Natural and prosthetic heart valve calcification: morphology and chemical composition characterization.
Natural and prosthetic heart valve calcification: morphology and chemical composition characterization.
复制标题
天然和人工心脏瓣膜钙化:形态和化学成分表征。
作者:
R. F. Weska;C. G. Aimoli;G. M. Nogueira;A. Leirner;M. Maizato;O. Higa;Bronislaw Polakievicz;R. Pitombo;M. Beppu
Calcification is the most common cause of damage and subsequent failure of heart valves. Although it is a common phenomenon, little is known about it, and less about the inorganic phase obtained from this type of calcification. This article describes the scanning electron microscopy (SEM)/energy dispersive X-ray spectroscopy and Ca K-edge X-ray absorption near edge structure (XANES) characterization performed in natural and bioprosthetic heart valves calcified in vivo (in comparison to in vitro-calcified valves). SEM micrographs indicated the presence of deposits of similar morphology, and XANES results indicate, at a molecular level, that the calcification mechanism of both types of valves are probably similar, resulting in formation of poorly crystalline hydroxyapatite deposits, with Ca/P ratios that increase with time, depending on the maturation state. These findings may contribute to the search for long-term efficient anticalcification treatments.