One-piece heart valve stents adapted for post-implant expansion
A prosthetic heart valve configured to replace a native heart valve and having a support frame configured to be reshaped into an expanded form in order to receive and/or support an expandable prosthetic heart valve therein is disclosed, together with methods of using same. The prosthetic heart valve may be configured to have a generally rigid and/or expansion-resistant configuration when initially implanted to replace a native valve (or other prosthetic heart valve), but to assume a generally expanded form when subjected to an outward force such as that provided by a dilation balloon or other mechanical expander.
1. A prosthetic heart valve adapted for post-implant expansion and having an inflow end and an outflow end, comprising:
a one-piece inner structural support stent including a generally circular solid lower band having three upstanding commissure posts, the stent defining an implant circumference that is substantially non-compressible in normal physiological use and has a first diameter, and wherein the lower band is a continuous solid band except for a point of discontinuity around its periphery formed by adjacent abutting ends of the solid band which touch but are otherwise not connected located below at least one of the commissure posts that permits expansion of the support stent from the first diameter to a second diameter larger than the first diameter upon application of an outward dilatory force from within the support stent substantially larger than forces associated with normal physiological use but prevents contraction of the lower band; and
a plurality of flexible leaflets supported by the stent and configured to ensure one-way blood flow therethrough.
2. The prosthetic heart valve of claim 1 , wherein each commissure post has a gap between two sides and the lower band extends across the gaps in two wall segments, wherein the point of discontinuity is located where the wall segments come together.
3. The prosthetic heart valve of claim 1 , wherein there is a point of discontinuity located below each of the commissure posts.
4. The prosthetic heart valve of claim 3 , wherein the one-piece inner structural support stent further includes cusp supports located between each of the commissure posts, each cusp support extending away from the lower band and diverging toward but not touching the adjacent commissure posts.
5. The prosthetic heart valve of claim 1 , further including a unique identifier on the support stent visible from outside the body after implant that identifies the support stent as being expandable.
6. The prosthetic heart valve of claim 5 , wherein the unique identifier is a numerical valve size in odd 2-millimeter increments between 15-33mm.
7. The prosthetic heart valve of claim 5 , wherein the unique identifier is laser cut in the lower band.
8. The prosthetic heart valve of claim 1 , wherein the one-piece inner structural support stent is made of titanium.
9. The prosthetic heart valve of claim 8 , wherein each commissure post has a gap between two sides and the lower band extends across the gaps in two wall segments, wherein the point of discontinuity is located where the wall segments come together.
10. The prosthetic heart valve of claim 9 , wherein there is a single point of discontinuity located below one of the commissure posts.
11. The prosthetic heart valve of claim 9 , wherein there is a point of discontinuity located below each of the commissure posts.
12. The prosthetic heart valve of claim 9 , further including a unique identifier on the support stent visible from outside the body after implant that identifies the support stent as being expandable.
13. The prosthetic heart valve of claim 1 , wherein the one-piece inner structural support stent is made of an acetal copolymer.
14. The prosthetic heart valve of claim 13 , wherein each commissure post has a gap between two sides and the lower band extends across the gaps in two wall segments, wherein the point of discontinuity is located where the wall segments come together.
15. The prosthetic heart valve of claim 14 , wherein there is a single point of discontinuity located below one of the commissure posts.
16. The prosthetic heart valve of claim 14 , wherein there is a point of discontinuity located below each of the commissure posts.
17. The prosthetic heart valve of claim 14 , further including a unique identifier on the support stent visible from outside the body after implant that identifies the support stent as being expandable.