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April 1, 2010Physics of Fluids

Effect of the prosthetic mitral valve on vortex dynamics and turbulence of the left ventricular flow

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Why the study?

Do mechanical prosthetic mitral valves alter left ventricular flow dynamics and turbulence compared to physiological inflow in an in vitro model?

Population

In vitro silicone rubber, flexible left ventricle model

Comparison

Mechanical prosthetic valves mounted in mitral… vs Top hat inflow velocity profile

Design

Preclinical

Authors

GQGiorgio QuerzoliUniversity of CagliariSFStefania FortiniAgostino Gemelli University PolyclinicACA. CenedeseUniversity of L'Aquila

Discussion

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Implication

Bileaflet mitral prostheses may minimize LV turbulence versus monoleaflet designs; hypothesis-generating pending clinical validation.

Structured PICO

Do mechanical prosthetic mitral valves alter left ventricular flow dynamics and turbulence compared to physiological inflow in an in vitro model?

P
Population
In vitro silicone rubber, flexible left ventricle model
I
Intervention
Mechanical prosthetic valves (monoleaflet and bileaflet) mounted in mitral position
C
Comparator
Top hat inflow velocity profile (resembling physiological conditions)
O
Outcome
Velocity fields, phase averaged velocity field, and second order moments of turbulent fluctuationssurrogate

In vitro modeling demonstrates that bileaflet mechanical mitral valves better preserve physiological left ventricular flow dynamics and generate less turbulence than monoleaflet valves.

Cite This Study

Querzoli et al. (2010) studied this question.

synapsesocial.com/papers/6a0a5780fdd00ab7863dc9b2https://doi.org/10.1063/1.3371720

Topics

Valvular heart disease
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Influence of bileaflet prosthetic mitral valve orientation on left ventricular flow?an experimental in vivo magnetic resonance imaging study2004 · 40 citations
  2. 2Unsteady flow through a new mechanical heart valve prosthesis analysed by digital particle image velocimetry2002 · 46 citations
  3. 3Integrating Particle Image Velocimetry and Laser Doppler Velocimetry Measurements of the Regurgitant Flow Field Past Mechanical Heart Valves2001 · 44 citations
  4. 4The Björk-Shiley and Ionescu-Shiley Heart Valve ProsthesesIn Vitro Comparison of Their Hydrodynamic Performance in the Mitral Position1983 · 12 citations
  5. 5Identification of Peak Stresses in Cardiac Prostheses1996 · 1 citations