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However, optimal design and attachment of cardiac patches remain insufficiently explored, although both are essential for the mechanical support of damaged hearts. This study presents a platform for personalized macroscale patches with a multi\u2010zonal microarchitecture combining a regenerative zone for cell alignment, a stiff force transmission zone for load transfer, and an elastic attachment zone enabling integration. Based on computational modeling, the design is implemented using a custom G\u2010code generator for melt electrowriting (MEW). Digital image correlation reveals up to a 2.6\u2010fold strain difference between scaffold zones under physiological deformation, confirming zonal interplay. Biaxial testing with preconditioning shows scaffold mechanics replicating native myocardium properties up to 10% strain. For epicardial suture attachment, a reinforced outline enables shape\u2010morphing and increases suture retention 2.16\u2010fold. Dynamic BioVAD cultivation with fibrin\u2010embedded cardiomyocytes significantly (p = 0.01) improves cell alignment versus controls. Finally, in a porcine myocardial infarction model, the BioVAD achieves complete epicardial attachment and vascular ingrowth within 7 days, compared to partial attachment in controls. This study highlights MEW as a versatile platform for tailoring cardiac scaffold mechanics to support tissue integration and cardiac function.<\/jats:p>","DOI":"10.1002\/adma.202515863","type":"journal-article","created":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T05:15:58Z","timestamp":1771564558000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["From Fiber Architecture to Functional Attachment: A Clinically Relevant, Mechanically Tunable Cardiac Patch"],"prefix":"10.1002","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4268-6154","authenticated-orcid":false,"given":"Johannes","family":"Braig","sequence":"first","affiliation":[{"name":"Department of Functional Materials in Medicine and Dentistry Institute of Biofabrication and Functional Materials University of W\u00fcrzburg and KeyLab Polymers For Medicine of the Bavarian Polymer Institute (BPI)  W\u00fcrzburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ross","family":"Kent","sequence":"additional","affiliation":[{"name":"Hematology and Cell Therapy Area Cl\u00ednica Universidad de Navarra and Cancer Center Cl\u00ednica Universidad De Navarra (CCUN)  Pamplona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ainitze Gereka","family":"Goienetxe","sequence":"additional","affiliation":[{"name":"Hematology and Cell Therapy Area Cl\u00ednica Universidad de Navarra and Cancer Center Cl\u00ednica Universidad De Navarra (CCUN)  Pamplona Spain"},{"name":"Health Spezialization Leartiker S.Coop.  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