Current developments and future challenges for the creation of aortic heart valve

The concept of tissue-engineered heart valves offers an alternative to current heart valve replacements that is capable of addressing shortcomings such as life-long administration of anticoagulants, inadequate durability, and inability to grow. Since tissue engineering is a multifaceted area, studies conducted have focused on different aspects such as hemodynamics, cellular interactions and mechanisms, scaffold designs, and mechanical characteristics in the form of both in vitro and in vivo investigations. This review concentrates on the advancements of scaffold materials and manufacturing processes, and on cell–scaffold interactions. Aside from the commonly used materials, polyglycolic acid and polylactic acid, novel polymers such as hydrogels and trimethylene carbonate-based polymers are being developed to simulate the natural mechanical characteristics of heart valves. Electrospinning has been examined as a new manufacturing technique that has the potential to facilitate tissue formation via increased surface area. The type of cells utilized for seeding onto the scaffolds is another factor to take into consideration; currently, stem cells are of great interest because of their potential to differentiate into various types of cells. Although extensive studies have been conducted, the creation of a fully functional heart valve that is clinically applicable still requires further investigation due to the complexity and intricacies of the heart valve.

Electrospinning of nanofibres for construction of vital organ replacements

This paper described the production of a novel biosynthetic material using the manufacturing technique of electro spinning for the construction of scaffold for organ replacement. This electrostatic technique uses an electric field to control the deposition of polymer fibres onto a specific substrate to fabricate fibrous polymer constructs composed of fibre diameters ranging from several microns down to 100 nm or less. Two areas of research, in particular, heart valve leaflets and blood vessel will be discussed. Here, a sandwich structure nanofibre mesh was used to construct materials for leaflets of heart valve and blood vessel. In the case of heart valve leaflet, the randomly oriented polyurethane nanofibres were prepared as the first layer, followed by gelatin-chitosan complex layer. Complex nanofibres were initially used to spin on the PU layer with cross orientation to mimic the fibrosa layer. A gelatin and chitosan complex was then spun onto the other side of PU nanofibre mesh to mimic the ventricularis layer. This particular sandwich structure using the PU layer was designed to simulate the mechanical properties of natural tissue. In addition, this design was aimed to provide good biocompatibility and improved cellular environment to assist in adhesion and proliferation. Smooth muscle cells adhered and flattened out onto the surface of the gelatin-chitosan complex as early as 1 day post seeding. There is great potential for this biosynthetic biocompatible nanofibrous material to be developed for various clinical applications.

Endothelialisation and cell retention on gelation-chitosan coated electrospun polyurethane, poly (lactide-co-glycolide) and collagen-coated pericardium

Arterial bypass and heart valve replacements are two of the most common surgical treatments in cardiovascular surgery today. Currently, artificial materials are used as substitute for these cardiac tissues. However, these foreign materials do not have the ability to grow, repair or remodel and are thrombogenic, leading to stenosis. With the aid of tissue engineering, it is possible to develop functional identical copies of healthy heart valves and arteries, which are biocompatible. Although much effort has been made into this area, there are still inconsistencies with respect to
endothelialisation and cell retention on synthetic biological grafts. These variations may be attributed to differences in factors such as cell seeding density, incubation periods and effects of shear stress. In this study, we have compared the endothelialisation and cell retention between gelain chitosan-coated electrospun polyurethane (PU), poly (lactide co-glycolide) (PGA/PLA) and collagen-coated pericardium. Endothelial cells adhered to all of the materials as early as 1–day post seeding. After 7-day of seeding, the coverage on PU was almost 45% and that on PGA/PLA was about 25% and the least was on collagen-coated pericardium of approximately 15%. It was observed that the PU showed superior cell coverage and cell retention in comparison to the PGA/PLA and collagen-coated pericardium.

Development of a novel pulsatile bioreactor for tissue culture

The construction of tissue-engineered parts such as heart valves and arteries requires more than just the seeding of cells onto a biocompatible/biodegradable polymeric scaffold. It is essential that the functionality and mechanical integrity of the cell-seeded scaffold be investigated in vitro prior to in vivo implantation. The correct hemodynamic conditioning would lead to the development of tissues with enhanced mechanical strength and cell viability. Therefore, a bioreactor that can simulate physiological conditions would play an important role in the preparation of tissue-engineered constructs. In this article, we present and discuss the design concepts and criteria, as well as the development, of a multifunctional bioreactor for tissue culture in vitro. The system developed is compact and easily housed in an incubator to maintain sterility of the construct. Moreover, the proposed bioreactor, in addition to mimicking in vivo conditions, is highly flexible, allowing different types of constructs to be exposed to various physiological flow conditions. Initial verification of the hemodynamic parameters using Laser doppler anemometry indicated that the bioreactor performed well and produced the correct physiological conditions.

Transient fluid–structure coupling for simulation of a trileaflet heart valve using weak coupling

In this article, a three-dimensional transient numerical approach coupled with fluid–structure interaction for the modeling of an aortic trileaflet heart valve at the initial opening stage is presented. An arbitrary Lagrangian–Eulerian kinematical description together with an appropriate fluid grid was used for the coupling strategy with the structural domain. The fluid dynamics and the structure aspects of the problem were analyzed for various Reynolds numbers and times. The fluid flow predictions indicated that at the initial leaflet opening stage a circulation zone was formed immediately downstream of the leaflet tip and propagated outward as time increased. Moreover, the maximum wall shear stress in the vertical direction of the leaflet was found to be located near the bottom of the leaflet, and its value decreased sharply toward the tip. In the horizontal cross section of the leaflet, the maximum wall shear stresses were found to be located near the sides of the leaflet.

Polyethyleneterephthalate provides superior retention of endothelial cells during shear stress compared to polytetrafluoroethylene and pericardium

Background

Polyethyleneterephthalate (PET) and polytetrafluoroethylene (PTFE) are polymers successfully used as large diameter arterial grafts for peripheral vascular surgery. However, these prosthetic grafts are rarely used for coronary bypass surgery because of their low patency rates. Endothelialisation of the lumenal surface of these materials may improve their patency. This study aimed to compare the endothelialisation of PET, PTFE and pericardium by examining their seeding efficiency over time and the effect of various shear stresses on retention of endothelial cells.

Methods


Ovine endothelial cells at 4 × 105 cells/cm2 were seeded onto PET, PTFE and pericardium, and cultured for 1–168 hours. Cell coverage was determined via en face immunocytochemistry and cell retention was quantified after being subjected to shear stresses ranging from 0.018 to 0.037 N/m2 for 15, 30 and 60 minutes.

Results

Endothelial cells adhered to all of the materials one hour post-seeding. PET exhibited better cell retention rate, ranging from 66.9 ± 5.6% at 0.018 N/m2 for 15 min to 44.7 ± 1.9% at 0.037 N/m2 for 60 minutes, when compared to PTFE and pericardium (p < 0.0001, three-way ANOVA).

Conclusion

PET shows superior retention of endothelial cells during shear stress compare to PTFE and pericardium.

Natural convection inside dome shaped enclosures

In the present paper the analysis of heat transfer and free convective motion have been carried out numerically for dome shaped enclosures. The solution method is based on the finite element technique with the frontal solver and is used to examine the flow parameters and the heat transfer characteristics inside dome shaped enclosures of various offsets. In formulating the solution a general conic equation is considered to represent the dome of circular, elliptical, parabolic and hyperbolic shapes. The numerical results indicate that the circular and elliptical shapes of dome give higher heat transfer rate and offset of the dome effects convective heat transfer quite significantly. However, beyond 0.3 top dome offset, the change in overall heat transfer rate is not significant. In addition, the convective phenomenon influenced by a dome shaped cover results in establishing a secondary core region even at a moderate Rayleigh number when compared with an equivalent rectangular enclosure. A good comparison between the present numerical predictions and the previous published data is achieved.

Natural convection in domed porous enclosures : non-darcian flow

The natural-convection flow and associated heat transfer in a fluid-saturated porous medium have been investigated using the generalized porous medium approach for a dome-shaped enclosure. Many new features have been predicted with the connective heat transfer and the shape of the top dome cover. The solutions are obtained for a wide range of Darcy and Rayleigh numbers for different offsets and eccentricities of the top dome covers. The detailed parametric study reveals that there is a significant change in heat transfer rate when the offset is between 0.2 and 0.4. Different shapes of conic section, such as circular, elliptical, parabolic, and hyperbolic are used for the top dome cover, and their effects on natural convection and heat transfer rates are studied.

A non-darcian numerical modeling in domed enclosures filled with heat-generating porous media

Numerical study of the natural-convection flow and heat transfer in a dome-shaped, heat-generating, porous enclosure is considered. The general conic equation for the top dome is used to consider various conical top sections such as circular, elliptical, parabolic, and hyperbolic. The individual effect of fluid Rayleigh, Darcy, and heat-generating parameters on flow patterns and heat transfer rates are analyzed and presented. The predicted results show that the heat-generating parameter has the most significant contribution toward the growth of bicellular core flow. Moreover, there is significant change in temperature distribution in comparison to rectangular enclosures, due to the existence of the domed-shape top adiabatic cover. The results also show that, regardless of Darcy and Rayleigh values, a flat adiabatic top cover tends to yield the highest value of Nusselt number, followed by circular, elliptical, parabolic, and hyperbolic top covers, respectively.

Natural convection in heat generating oval porous enclosurse : a non-darcian model

This paper presents a series of numerical simulations dealing with the problem of natural convection flows and associated heat transfer in an enclosure filled with a fluid-saturated porous medium. The analysis is based on the finite element technique and incorporates the Brinkman-extended Darcy model for an oval enclosure. The numerical results obtained for a modified Rayleigh number, Ra, Darcy number, Da, offset, E, and eccentricity, e, are presented and discussed. The numerical predictions for a square enclosure compared well with published data. It is found that any increase in Da or Ra results in a higher fluid velocity that is responsible for shifting the core of the flow. Moreover, at higher ovality (E = 0.5), asymmetric flow is observed even at the lower range of Rayleigh number (Ra ⩽ 20), which may be attributed to the effect of curved isothermal wall.