Quantitative histologic analysis of the mitral valve anterior leaflet: ischemic alterations and implications for valve replacement design

David W. Quick; Karyn S. Kunzelman; Richard P. Cochran M.D.

doi:10.1117/12.349195

1 June 1999 Quantitative histologic analysis of the mitral valve anterior leaflet: ischemic alterations and implications for valve replacement design

David W. Quick, Karyn S. Kunzelman, Richard P. Cochran M.D.

Author Affiliations +

Proceedings Volume 3604, Optical Diagnostics of Living Cells II; (1999) https://doi.org/10.1117/12.349195
Event: BiOS '99 International Biomedical Optics Symposium, 1999, San Jose, CA, United States

Abstract

There is a current trend to design innovative mitral valve replacements that mimic the native mitral valve (MV). A prerequisite for these new designs is the characterization of MV structure. This study was conducted to determine the distribution of MV collagen and glycosaminoglycan (GAGs) in MV anterior leaflets. Methods: Specimens from the mid-line of eight sheep MV anterior leaflets were stained with aniline blue (collagen) and alcian blue (GAGs). These specimens were analyzed using an image analysis system running Optimas software. Based on the luminance of stains within individual valve layers, the distribution of valvular collagen and GAGs from leaflet annulus to free-edge were determined. Results: Near the annulus, 100% of MV thickness is fibrosa (collagen dominated layer). Moving towards the free-edge, fibrosa prominence decreases and there is a transition to spongiosa (GAG dominated layer). Near the free-edge 100% of MV thickness is dominated by the spongiosa. Conclusions: Valvular collagen dominates MV structure near the annulus to support the stresses of bending and pressurization. Valvular GAGs dominate the MV near the free-edge to absorb the impact of leaflet coaptation. Image analysis has proven to be an effective tool to evaluate MV structure and facilitate the design of valve replacements.

Citation Download Citation

David W. Quick, Karyn S. Kunzelman, and Richard P. Cochran M.D. "Quantitative histologic analysis of the mitral valve anterior leaflet: ischemic alterations and implications for valve replacement design", Proc. SPIE 3604, Optical Diagnostics of Living Cells II, (1 June 1999); https://doi.org/10.1117/12.349195

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