Abstract

The conventional glutaraldehyde (GA) fixation for cardiac xenograft causes dystrophic calcification, and there is also a significant immune reaction to the galactose-α-1,3 galactose β-1,4-N-acetylglucosamine (α-Gal), leading to calcification. So, future investigation should be redirected in the quest for the αGal-free long-lasting substitutes.

Highlights

  • Background/Introduction The conventional glutaraldehyde (GA) fixation for cardiac xenograft causes dystrophic calcification, and there is a significant immune reaction to the galactose-a-1,3 galactose b-1,4-N-acetylglucosamine (a-Gal), leading to calcification

  • Self-expandable stented valve with glutaraldehydefixed cardiac xenograft treated by novel anticalcification protocols including immunologic modification for perventricular pulmonic valve implantation

  • Porcine cardiac xenografts were treated by decellularization, immunologic modification with alpha-galactosidase, space filler, GA fixation in organic solvent, and detoxification

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Summary

Introduction

Background/Introduction The conventional glutaraldehyde (GA) fixation for cardiac xenograft causes dystrophic calcification, and there is a significant immune reaction to the galactose-a-1,3 galactose b-1,4-N-acetylglucosamine (a-Gal), leading to calcification. Self-expandable stented valve with glutaraldehydefixed cardiac xenograft treated by novel anticalcification protocols including immunologic modification for perventricular pulmonic valve implantation Min-Seok Kim1, Saeromi Jeong1, Gi Beom Kim2, Hong-Gook Lim1*, Yong Jin Kim1 Future investigation should be redirected in the quest for the aGal-free long-lasting substitutes.

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