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The Journal of Thoracic and Cardiovascular Surgery, Vol 92, 337-348, Copyright © 1986 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
MK Dewanjee, E Solis, ST Mackey, J Lenker, WD Edwards, P Didisheim, JH Chesebro, PE Zollman and MP Kaye
Mitral valves were replaced with 25 mm bovine pericardial tissue valve
prostheses (Ionescu-Shiley) in 45 calves (23 controls and 22 treated daily
with hydroxyethylene diphosphonate). Before being killed 1, 14, 30, and 90
days later, the calves received In-labeled autologous platelets
intravenously. Regional variations in platelet deposition were measured by
a new technique. Thrombus was noted early on the flexion zone of the valve;
with time it increased on the free edge and central zone. Platelet
deposition was initially high on the flexion zone, attachment zone, sewing
ring, and perivalvular tissue but decreased with time. Hydroxyethylene
diphosphonate treatment tended to decrease platelet deposition in all
zones. Calcium content was high in thrombus and increased in all zones with
time, in both groups, but the deposition was less in the group treated with
hydroxyethylene diphosphonate. Collagenous tissue and adherent thrombus
appear to provide nucleation sites for calcification.
ARTICLES
Quantification of regional platelet and calcium deposition on pericardial tissue valve prostheses in calves and effect of hydroxyethylene diphosphonate
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