Affordable Access

Publisher Website

Determination of the pressure required to cause mitral valve failure

Medical Engineering & Physics
Publication Date
DOI: 10.1016/j.medengphy.2005.04.011
  • Chordae Tendineae
  • Heart
  • In Vitro Testing
  • Mitral Valve
  • Regurgitation


Abstract A method has been developed for applying water pressure to a closed mitral valve on the side corresponding to the heart's left ventricle. The pressure is increased until fluid flows through the valve, i.e. until it fails. A specific dissection technique has been developed to produce a specimen with two annular rings, mitral annulus and papillary muscle annulus. Since the valve is maintained intact, with its leaflets attached to papillary muscles by the chordae tendineae, this method allows the effects of ruptured chordae and their surgical repair or replacement to be assessed in vitro. The chamber that holds the valve supports both the mitral annulus and papillary muscle annulus of the specimen. The mitral annulus is sutured onto rubber sheeting held in the chamber. The papillary muscle annulus is held in place by a Perspex support. The main part of the apparatus consists of a water pump connected through flexible tubing to the chamber that holds the valve in place. The pressure at failure is measured using a pressure transducer. Preliminary experiments demonstrate that anterior leaflet marginal chordae, but not strut chordae, are vital to valve function. Posterior leaflet chordae have been found to be important for valve competence.

There are no comments yet on this publication. Be the first to share your thoughts.


Seen <100 times

More articles like this

Determination of the pressure required to cause mi...

on Medical Engineering & Physics January 2006

Mitral valve repair: an in-vitro comparison of the...

on The Journal of heart valve dis... May 2006

[Determination of pressure in the right heart afte...

on Thoraxchirurgie, vaskuläre Ch... December 1969

Early bioprosthetic valve failure caused by preser...

on Interactive cardiovascular and... February 2012
More articles like this..