20-Year Experience With Decellularized Pulmonary Homografts for Pulmonary Valve Replacement

Decellularized pulmonary homografts show good long-term results for PVR with freedom from explantation that appears favourable compared with published long-term series of cryopreserved homografts. However, our data also indicate a decline in valve function over 2 decades. We hypothesize that residual immunogenicity is the underlying cause, suggesting that there is potential for further refinement of decellularization methods.

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Publication Details

Journal
European Journal of Cardio-Thoracic Surgery
Published
2026-02-01
DOI
https://doi.org/10.1093/ejcts/ezag087
Primary Topic
Tissue Engineering and Regenerative Medicine
Type
article
Field-Weighted Citation Impact
0.00
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article

20-Year Experience With Decellularized Pulmonary Homografts for Pulmonary Valve Replacement

Ciubotaru Anatol, Samir Sarikouch, Tudorache Igor, Cebotari Serghei et al.
European Journal of Cardio-Thoracic Surgery
Tissue Engineering and Regenerative Medicine
article

20-Year Experience With Decellularized Pulmonary Homografts for Pulmonary Valve Replacement

Ciubotaru Anatol, Samir Sarikouch, Tudorache Igor, Cebotari Serghei, Beerbaum Philipp, Westhoff-Bleck Mechthild, Cazacu Anatolie, Cheptanaru Eduard, Boethig Dietmar, Bobylev Dmitry, Horke Alexander, Avsar Murat, Ruhparwar Arjang, Cvitkovic Tomislav
article en

Abstract

Decellularized pulmonary homografts show good long-term results for PVR with freedom from explantation that appears favourable compared with published long-term series of cryopreserved homografts. However, our data also indicate a decline in valve function over 2 decades. We hypothesize that residual immunogenicity is the underlying cause, suggesting that there is potential for further refinement of decellularization methods.

European Journal of Cardio-Thoracic SurgeryVol. 68(2)
Medizinische Hochschule Hannover (DE), Zurich Heart House (CH), Pharmaceutical Formulations (United States) (US), The Cardiac and Vascular Institute (US), DNA Diagnostic (Denmark) (DK), San Diego Cardiac Center (US)
Reduced inequalities
Openalex Percentile: Top 64%
Tissue Engineering and Regenerative Medicine
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