Document Detail


Simulation of the three-dimensional hinge flow fields of a bileaflet mechanical heart valve under aortic conditions.
MedLine Citation:
PMID:  19960368     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Thromboembolic complications of bileaflet mechanical heart valves (BMHV) are believed to be due to detrimental stresses imposed on blood elements by the hinge flows. Characterization of these flows is thus crucial to identify the underlying causes for complications. In this study, we conduct three-dimensional pulsatile flow simulations through the hinge of a BMHV under aortic conditions. Hinge and leaflet geometries are reconstructed from the Micro-Computed Tomography scans of a BMHV. Simulations are conducted using a Cartesian sharp-interface immersed-boundary methodology combined with a second-order accurate fractional-step method. Physiologic flow boundary conditions and leaflet motion are extracted from the Fluid-Structure Interaction simulations of the bulk of the flow through a BMHV. Calculations reveal the presence, throughout the cardiac cycle, of flow patterns known to be detrimental to blood elements. Flow fields are characterized by: (1) complex systolic flows, with rotating structures and slow reverse flow pattern, and (2) two strong diastolic leakage jets accompanied by fast reverse flow at the hinge bottom. Elevated shear stresses, up to 1920 dyn/cm2 during systole and 6115 dyn/cm2 during diastole, are reported. This study underscores the need to conduct three-dimensional simulations throughout the cardiac cycle to fully characterize the complexity and thromboembolic potential of the hinge flows.
Authors:
Hélène A Simon; Liang Ge; Iman Borazjani; Fotis Sotiropoulos; Ajit P Yoganathan
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2009-12-04
Journal Detail:
Title:  Annals of biomedical engineering     Volume:  38     ISSN:  1521-6047     ISO Abbreviation:  Ann Biomed Eng     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-03-18     Completed Date:  2010-06-30     Revised Date:  2010-09-28    
Medline Journal Info:
Nlm Unique ID:  0361512     Medline TA:  Ann Biomed Eng     Country:  United States    
Other Details:
Languages:  eng     Pagination:  841-53     Citation Subset:  IM    
Affiliation:
School of Chemical and Biomolecular Engineering, Georgia Institute of Technology, Atlanta, GA 30332-0535, USA.
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MeSH Terms
Descriptor/Qualifier:
Aortic Valve / physiology*,  surgery*
Blood Flow Velocity
Computer Simulation
Equipment Failure Analysis
Heart Valve Prosthesis*
Humans
Models, Cardiovascular*
Grant Support
ID/Acronym/Agency:
R01-HL-070262/HL/NHLBI NIH HHS
Comments/Corrections
Erratum In:
Ann Biomed Eng. 2010 Mar;38(3):1257
Note: Borazjani, Iman [added]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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