Support stent for transvalvular conduit
View Patent ↗Miniature axial flow pumps are implanted inside the heart or major arteries to provide hemodynamic support. These pumps commonly utilize tubular blood conduit tubes to transport blood across the aortic valve. The valve leaflets themselves are very thin and flexible, and will seal against the conduit if it is centered within the valve orifice. If the conduit is not centered, a leaflet can be pushed to the side of the aorta, preventing the leaflets from sealing and providing a path for backflow. If the blood flow conduit remains pushed against the side of the valve for a long period of time, thrombus may form in the crevice between the conduit and the aorta, causing serious thromboembolic events such as stroke, if the thrombus breaks free. The present invention provides a conduit support device that retains the conduit centered within the annulus of the natural heart valve. A leaflet valve stent may be combined with a conduit support device comprised of a ring supported by posts attached to the valve stent ring. A blood pump may be attached to the center of a transvalvular support stent, for optimal fixation of the pump with relation to a trileaflet or bi-leaflet tissue or polymer valve.
1. A valved conduit support comprising:
a transvalvular blood flow conduit;
a first ring adapted to hold said transvalvular conduit passing therethrough in a centered position, said conduit support having two or three cardiac valve leaflets affixed to an annular stent, said conduit support comprising:
a circular or oval ring with two or three valve leaflet support members affixed thereto that project axially away from the plane of said circular ring or oval in the direction of flow through the valve, and
one or more conduit support posts also affixed to said circular ring that project axially in the direction opposite to the direction of blood flow through said valve,
wherein said transvalvular conduit also passes through the leaflets and said circular or oval ring.
2. The valved support of claim 1 further comprising a threaded support affixed to said posts in an axial position that permits valve leaflets affixed to said leaflet support members to seal against the surface of said transvalvular conduit in an optimal predetermined axial position by means of a threaded member interconnected to said transvalvular conduit.
3. The valved support of claim 2 in which the transvalvular conduit is a portion of a blood pump that transverses a heart valve.
4. The valved support of claim 2 in which the transvalvular conduit is connected to a blood pump positioned in the aorta or pulmonary artery.
5. The valved support of claim 2 in which the transvalvular conduit is connected to a blood pump positioned in the left or right ventricle.