant mitral valves. Steady flow leakage in a hydrostatic condition and regurgitant volume in a pulsatile flow were measured before and after implantation of the CPs. The rigid and elastic CPs reduced mitral valve regurgitant volume fraction from 60.5 ± 11.4 to 35 ± 11.6 and 36.5 ± 9.9%, respectively, in the asymmetric PM displacement. Mitral regurgitation was much lower in the symmetric PM displacement than in the asymmetric PM displacement, and was not significantly reduced after implantation of either CP. In conclusion, both the rigid and elastic CPs are effective and have no difference in reduction of functional mitral regurgitation. The CP does not aggravate mitral valve coaptation and may be used as a preventive way.

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Acknowledgments

This study was supported by the Grant from the National Heart, Lung and Blood Institute (Grant # R21HL102526). The pig hearts were donated by the Klemke Sausage Haus in Slaton, Texas, USA.

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Authors and Affiliations

  1. Department of Mechanical Engineering, Texas Tech University, 2703 7th Street, PO Box 41021, Lubbock, TX, 79409-1021, USA

    Zhaoming He, Kailiang Zhang & Bo Gao

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  1. Zhaoming He
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  2. Kailiang Zhang
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  3. Bo Gao
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Correspondence to Zhaoming He.

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Associate Editor Ender A Finol oversaw the review of this article.

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He, Z., Zhang, K. & Gao, B. A Novel Coaptation Plate Device for Functional Mitral Regurgitation: An In Vitro Study. Ann Biomed Eng 42, 2039–2047 (2014). https://doi.org/10.1007/s10439-014-1065-x

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  • DOI: https://doi.org/10.1007/s10439-014-1065-x

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