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The heart's cardiac skeleton comprises four dense connective tissue rings that encircle the mitral and tricuspid atrioventricular (AV) canals and extend to the origins of the pulmonary trunk and aorta. This provides crucial support and structure to the heart while also serving to electrically isolate the atria from the ventricles. [1]
This type of connective tissue is found mostly in the reticular layer (or deep layer) of the dermis. [3] It is also in the sclera and in the deeper skin layers. Due to high portions of collagenous fibers, dense irregular connective tissue provides strength, making the skin resistant to tearing by stretching forces from different directions.
Valve replacement surgery is the replacement of one or more of the heart valves with either an artificial heart valve or a bioprosthesis (homograft from human tissue or xenograft e.g. from pig). It is an alternative to valve repair .
The valve is excised 4–5 mm from the annulus, leaving intact the attached chordae unless they are calcified or otherwise diseased. The valve is replaced by a mechanical or bioprosthetic valve. The replacement valve is sewn into the annulus with interrupted or horizontal mattress sutures with the pledgets on the atrial side. [17]
Tissue heart valves are usually made from animal tissue (heterografts) mounted on a metal or polymer support. [14] Bovine (cow) tissue is most commonly used, but some are made from porcine (pig) tissue. [15] The tissue is treated to prevent rejection and calcification (where calcium builds up on the replacement valve and stops it working ...
Björk–Shiley valve, as depicted in patent #US003824629. The Björk–Shiley valve is a mechanical artificial heart valve. The valve was co-invented by American engineer Donald Shiley and Swedish heart surgeon Viking Björk. Beginning in 1971, it has been used to replace aortic valves and mitral valves. It was the first successful tilting ...
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