TY - JOUR
T1 - Bacterial adherence to graft tissues in static and flow conditions
AU - Veloso, Tiago Rafael
AU - Claes, Jorien
AU - Van Kerckhoven, Soetkin
AU - Ditkowski, Bartosz
AU - Hurtado-Aguilar, Luis G.
AU - Jockenhoevel, Stefan
AU - Mela, Petra
AU - Jashari, Ramadan
AU - Gewillig, Marc
AU - Hoylaerts, Marc F.
AU - Meyns, Bart
AU - Heying, Ruth
PY - 2018/1
Y1 - 2018/1
N2 - Various conduits and stent-mounted valves are used as pulmonary valve graft tissues for right ventricular outflow tract reconstruction with good hemodynamic results. Valve replacement carries an increased risk of infective endocarditis (IE). Recent observations have increased awareness of the risk of IE after transcatheter implantation of a stent-mounted bovine jugular vein valve. This study focused on the susceptibility of graft tissue surfaces to bacterial adherence as a potential risk factor for subsequent IE.Adhesion of Staphylococcus aureus, Staphylococcus epidermidis, and Streptococcus sanguinis to bovine pericardium (BP) patch, bovine jugular vein (BJV), and cryopreserved homograft (CH) tissues was quantified under static and shear stress conditions. Microscopic analysis and histology were performed to evaluate bacterial adhesion to matrix components.In general, similar bacteria numbers were recovered from CH and BJV tissue surfaces for all strains, especially in flow conditions. Static bacterial adhesion to the CH wall was lower for S sanguinis adhesion (P?
AB - Various conduits and stent-mounted valves are used as pulmonary valve graft tissues for right ventricular outflow tract reconstruction with good hemodynamic results. Valve replacement carries an increased risk of infective endocarditis (IE). Recent observations have increased awareness of the risk of IE after transcatheter implantation of a stent-mounted bovine jugular vein valve. This study focused on the susceptibility of graft tissue surfaces to bacterial adherence as a potential risk factor for subsequent IE.Adhesion of Staphylococcus aureus, Staphylococcus epidermidis, and Streptococcus sanguinis to bovine pericardium (BP) patch, bovine jugular vein (BJV), and cryopreserved homograft (CH) tissues was quantified under static and shear stress conditions. Microscopic analysis and histology were performed to evaluate bacterial adhesion to matrix components.In general, similar bacteria numbers were recovered from CH and BJV tissue surfaces for all strains, especially in flow conditions. Static bacterial adhesion to the CH wall was lower for S sanguinis adhesion (P?
KW - congenital heart disease
KW - congenital heart disease surgery
KW - endocarditis
KW - prosthetic heart valve
KW - valved conduit
U2 - 10.1016/j.jtcvs.2017.06.014
DO - 10.1016/j.jtcvs.2017.06.014
M3 - Article
SN - 0022-5223
VL - 155
SP - 325
EP - 332
JO - Journal of Thoracic and Cardiovascular Surgery
JF - Journal of Thoracic and Cardiovascular Surgery
IS - 1
ER -