The biological response of valves to mechanical forces is not well understood. The aim of this study was to design a pulsatile system to enable the ex vivo study of aortic valves when subjected to various hemodynamic conditions. A bioreactor was designed to subject porcine aortic valves to physiological and pathophysiological pressure and flow conditions, while maintaining viability and sterility. Pressure and flow rate could be independently controlled to produce clinically relevant mechanical conditions. The oxygen transfer rate was characterized and sterile operation was achieved over 96hours. The oxygenation capabilities ensure sufficient oxygen transport to valves, allowing operation for extended periods.

1.
Barron
,
V.
,
Lyons
,
E.
,
Stenson-Cox
,
C.
,
Mchugh
,
P. E.
, and
Pandit
,
A.
, 2003, “
Bioreactors for Cardiovascular Cell and Tissue Growth: A Review
,”
Ann. Biomed. Eng.
0090-6964,
31
(
9
), pp.
1017
1030
.
2.
Yacoub
,
M. H.
, and
Cohn
,
L. H.
, 2004, “
Novel Approaches to Cardiac Valve Repair: From Structure to Function: Part I
,”
Circulation
0009-7322,
109
(
8
), pp.
942
950
.
3.
Chester
,
A. H.
,
Misfeld
,
M.
, and
Yacoub
,
M. H.
, 2000, “
Receptor-Mediated Contraction of Aortic Valve Leaflets
,”
J. Heart Valve Dis.
0966-8519,
9
, pp.
250
255
.
4.
Roy
,
A.
,
Brand
,
N. J.
, and
Yacoub
,
M. H.
, 2000, “
Molecular Characterization of Interstitial Cells Isolated From Human Heart Valves
,”
J. Heart Valve Dis.
0966-8519,
9
(
3
), pp.
459
464
.
5.
Hafizi
,
S.
,
Taylor
,
P. M.
,
Chester
,
A. H.
,
Allen
,
S. P.
, and
Yacoub
,
M. H.
, 2000, “
Mitogenic and Secretory Responses of Human Valve Interstitial Cells to Vasoactive Agents
,”
J. Heart Valve Dis.
0966-8519,
9
(
3
), pp.
454
458
.
6.
Taylor
,
P. M.
,
Allen
,
S. P.
,
Dreger
,
S. A.
, and
Yacoub
,
M. H.
, 2002, “
Human Cardiac Valve Interstitial Cells in Collagen Sponge: A Biological Three-Dimensional Matrix for Tissue Engineering
,”
J. Heart Valve Dis.
0966-8519,
11
(
3
), pp.
298
306
.
7.
Juliano
,
R. L.
, and
Haskill
,
S.
, 1993, “
Signal Transduction From the Extracellular Matrix
,”
J. Cell Biol.
0021-9525,
120
(
3
), pp.
577
585
.
8.
Weston
,
M. W.
,
LaBorde
,
D. V.
, and
Yoganathan
,
A. P.
, 1999, “
Estimation of the Shear Stress on the Surface of an Aortic Vlave Leaflet
,”
Ann. Biomed. Eng.
0090-6964,
27
, pp.
572
579
.
9.
Schneider
,
P. J.
, and
Deck
,
J. D.
, 1981, “
Tissue and Cell Renewal in the Natural Aortic Valve of Rats: An Autoradiographic Study
,”
Cardiovasc. Res.
0008-6363,
15
(
4
), pp.
181
189
.
10.
Weston
,
M. W.
, and
Yoganathan
,
A. P.
, 2001, “
Biosynthetic Activity in Heart Valve Leaflets in Response to In Vitro Flow Environments
,”
Ann. Biomed. Eng.
0090-6964,
29
, pp.
752
763
.
11.
Xing
,
Y.
,
He
,
Z.
,
Warnock
,
J. N.
,
Hilbert
,
S. L.
, and
Yoganathan
,
A. P.
, 2004, “
Effects of Constant Static Pressure on the Biological Properties of Porcine Heart Valve Leaflets
,”
Ann. Biomed. Eng.
0090-6964,
32
(
4
), pp.
555
562
.
12.
Dumont
,
K.
,
Yperman
,
J.
,
Verbeken
,
E.
,
Segers
,
P.
,
Meuris
,
B.
,
Vandenberghe
,
S.
,
Flameng
,
W.
, and
Verdonck
,
P. R.
, 2002, “
Design of a New Pulsatile Bioreactor for Tissue Engineered Aortic Heart Valve Formation
,”
Artif. Organs
0160-564X,
26
(
8
), pp.
710
714
.
13.
Hoerstrup
,
S. P.
,
Sodian
,
R.
,
Sperling
,
J. S.
,
Vacanti
,
J. P.
, and
Mayer
,
J. E.
, Jr.
, 2000, “
New Pulsatile Bioreactor for In Vitro Formation of Tissue Engineered Heart Valves
,”
Tissue Eng.
1076-3279,
6
(
1
), pp.
75
79
.
14.
Bailey
,
J. E.
, and
Ollis
,
D. F.
, 1986,
Biochemical Engineering Fundamentals
,
McGraw-Hill Book Company
, Singapore, pp.
533
657
, Chap. 9.
15.
Catapano
,
G.
, 1996, “
Mass Transfer Limitations to the Performance of Membrane Bioartificial Liver Support Devices
,”
Int. J. Artif. Organs
0391-3988,
19
(
1
), pp.
18
35
.
16.
Lehoux
,
S.
, and
Tedgui
,
A.
, 2003, “
Cellular Mechanics and Gene Expression in Blood Vessels
,”
J. Biomech.
0021-9290,
36
(
5
), pp.
631
643
.
17.
Sacks
,
M. S.
,
He
,
Z.
,
Baijens
,
L.
,
Wanant
,
S.
,
Shah
,
P.
,
Sugimoto
,
H.
, and
Yoganathan
,
A. P.
, 2002, “
Surface Strains in the Anterior Leaflet of the Functioning Mitral Valve
,”
Ann. Biomed. Eng.
0090-6964,
30
(
10
), pp.
1281
1290
.
18.
Jimenez
,
J. H.
,
Soerensen
,
D. D.
,
He
,
Z.
,
He
,
S.
, and
Yoganathan
,
A. P.
, 2003, “
Effects of a Saddle Shaped Annulus on Mitral Valve Function and Chordal Force Distribution: An In Vitro Study
,”
Ann. Biomed. Eng.
0090-6964,
31
(
10
), pp.
1171
1181
.
19.
He
,
Z.
,
Sacks
,
M. S.
,
Baijens
,
L.
,
Wanant
,
S.
,
Shah
,
P.
, and
Yoganathan
,
A. P.
, 2003, “
Effects of Papillary Muscle Position on In Vitro Dynamic Strain on the Porcine Mitral Valve
,”
J. Heart Valve Dis.
0966-8519,
12
(
4
), pp.
488
494
.
20.
He
,
S.
,
Jimenez
,
J.
,
He
,
Z.
, and
Yoganathan
,
A. P.
, 2003, “
Mitral Leaflet Geometry Perturbations With Papillary Muscle Displacement and Annular Dilatation: An In Vitro Study Of Ischemic Mitral Regurgitation
,”
J. Heart Valve Dis.
0966-8519,
12
(
3
), pp.
300
307
.
21.
Chester
,
A. H.
,
Misfeld
,
M.
, and
Yacoub
,
M. H.
, 2000, “
Receptor-Mediated Contraction of Aortic Valve Leaflets
,”
J. Heart Valve Dis.
0966-8519,
9
(
2
), pp.
250
254
.
22.
Hoerstrup
,
S. P.
,
Sodian
,
R.
,
Daebritz
,
S.
,
Wang
,
J.
,
Bacha
,
E. A.
,
Martin
,
D. P.
,
Moran
,
A. M.
,
Guleserian
,
K. J.
,
Sperling
,
J. S.
,
Kaushal
,
S.
,
Vacanti
,
J. P.
,
Schoen
,
F. J.
, and
Mayer
,
J. E.
, Jr.
, 2000, “
Functional Living Trileaflet Heart Valves Grown In Vitro
,”
Circulation
0009-7322,
102
(
19 Suppl 3
), pp.
III44
III49
.
23.
Niklason
,
L. E.
,
Gao
,
J.
,
Abbott
,
W. M.
,
Hirschi
,
K. K.
,
Houser
,
S.
,
Marini
,
R.
, and
Langer
,
R.
, 1999, “
Functional Arteries Grown In Vitro
,”
Science
0036-8075,
284
(
5413
), pp.
489
493
.
24.
Hildebrand
,
D. K.
,
Wu
,
Z. J.
,
Mayer
,
J. E.
, Jr.
, and
Sacks
,
M. S.
, 2004, “
Design and Hydrodynamic Evaluation of a Novel Pulsatile Bioreactor for Biologically Active Heart Valves
,”
Ann. Biomed. Eng.
0090-6964,
32
(
8
), pp.
1039
1049
.
25.
Emery
,
A. N.
,
Jan
,
D. C.
, and
Al Rubeai
,
M.
, 1995, “
Oxygenation of Intensive Cell-Culture System
,”
Appl. Microbiol. Biotechnol.
0175-7598,
43
(
6
), pp.
1028
1033
.
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