Review Article

Bioprosthetic Heart Valves: Impact of Implantation on Biomaterials

Table 1

Bioprosthesis with tissue type and design details.

BHV nameCurrent useTissueStentFixation (Glutaraldehyde)Fixation pressureAntimineralization treatment

Angell-ShileyNoPorcineYesYes
Carpentier-Edwards StandardYesPorcineYesYesHigh pressureXenoLogiX
Carpentier-Edwards SupraannularYesPorcineYesYesLow pressureXenoLogiX
Hancock StandardNoPorcineYesYesHighNone
Hancock Modified Orifice (MO)NoPorcineYesYesHighNone
Hancock IIYesPorcineYesYesLow pressureSurfactant-Sodium dodecyl sulfate
Medtronic Intact (MI)NoPorcineYesYesZero pressureSurfactant-Toluidine blue
Medtronic Mosaic (MM)YesPorcineYesYesPhysiologic fixationAntimineralizing agent-Alpha amino oleic acid
St. Jude Medical (SJM) BiocorYesPorcineYesYesLow pressureNone
Ionescu-Shiley Standard (ISS)NoPericardiumYesYes 0.5%High pressureNone
Hancock PericardialNoPericardiumYesYes 0.2%High pressureAMA-sod.dodecyl sulfate
Ionescu-Shiley Low Profile (ILSP)NoPericardiumYesYes 0.5%High pressure-AMA
Carpentier Edwards (CE) PerimountYesPericardiumYesYesNeutralogic stress free fixationXenoLogiX
Labcor-Santiago (LS)NoPericardiumYesYesZeroData not available
Mitroflow (11)
Mitroflow (12)
Yes
Yes
Pericardium
Pericardium
Yes
Yes
Yes
Yes
Data not availableNone
None
Sorin PericarbonNoPericardiumYesYes
CryoLife-O’BrienNoPorcineNoYes<2 mm Hg
CryoLife tissue—engineeredNoPorcineNoData not availableData not availableData not available
Edwards Prima PlusNoPorcineNoLow pressureXenoLogiX
Medtronic FreestyleYesPorcineNoYesPhysiologic fixationAlpha amino oleic acid
T-SPV (Toronto Stentless Porcine Valve)YesPorcineNoYesLow pressureNone
SJM Quattro (QV)YesPorcineNoYesLow pressureNone
CryoLife HomograftYesHomograftNoCryopreserved in liquid nitrogenNoNone