Heart valve prosthesis
A stent ( 1 ) used for a heart valve prosthesis and the heart valve prosthesis that includes the stent ( 1 ) and is used for heart valve replacement. The stent is configured to support a heart valve ( 3 ) and includes, along a longitudinal axis, an inflow section ( 8 ), an outflow section ( 6 ) and a transition section ( 7 ) between the inflow section ( 8 ) and the outflow section ( 6 ). The stent ( 1 ) has a contracted delivery configuration and an expanded deployed configuration. In the expanded deployed configuration, the inflow section ( 8 ) defines a concave contour that is complementary to a structure of a native valve annulus. The concave contour enables self-deployment and close adherence of the stent ( 1 ), thereby preventing its displacement and perivalvular leakage after implantation.
1. A stent for use in a heart valve prosthesis, the stent configured to support a heart valve and comprising, along a longitudinal axis and from a proximal end to a distal end, an inflow section, a transition section and an outflow section, the stent having a contracted delivery configuration and an expanded deployed configuration,
wherein in the expanded deployed configuration, the inflow section defines a concave contour that is complementary to a structure of a native valve annulus such that the concave contour closely adheres to a native valve annulus upon proper deployment of the stent; wherein the concave contour is located in a first or a second stent ring of the stent from the proximal end of the stent or the concave contour spans the first and second stent rings; and wherein the stent comprises a mesh having a plurality of mesh cells and ones of the plurality of mesh cells in the inflow section corresponding to the concave contour are larger than remaining ones of the plurality of mesh cells in the inflow section, each of the ones of the plurality of mesh cells in the inflow section corresponding to the concave contour having an area of about 0.6-0.8 cm 2 , and each of the remaining ones of the plurality of mesh cells in the inflow section having an area of about 0.5-0.6 cm 2 .
2. The stent according to claim 1 , wherein each of the mesh cells of the outflow section has an area of about 0.8-1.60 cm 2 .
3. The stent according to claim 1 , wherein the concave contour has a profile curvature radius of 4-6 mm and a concave depth of 1-2 mm.
4. The stent according to claim 1 , wherein the stent is a self-expanding stent.
5. The stent according to claim 1 , wherein in the expanded deployed configuration, the stent conically tapers from the inflow section toward the transition section and flares from the transition section toward the outflow section.
6. The stent according to claim 1 , wherein the inflow section has a proximal end slightly contracted.
7. The stent according to claim 6 , wherein an angle of the contraction ranges from 8° to 12°.
8. The stent according to claim 1 , wherein the outflow section has a distal end slightly contracted.
9. The stent according to claim 8 , wherein an angle of the contraction ranges from 8° to 12°.
10. The stent according to claim 1 , wherein the inflow section is circumferentially composed of twelve mesh cells.
11. The stent according to claim 10 , wherein adjacent struts of the inflow section intersect at an angle of 30°-65°.
12. The stent according to claim 10 , wherein the outflow section is circumferentially composed of six mesh cells.
13. The stent according to claim 12 , wherein adjacent struts of the outflow section intersect at an angle of 60°-120°.
14. The stent according to claim 12 , wherein adjacent struts of the outflow section intersect at an angle of 55°-65°.
15. The stent according to claim 12 , wherein a circumferential number of mesh cells transitions from 6 to 12 at the transition section.
16. The stent according to claim 1 , wherein the ones of the plurality of mesh cells in the inflow section have a strut width greater than strut widths of ones of the plurality of mesh cells in the transition section and in the outflow section.
17. The stent according to claim 1 , wherein the stent is fabricated from a nitinol alloy.
18. A heart valve prosthesis for use in heart valve replacement, comprising:
a heart valve; and
a stent configured to support the heart valve and comprising, along a longitudinal axis, an inflow section, an outflow section and a transition section between the inflow section and the outflow section, the stent having a contracted delivery configuration and an expanded deployed configuration,
wherein in the expanded deployed configuration, the inflow section defines a concave contour that is complementary to a structure of a native valve annulus such that the concave contour closely adheres to the native valve annulus upon proper deployment of the stent; wherein the concave contour is located in a first or a second stent ring of the stent from the proximal end of the stent or the concave contour spans the first and second stent rings; and wherein the stent comprises a mesh having a plurality of mesh cells and ones of the plurality of mesh cells in the inflow section corresponding to the concave contour are larger than remaining ones of the plurality of mesh cells in the inflow section, each of the ones of the plurality of mesh cells in the inflow section corresponding to the concave contour having an area of about 0.6-0.8 cm 2 , and each of the remaining ones of the plurality of mesh cells in the inflow section having an area of about 0.5-0.6 cm 2 .
19. The heart valve prosthesis according to claim 18 , wherein the heart valve is a tri-leaflet valve sewn from a one-way tri-leaflet pericardial valve formed of porcine pericardium that has been treated with an anti-calcification treatment.
20. The heart valve prosthesis according to claim 18 , wherein the heart valve is sewn onto the stent by medical sutures made of polyethylene terephthalate.