Changes in the mechanical properties, biochemical contents and wall structure of the human coronary arteries with age and sex.

An experimental study of the mechanical properties, biochemical composition and structure was carried out on the proximal and distal parts of the right and the anterior descending branch of left human coronary arteries. The vessels were removed during an autopsy of 121 males and 84 females being 1 day to 80 years old. The material was divided into six age groups. Branchless segments of vessels 15-20 mm long were cut from proximal and distal parts. The mechanical properties of the coronary arteries were determined by passing fluid at pressures ranging from 0 to 240 mmHg. It was found that the part of the wall of the coronary artery adjacent to the myocardium is thicker in all cases than the other part of the arterial wall. With increasing age the mean thickness of the wall of both coronary arteries increases but the wall-thickening process is non-uniform in nature in both the proximal and distal parts and in the individual layers. The changes in the stretch ratio and tangential modulus in circumferential direction with age and sex were investigated. The greatest changes in the wall thickness and in the mechanical parameters were found for the left coronary artery wall in men over 40 years of age and for the right coronary artery wall in women over 50 years of age. The results of biochemical and densitometric investigations were compared.

Biomechanical and structural properties of the explanted bioprosthetic valve leaflets.

Porcine bioprosthesis were treated with 0.625% glutaraldehyde and stabilized under changing pressure from 4 to 30 mmHg. Bovine pericardium and 12 biovalves (of age between 14 days and 80 months) after implantation in the human body were investigated (7 porcine PB and 5 pericardial bioprosthesis--PCB). Circumferential and radial strips from porcine aortic valve leaflets, bovine pericardium and bioprosthetic leaflets were studied in light, transmitting and scanning electron microscopy. Uniaxial load tests were carried out to examine the deformability and strength of these tissues. Microscopic examination of the biovalves revealed that the PB and PCB tissue retained its original architecture, but with alterations in detailed structure. The collagen bundles stuck together with vacuolization between them. There were some areas of the collagen structure fragmentation which could lead to complete necrosis. Eighty months after implantation in patients, the PCB became more extensible and its ultimate strain increases 2.5 times. Ultimate stress decreases in the radial direction from 9.43 to 2.88 MPa, and in the circumferential direction from 9.43 to 6.44 MPa. Forty-eight months after implantation, PB tissue's ultimate stress decreases in the circumferential direction from 4.06 to 1.99 MPa. At the same time ultimate strain increases from 13 to 22%. This study is to improve the methods of tissue stabilization in 0.625% glutaraldehyde solution for the first 48 h at cyclic, changing construction of biovalves soft supporting stent after 48 h.