Research Article

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

Table 8

Summary of heart valve outcomes for HVBs in North America.

BankNumber of donors/no. of grafts processed annually (Average)Proportion of products meeting release criteriaReasons for product failureProportion of released products implantedReasons released products not implanted

N255 donors
70 valves
~70%(1) Abnormal morphology of graft
(2) Positive serology results of donor
(3) Positive microbiological results of graft
(4) Donor related
100% for pulmonary valves
20% for aortic valves
Low demand for aortic valves

N342 donors
68 grafts
~78%Positive microbiological results of graft32% of grafts were confirmed to be implanted,
16.5% of grafts were exported
Low demand for aortic valves

N42400 grafts~60%(1) Positive microbiological results of graft
(2) Quality/donor related
80%(1) Size demand for valves
(2) Nonvalve grafts are not in demand

N53700 donors
8500 grafts (including valves, patches, descending thoracic aorta and pericardium patches)
~39%(1) Deferred due to size/type of graft
(2) Graft attribute/abnormal morphology of graft
(3) Positive microbiological results of graft
99%Beyond maximum storage duration

N634 donors
57 grafts (valves, conduits, and pulmonary hemiarteries)
No response provided53%(1) Intraoperative contamination of graft
(2) Incorrect size of graft
(3) Beyond maximum storage duration