Biological heart valve replacement, particularly for pediatric patients, and manufacturing method
A biological heart valve replacement, particularly for pediatric patients, comprises a tubular segment (A) comprising a proximal end (Ep), a distal end (Ed) and a central portion (Pc) arranged between said proximal and distal ends and defining a longitudinal direction of the valve. The valve further comprises at least one inner leaflet (C) attached in hinge-like manner to a connection zone (F) at an inner wall (W) region of said central portion, each one of said inner leaflets being movable between a closing position and an opening position of the valve. In order to provide growth adaptability, the tubular segment comprises at least one tubular growth zone (B; B 1 ,B 2 ) configured as a longitudinal strip made of a growth-adaptive biomaterial, with the remainder of the tubular segment being made of a non-growth-adaptive biomaterial.
1. A biological heart valve replacement comprising:
a tubular segment comprising a proximal end, a distal end, and a central portion arranged between said proximal and distal ends, defining a longitudinal direction of the valve and having an inner wall region, the valve further comprising
at least one inner leaflet attached, in hinge-like manner, to a connection zone at the inner wall region of said central portion,
each one of said inner leaflets being movable between a closing position and an opening position of the valve, wherein said tubular segment comprises at least one tubular growth zone in form of a longitudinal strip made of a growth-adaptive biomaterial adapted to increase its size concomitantly with surrounding organ structures of a host, with the remainder of the tubular segment being made of a non-growth-adaptive biomaterial, wherein each inner leaflet further comprises a leaflet growth zone in form of a patch made of said growth-adaptive biomaterial and arranged in a leaflet region adjacent said connection zone.
2. The biological heart valve replacement according to claim 1 , having one tubular growth zone for each inner leaflet, each tubular growth zone traversing the connection zone of the respective inner leaflet.
3. The biological heart valve replacement according to claim 1 , having two tubular growth zones for each inner leaflet, the two tubular growth zones being circumferentially spaced apart from each other, both growth zones traversing the connection zone of the respective inner leaflet.
4. The biological heart valve replacement according to claim 1 , wherein an area formed by an entirety of said tubular growth zones represents 5 to 50 area % of the tubular segment.
5. The biological heart valve replacement according to claim 4 , wherein the area formed by the entirety of said tubular growth zones represents 10 to 30 area-% of the tubular segment.
6. The biological heart valve replacement according to claim 1 , wherein said leaflet growth zone is substantially triangular, with a triangle base adjacent said inner wall region.
7. The biological heart valve replacement according to claim 1 , wherein said leaflet growth zone represents 5 to 50 area-% of the respective inner leaflet.
8. The biological heart valve replacement according to claim 7 , wherein said leaflet growth zone represents 10 to 30 area-% of the respective inner leaflet.
9. The biological heart valve replacement according to claim 1 , wherein said growth-adaptive biomaterial is a biodegradable polymer.
10. The biological heart valve replacement according to claim 9 , wherein said biodegradable polymer is made from a polyglycolic acid matrix dip-coated with poly-4-hydroxybutyrate.
11. The biological heart valve replacement according to claim 1 , wherein said tubular segment has a diameter of 5 to 20 mm.
12. The biological heart valve replacement according to claim 1 , wherein said tubular segment has a length of 10 to 20 mm.
13. The biological heart valve replacement of claim 1 , wherein the heart valve is configured for a pediatric patient.
14. A biological heart valve replacement comprising:
a tubular segment comprising a proximal end, a distal end, and a central portion arranged between said proximal and distal ends, defining a longitudinal direction of the valve and having an inner wall region, the valve further comprising
at least one inner leaflet attached, in hinge-like manner, to a connection zone at the inner wall region of said central portion,
each one of said inner leaflets being movable between a closing position and an opening position of the valve, wherein said tubular segment comprises at least one tubular growth zone in form of a longitudinal strip made of a growth-adaptive biomaterial adapted to increase its size concomitantly with surrounding organ structures of a host, with the remainder of the tubular segment being made of a non-growth-adaptive biomaterial, wherein said non-growth-adaptive biomaterial is a fixed xenogenic tissue or a homogenic native tissue.
15. A biological heart valve replacement comprising:
a tubular segment comprising a proximal end, a distal end, and a central portion arranged between said proximal and distal ends, defining a longitudinal direction of the valve and having an inner wall region, the valve further comprising
at least one inner leaflet attached, in hinge-like manner, to a connection zone at the inner wall region of said central portion,
each one of said inner leaflets being movable between a closing position and an opening position of the valve, wherein said tubular segment comprises at least one tubular growth zone in form of a longitudinal strip made of a growth-adaptive biomaterial adapted to increase its size concomitantly with surrounding organ structures of a host, with the remainder of the tubular segment being made of a non-growth-adaptive biomaterial, wherein said growth-adaptive biomaterial is a tissue engineered material.
16. A method for heart valve replacement comprising:
implanting a heart valve replacement,
the heart valve replacement comprising:
a tubular segment comprising a proximal end, a distal end, and a central portion arranged between said proximal and distal ends, defining a longitudinal direction of the valve and having an inner wall region, the valve further comprising:
at least one inner leaflet attached in hinge-like manner to a connection zone at the inner wall region of said central portion,
each one of said inner leaflets being movable between a closing position and an opening position of the valve, wherein said tubular segment comprises at least one tubular growth zone in form of a longitudinal strip made of a growth-adaptive biomaterial adapted to increase its size concomitantly with surrounding organ structures of a host, with the remainder of the tubular segment being made of a non-growth-adaptive biomaterial, wherein each inner leaflet further comprises a leaflet growth zone in form of a patch made of said growth-adaptive biomaterial and arranged in a leaflet region adjacent said connection zone.