Preliminary Study on the New Self-Closing Mechanical Mitral Valve

• Published in: Artificial organs Vol. 23; no. 9; pp. 869 - 875
• Main Authors: Naemura, K., Umezu, M., Dohi, T.
• Format: Journal Article
• Language: English
• Published: Boston, MA, USA Blackwell Science Inc 01-09-1999
• Subjects: Biocompatible Materials; Biomechanical Phenomena; Blood Flow Velocity - physiology; Blood Volume - physiology; Carbon; Center of gravity of the leaflet; Design; Final closing speed; Heart Valve Prosthesis; Humans; Lead; Materials Testing; Mechanical mitral valve; Mitral Valve; Motion measurement; Prosthesis Design; Pulsatile Flow - physiology; Surface Properties; Systole; Time Factors; Torque; Videotape Recording
• ISSN: 0160-564X; 1525-1594
• DOI: 10.1046/j.1525-1594.1999.06257.x

: A natural mitral valve starts closing before systole. Conventional mechanical mitral valves start their closing motion after systole. In order to let the mechanical mitral valves start closing before systole, we propose a new self‐closing valve by adjusting the center of gravity of the leaflet. As a first step, we adjusted the center of gravity by attaching a block of lead to the leaflet of a CarboMedics bileaflet valve and evaluated it using a pulse duplicator and an x‐ray high‐speed video camera. Comparative study was conducted under 60 bpm and 4 L/min as the mean flow rate. It was clarified that the self‐closing valve started closing before systole, no influence on inflow volume was found, the final closing speed of the self‐closing valve just before complete closure was slower than the conventional valve (1.9–0.34 m/s), a design strategy of a self‐closing valve (sewing ring diameter 29 mm) was obtained from the experiment that momentum of inertia of the leaflet should be less than 14.9 × 10−9 kg·m2 and the torque caused by gravity should be more than 4.2 × 10−6 N · m, and only one leaflet should be designed as self‐closing, and surgeons need to pay attention to the positioning of the two leaflets. In conclusion, the preliminary study showed the ability of starting to close before systole and the design strategy for future prototyping.