Group Research Topics
Two Leaflet vs. Three Leaflet Designs
Megan Chatham
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Source 1 |
These are just a few of the many designs for artificial mechanical heart valves available on the market for patients with valvular disease. They are all durable and capable of lasting throughout a patient's lifetime, however they require the use of anticoagulants and often produce a loud clicking sound.
Our group has decided to use either a two or three leaflet valve design for this project. Information was gathered both for and against two and three leaflet valves:
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Tri-Leaflet design
Source 2 |
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Bi-Leaflet Valve
Source 3
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Advantages
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Disadvantages
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Two Leaflet Valve
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Highly reliable,
Last the patient’s lifetime,
Studied extensively,
Opens to 90˚ angle,
Reduces occurrences of hemolysis
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Noisy,
Require anticoagulants,
Hemorrhaging due to anticoagulants,
Scar tissue growth,
Trapped leaflets,
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Three Leaflet Valve
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Highly reliable,
Fuse tissue and mechanical design,
Natural blood flow due to decreased disturbance of blood,
Reduces occurrences of hemolysis,
Reduces necessity of anticoagulants due to improved flow
characteristics,
Reduces noise
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New on the market,
Still being studied,
Opens to 75˚ angle,
Scar tissue growth,
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1) http://www.medicinenet.com/heart_valve_disease_treatment/page2.htm
2) http://roscardioinvest.ru/eng/index.php?id_subpart=5
3) http://www.onxlti.com/patient-guide/problems-prosthetic-heart-valves/
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Blood Flow Through the Heart Valve
Mark Kundrotas
https://www.youtube.com/watch?v=H04d3rJCLCE
This video gives a lot of insight on how blood flows through the heart valves. The heart valves have 2 different important jobs to circulate blood throughout your body. These jobs are for the valves to open correctly so that blood can empty from the chamber and to close properly so that blood cannot flow the wrong way. If the heart valves are having issues completing these jobs an artificial heart valve replacement is needed.
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Source 2 |
Someone with a mechanical heart valve has to take blood thinners to prevent coagulation. Coagulation in artificial heart valves is when your blood clots at or around the artificial heart valve. It is important to prevent blood clots because they can lead to strokes, heart attacks, or other health problems. There are two different types of blood thinners, anticoagulants and antiplatelet. The anticoagulants affect chemical reactions making it slower for blood clots to form. Antiplatelets prevent platelets from grouping together forming blood clots.
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Source 4 |
1) https://www.youtube.com/watch?v=Bgy24BMG79o
2) http://www.heart.org/HEARTORG/Conditions/More/HeartValveProblemsandDisease/Heart-Valves-and-Circulation_UCM_450291_Article.jsp
3) http://www.onxlti.com/patient-guide/pros-cons-option-heart-valve-replacement/
4) http://www.heart.org/HEARTORG/Conditions/More/HeartValveProblemsandDisease/Heart-Valves-and-Circulation_UCM_450291_Article.jsp
What
Artificial Heart Valves are Made of
Tram Hoang
First, we should know that
to create an artificial heart valve, it requires many different materials. Most
artificial valves are made of titanium, graphite,
pyrolytic carbon, and polyester.
The titanium is used for the housing or outer ring, graphite coated with
pyrolytic carbon is used for the bi-leaflets, and 100% pyrolytic carbon is used
for the inner ring. The pyrolytic carbon is sometimes impregnated with tungsten so
that the valve can easily be seen following implantation). The sewing cuff,
used to attach the valve to the heart, is made out of double velour polyester
Titanium is used for its
strength and biocompatibility. The outer rings come already fabricated from an
outside manufacturer and are made from machined bar stock. Lock rings and wire,
used to hold the cuff in place, are also made from titanium. The polyester
comes in the form of tubes. All plastic components are deburred by the
supplier, which involves removing any bumps from the surface. Occasionally the
valve manufacturer may have to debur some parts.
Some reports suggest that
the mechanical valve available today are able to last indefinitely (over 50,000
years!!!)
Here is good news. Researchers are looking at making heart valves out of
plastic material that are flexible enough to simulate the opening and closing
action. This approach may not require anticoagulation drugs. Others are working
on developing artificial heart valves made from a patient's own cells.
Sources:
http://www.madehow.com/Volume-6/Artificial-Heart-Valve.html