2019
DOI: 10.1098/rsif.2019.0069
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An investigation of the glycosaminoglycan contribution to biaxial mechanical behaviours of porcine atrioventricular heart valve leaflets

Abstract: The atrioventricular heart valve (AHV) leaflets have a complex microstructure composed of four distinct layers: atrialis, ventricularis, fibrosa and spongiosa. Specifically, the spongiosa layer is primarily proteoglycans and glycosaminoglycans (GAGs). Quantification of the GAGs' mechanical contribution to the overall leaflet function has been of recent focus for aortic valve leaflets, but this characterization has not been reported for the AHV leaflets. This study seeks to expand current GAG literature through… Show more

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Cited by 17 publications
(7 citation statements)
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“…In other words, the marginal chordae had the largest GAG concentrations, and the smallest relaxation behaviors, whereas the strut chordae had the greatest relaxation behavior, but the lowest GAG contents. In previous studies of the valve leaflets, in contrast, fewer GAG contents corresponded to less stress relaxation [63,64]. The differences in the trends between the relaxation behaviors and the GAG contents may be due to the GAGs serving different roles in the mechanical behaviors for the leaflets or the chordae.…”
Section: Stress-relaxation Testing Of the Chordae Tendineaementioning
confidence: 80%
“…In other words, the marginal chordae had the largest GAG concentrations, and the smallest relaxation behaviors, whereas the strut chordae had the greatest relaxation behavior, but the lowest GAG contents. In previous studies of the valve leaflets, in contrast, fewer GAG contents corresponded to less stress relaxation [63,64]. The differences in the trends between the relaxation behaviors and the GAG contents may be due to the GAGs serving different roles in the mechanical behaviors for the leaflets or the chordae.…”
Section: Stress-relaxation Testing Of the Chordae Tendineaementioning
confidence: 80%
“…In this problem, the constitutive equations and material microstructure are both unknown, and the dataset has unavoidable measurement noise. To generate the data, we firstly followed the established biaxial testing procedure, including acquisition of a healthy porcine heart and retrieval of the TVAL [59,60]. Then, we sectioned the leaflet tissue and applied a speckling pattern to the tissue surface using an airbrush and black paint [61][62][63].…”
Section: Appendix a Proof Of Theoremmentioning
confidence: 99%
“…The aligned elastic fibers in the belly region contribute to the bending performance of the leaflet. This elastic network cooperates with GAGs -which is hydrophilic and readily absorb water to swell and from a gel 38 -to function as buffering and lubricant between the outer two layers.…”
Section: 2mentioning
confidence: 99%