Evidence map›Paper›PMID 18621858›Full record

ArticleAmerican journal of physiology. Heart and circulatory physiology2008

Material properties of the ovine mitral valve anterior leaflet in vivo from inverse finite element analysis.

Gaurav Krishnamurthy, Daniel B Ennis, Akinobu Itoh, Wolfgang Bothe, Julia C Swanson, Matts Karlsson, Ellen Kuhl, D Craig Miller, Neil B Ingels

Open access · greenAbstract read
In one paragraph

Article in American journal of physiology. Heart and circulatory physiology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
4.1field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 89 citations in OpenAlex.

  1. Article
  2. Constitutive discovery in the living human heart.bioRxiv : the preprint server for biology · 2026
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  3. Durability of Nitinol in self-expanding devices.Journal of thoracic disease · 2026
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  14. Parameterization, geometric modeling, and isogeometric analysis of tricuspid valves.Computer methods in applied mechanics and engineering · 2021
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  15. Article
  16. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Gaurav KrishnamurthyDepartment of Cardiothoracic Surgery, Stanford University, Stanford, California, USA.
Daniel B Ennis
Akinobu Itoh
Wolfgang Bothe
Julia C Swanson
Matts Karlsson
Ellen Kuhl
D Craig Miller
Neil B Ingels
Stanford University · US

Funding

VENTRICULAR DYNAMICS FROM SURGICALLY INSERTED MARKERSR01HL029589 · NHLBI · STANFORD UNIVERSITY · PI MILLER, D CRAIG · 1985 to 2007
$6.6M
CHRONIC ISCHEMIC MR-MECHANISMS &NOVEL SURGICAL THERAPYR01HL067025 · NHLBI · STANFORD UNIVERSITY · PI MILLER, D CRAIG · 2001 to 2010
$3.9M
Myocardial Structure, Function, and Remodeling in Mitral RegurgitationK99HL087614 · NHLBI · STANFORD UNIVERSITY · PI ENNIS, DANIEL B · 2007 to 2008
$159k
NHLBI NIH HHS HL-29589NHLBI NIH HHS HL-67025NHLBI NIH HHS K99-R00-HL-087614
6 · The paper itself

Abstract

We measured leaflet displacements and used inverse finite-element analysis to define, for the first time, the material properties of mitral valve (MV) leaflets in vivo. Sixteen miniature radiopaque markers were sewn to the MV annulus, 16 to the anterior MV leaflet, and 1 on each papillary muscle tip in 17 sheep. Four-dimensional coordinates were obtained from biplane videofluoroscopic marker images (60 frames/s) during three complete cardiac cycles. A finite-element model of the anterior MV leaflet was developed using marker coordinates at the end of isovolumic relaxation (IVR; when the pressure difference across the valve is approximately 0), as the minimum stress reference state. Leaflet displacements were simulated during IVR using measured left ventricular and atrial pressures. The leaflet shear modulus (G(circ-rad)) and elastic moduli in both the commisure-commisure (E(circ)) and radial (E(rad)) directions were obtained using the method of feasible directions to minimize the difference between simulated and measured displacements. Group mean (+/-SD) values (17 animals, 3 heartbeats each, i.e., 51 cardiac cycles) were as follows: G(circ-rad) = 121 +/- 22 N/mm2, E(circ) = 43 +/- 18 N/mm2, and E(rad) = 11 +/- 3 N/mm2 (E(circ) > E(rad), P < 0.01). These values, much greater than those previously reported from in vitro studies, may result from activated neurally controlled contractile tissue within the leaflet that is inactive in excised tissues. This could have important implications, not only to our understanding of mitral valve physiology in the beating heart but for providing additional information to aid the development of more durable tissue-engineered bioprosthetic valves.

Indexed as

AlgorithmsAnimalsBlood PressureContrast MediaFinite Element AnalysisFluoroscopyHeart RateMaleMicroscopy, VideoMitral ValveMyocardial ContractionSheepTantalumVentricular Function, LeftVentricular Function, RightContrast MediaTantalum

Identifiers

PMID18621858
PMCPMC2544494
OpenAlexW2105683744

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.