Reconstruction and replacement of heart valves with grafts from pig tissue
is a common procedure. However, bioprosthetic valves wear out in a shorter
time span than mechanical valves. Bioprosthetic valve structure may contrib
ute to degenerative changes that lead to valve failure, There is, at presen
t, no method to examine the structure of a tissue valve prior to implant. L
aser-induced fluorescence (LIF) of natural fluorophores is an elegant metho
d developed for the detection of tumors, dermal lesions and atherosclerosis
. We have studied LIF as a potential diagnostic technique for analysis of v
alvular tissue. Using excimer laser excitation, we examined natural fluores
cence recorded from porcine aortic, mitral and pulmonary valves. All three
valve outflow surface tissue layers are less fluorescent at 390-450 nn than
the inflow layers. Immunohistochemical analysis of collagen I and elastin
content in inflow and outflow surface layers of all three valves correlated
well with LIF intensities and dI/d lambda values at selected wavelengths,
In conclusion, the differences observed in emitted LIF from valve surface l
ayers are found to correlate well with diversity in the structural protein
content. The LIF spectroscopic measurements may provide an appropriate tool
for examination of tissue valve structure prior to use for implantation.