Comparison of biomechanical and structural properties between human aortic and pulmonary valve

Peteris Stradins, Romans Lacis, Iveta Ozolanta, Biruta Purina, Velta Ose, Laila Feldmane, Vladimir Kasyanov

Research output: Contribution to journalArticlepeer-review

112 Citations (Scopus)
5 Downloads (Pure)


Objective: Pulmonary valve autografts have been reported as clinically effective for replacement of diseased aortic valve (Ross procedure). Published data about pulmonary valve mechanical and structural suitability as a long-term substitute for aortic valve are limited. The aim of this study was to compare aortic and pulmonary valve properties. Methods: Experimental studies of biomechanical properties and structure of aortic and pulmonary valves were carried out on pathologically unchanged human heart valves, collected from 11 cadaveric hearts. Biomechanical properties of 84 specimens (all valve elements: cusps, fibrous ring, commissures, sinotubular junction, sinuses) were investigated using uniaxial tensile tests. Ultrastructure was studied using transmission and scanning electron microscopy. Results: Ultimate stress in circumferential direction for pulmonary valve cusps is higher than for aortic valve (2.78±1.05 and 1.74±0.29 MPa, respectively). Ultimate stress in radial direction for pulmonary and aortic cusps is practically the same (0.29±0.06 and 0.32±0.04 MPa, respectively). In ultrastructural study, different layout and density in each construction element are determined. The aortic and pulmonary valves have common ultrastructural properties. Conclusions: Mechanical differences between aortic and pulmonary valve are minimal. Ultrastructural studies show that the aortic and pulmonary valves have similar structural elements and architecture. This investigation suggests that the pulmonary valve can be considered mechanically and structurally suitable for use as an aortic valve replacement.

Original languageEnglish
Pages (from-to)634-639
Number of pages6
JournalEuropean Journal of Cardio-thoracic Surgery
Issue number3
Publication statusPublished - Sept 2004
Event17th Annual Meeting of the European Association for Cardio Thoracic Surgery and 11th Annual Meeting of the European Society of Thoracic Surgeons - VIENNA, Austria
Duration: 12 Oct 200315 Oct 2003


  • Aortic valve
  • Biomechanical properties
  • Pulmonary valve
  • Ross procedure
  • Structural properties

Field of Science*

  • 3.2 Clinical medicine

Publication Type*

  • 3.1. Articles or chapters in proceedings/scientific books indexed in Web of Science and/or Scopus database


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