Previous studies of aortic valve allograft viability have used in vitr
o assessments that may not reflect in vivo properties. This study eval
uated in vivo endothelial cell replication in experimental valved aort
ic grafts and examined the consequences of histoincompatibility and cr
yopreservation. Valved aortic conduits were heterotopically transplant
ed into syngeneic or allogeneic rats. Tritiated thymidine was administ
ered to graft recipients and control rats. After 72 hours, monolayers
from the native aortas and the aortic portion of the grafts were prepa
red for autoradiography, with six or more silver grains per nucleus co
nsidered evidence of replication. Percentages of replicating cells in
native aortas ranged from 0.3% to 2.3% (p = not significant). Percenta
ges of replicating cells in the fresh isografts (12.4%) and allografts
(12.2%) were not significantly different from each other, although ea
ch was significantly greater than the percentage in its native aorta (
p < 0.04). Cryopreserved allografts and isografts displayed few endoth
elial cells, none of which was replicating. Immunologic differences do
not affect endothelial cell replication in this early period after fr
esh graft transplantation. Cryopreservation, however, results in the a
bsence of replicating endothelium.