Document Detail


Unsteady simulation of distal blood flow in an end-to-side anastomosed coronary bypass graft with stenosis.
MedLine Citation:
PMID:  17075169     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In this paper, we report on the unsteady state modeling of blood flow in an end-to-side anastomosed bypass graft, which has a stenosis upstream from the junction. In coronary artery bypass grafting/surgery (CABG), new arteries are created in order to provide blood to the heart using other blood vessels as conduits to bypass the blocked section in the patient's coronary arteries. The failure of coronary artery bypass procedures has been attributed to both intimal hyperplasia (IH) and atherosclerosis. It is believed that these two phenomena are, in turn, related to the local hemodynamic factors. In this work, a three-dimensional computational fluid dynamics analysis is used to simulate the physiological blood flow through a model of a stenosed coronary bypass graft with the realistic assumption of non-Newtonian flow for human blood. For different flow repartitions and at different times of the cycle, both the recirculating areas and wall shear stress (WSS) are studied. Based on the different distribution of flow rates in the bypass graft and the host artery, the flow features are investigated and the influence of non-Newtonian behavior is discussed in terms of separation points, reattachment points, and the wall shear stresses. Various differences are observed based on the assumption of non-Newtonian behavior of blood, which have not been reported before when a simplified Newtonian approach is utilized.
Authors:
Siamak Najarian; Javad Dargahi; Faramarz Firouzi; Jamshid Afsari
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Bio-medical materials and engineering     Volume:  16     ISSN:  0959-2989     ISO Abbreviation:  Biomed Mater Eng     Publication Date:  2006  
Date Detail:
Created Date:  2006-10-31     Completed Date:  2007-01-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9104021     Medline TA:  Biomed Mater Eng     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  337-47     Citation Subset:  IM    
Affiliation:
Faculty of Biomedical Engineering, Biomechanics Department, Amirkabir University of Technology, Tehran, Iran.
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MeSH Terms
Descriptor/Qualifier:
Anastomosis, Surgical / methods*
Blood Flow Velocity*
Blood Pressure
Coronary Artery Bypass / methods*
Coronary Stenosis / physiopathology*,  surgery*
Humans
Models, Cardiovascular*
Surgery, Computer-Assisted / methods*
Treatment Outcome

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


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