Research Article

International Heart Valve Bank Survey: A Review of Processing Practices and Activity Outcomes

Table 2

Summary of heart valve processing protocols used by HVBs in North America.

Bank numberProcessing mediaAntibiotic regimenIncubation protocolCryopreservation methodStorage condition and duration

N1Heart recovery, transport, and dissection solution: Ringer's lactate
Antibiotics media: DMEM with Hepes
Cryopreservation media: DMEM + 7.5% DMSO
Vancomycin: 50 ug/mL
Gentamicin: 80 ug/mL
Cefoxitin: 240 ug/mL
Until the 28th of June 2010: 1°C–10°C, 22–26 hours
Present: 33°C–38°C, 18–26 hours
Controlled rate freezingNo response provided

N2Antibiotics media: RPMI-1640
Cryopreservation media: X-VIVO-10 + DMSO
Cefoxitin,
colymycin-M,
vancomycin,
lincomycin
4°C, 24 hoursControlled rate freezingLiquid nitrogen vapour phase: 5 years

N3Transport and storage solution:
Hanks solution
Dissection solution: saline
Cryopreservation media: 10% DMSO
Gentamicin: 80 mg/mL
Cefazolin or Kefzol: 1 mg/mL
4°C, 24 hoursControlled rate freezingUltralow temperature (−140°C): 5 years

N4Transport and processing solution: Ringer's lactate
Cryopreservation media: saline + RPMI-1640 + RPMI 1640 with 10% FBS + DMSO
Cefoxitin: 240 ug/mL
Polymyxin B: 100 mg/mL
Vancomycin: 50 ug/mL
Lincomycin: 120 ug/mL
(soon to use gentamicin)
1°C–10°C, 22–26 hoursControlled rate freezingLiquid nitrogen vapour phase: 5 years

N5DMEM
Cryopreservation media:
cardiac tissue—DMEM + DMSO + FBS
vascular tissue—DMEM + DMSO + chondroitin + FBS
Two-stage process:
1st cocktail to achieve primary decontamination,
2nd cocktail to support tissue
Warm solutions, >24 hours Controlled rate freezingLiquid nitrogen vapour phase: 5 years

N6RPMI-1640 Vancomycin: 50 ug/mL
Colymycin M: 75 mg/mL
Cefoxitin: 100 mg/mL
Lincomycin: 300 mg/mL
4°C, hoursControlled rate freezingLiquid nitrogen vapour phase: 5 years