Determination of the pressure required to cause mitral valve failure

Daniel Espino, David Hukins, Duncan Shepherd, MA Watson, K Buchan

Research output: Contribution to journalArticle

19 Citations (Scopus)


A method has been developed for applying water pressure to a closed mitral valve on the side corresponding to the heart's left ventricle. The pressure is increased until fluid flows through the valve, i.e. until it fails. A specific dissection technique has been developed to produce a specimen with two annular rings, mitral annulus and papillary muscle annulus. Since the valve is maintained intact, with its leaflets attached to papillary muscles by the chordae tendineae, this method allows the effects of ruptured chordae and their surgical repair or replacement to be assessed in vitro. The chamber that holds the valve supports both the mitral annulus and papillary muscle annulus of the specimen. The mitral annulus is sutured onto rubber sheeting held in the chamber. The papillary muscle annulus is held in place by a Perspex support. The main part of the apparatus consists of a water pump connected through flexible tubing to the chamber that holds the valve in place. The pressure at failure is measured using a pressure transducer. Preliminary experiments demonstrate that anterior leaflet marginal chordae, but not strut chordae, are vital to valve function. Posterior leaflet chordae have been found to be important for valve competence. (C) 2005 IPEM. Published by Elsevier Ltd. All rights reserved.
Original languageEnglish
Pages (from-to)36-41
Number of pages6
JournalMedical Engineering & Physics
Publication statusPublished - 1 Jan 2006


  • regurgitation
  • heart
  • mitral valve
  • in vitro testing
  • chordae tendineae


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