In-Vivo Repopularization of a Tissue-Engineered Heart Valve in a Human Subject

Pascal M. Dohmen, Steffen Hauptmann, Alexander Terytze, Wolfgang F. Konertz
Department of Cardiovascular Surgery, Charité, Medical University Berlin, Berlin, Institute of Pathology, Martin-Luther University, Halle, Germany

 

A 63-year-old male with a massively calcified aortic valve showed an active lifestyle. Therefore, valve replacement was completed using the Ross procedure. During postoperative echocardiographic control, a ventricular septal defect was noted which was closed surgically. During this reoperation, a biopsy sample was taken from the wall of the tissue-engineered heart valve which was used to reconstruct

the right ventricular outflow tract. A persistent monolayer of endothelial cells and host recellularization of the deeper layer was demonstrated histologically. The postoperative course was uneventful, and the patient rapidly recovered. After six years, he remains in excellent health.

The Journal of Heart Valve Disease 2007;16:447-449

 
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