Research Article

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

Table 3

Summary of heart valve processing protocols used by HVBs in Australasia and South Africa.

Bank numberProcessing mediaAntibiotic regimenIncubation protocolCryopreservation methodStorage condition and duration

A1Heart collection, transport, dissection solution:
Hartmann solution
Antibiotic media: M199
Cryopreservation media:
M199 + 10% DMSO
Amoxicillin: 20 ug/mL
Gentamicin: 20 ug/mL
37°C, 6–8 hours or 4°C, 18–24 hoursControlled rate freezingLiquid nitrogen vapour phase: 5 years

A2Heart collection, transport, dissection solution:
saline or M199
Antibiotic media: M199
Cryopreservation media:
M199 + 10% DMSO
Penicillin: 50 IU/mL
Streptomycin: 50 ug/mL
35°C, 6–8 hoursControlled rate freezing (back up: manual controlled rate freezing)Liquid nitrogen vapour phase: 5 years

A3Heart collection, transport, dissection solution:
DCD/multiorgan donors/live donors—saline
Cadaveric—saline or M199 with antibiotics
Cryopreservation media:
M199 + 10% DMSO
Penicillin: 50 IU/mL
Streptomycin: 50 ug/mL
37°C, 6–12 hoursControlled rate freezingLiquid nitrogen vapour phase: 10 years

A4Heart collection, transport, dissection solution:
Hartmann solution
Antibiotic media: M199
Cryopreservation media:
M199 + 10% DMSO
Benzylpenicillin: 30 ug/mL
Gentamicin: 18 ug/mL
37°C, 6 hoursControlled rate freezingLiquid nitrogen vapour phase: 5 years

A5Heart collection, transport, dissection, rinse solution:
HBSS (preferred) or saline
Antibiotic media: HBSS
Cryopreservation media:
Until Jan 2010—M199 + 10% DMSO
After Jan 2010—HBSS + 10% DMSO
Cefoxitin: 240 ug/mL
Lincomycin: 120 ug/mL
Polymyxin B: 100 ug/mL
Vancomycin: 50 ug/mL
Amphotericin B: 25 ug/mL
First soak: 4°C, 24 hours;
2nd soak: 4°C, 24 hours;
transfer to HBSS at 4°C until frozen
Freezing in liquid nitrogen vapour—no controlled rate equipment usedLiquid nitrogen vapour phase: 5 years

A6Transport, dissection, incubation solution: M199
Cryopreservation media:
M199 + 100% DMSO diluted to 10%
Vancomycin: 50 ug/mL
Amikacin: 100 ug/mL
4°C, 24 hoursControlled rate freezingLiquid nitrogen vapour phase: 5 years

A7M199
11% DMSO
Mefoxin: 50 ug/mL
Piperacillin: 50 ug/mL
Amikacin: 25 ug/mL
Amphotericin B: 2.5 ug/mL
4°C, 12–18 hoursControlled rate freezingLiquid nitrogen vapour phase: 5–8 years