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December 10, 2020ASAIO Journal

Peak Flow in Model Aorta Through Bi-Leaflet Mechanical Heart Valve with Varying Orientation

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Key result

Bi-leaflet mechanical valves increase viscous dissipation energy loss up to ~53% versus no valve.

Why the study?

The effect of bi-leaflet mechanical heart valve orientation on flow patterns in a realistic human aorta model with branches remained to be determined.

Does bi-leaflet mechanical heart valve orientation affect flow patterns and energy loss in a computational human aorta model?

Population

Realistic human aorta model with branches

Comparison

BMHV installed at 0° vs 45° vs 90° orientations vs no valve

Design

Unsteady numerical simulation study

Authors

KSKumar H. SatheeshIndian Institute of Technology BombaySSS. D. SharmaIndian Institute of Technology Bombay

Discussion

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Implication

May increase energy loss depending on mechanical valve orientation; leaves open whether orientation optimization affects clinical outcomes.

Structured PICO

Does bi-leaflet mechanical heart valve orientation affect flow patterns and energy loss in a computational human aorta model?

P
Population
Realistic human aorta computational model with branches based on anatomical shape and dimensions involving aortic arch with twist and branches
I
Intervention
Bi-leaflet mechanical heart valve (BMHV) installed at 0°, 45°, and 90° orientations
C
Comparator
No valve case
O
Outcome
Peak systolic flow pattern, velocity, vorticity, strain fields, viscous dissipation energy loss (EL), and wall shear stresssurrogate

In a computational aorta model, bi-leaflet mechanical heart valve orientation significantly affects viscous dissipation energy loss, with the 90° orientation causing the maximum increase compared to no valve.

Cite This Study

Satheesh et al. (2020) studied Aortic flow with bi-leaflet mechanical heart valve. Bi-leaflet mechanical heart valve (BMHV) at 0°, 45°, and 90° orientations vs. No valve was evaluated on Viscous dissipation energy loss (EL) and wall shear stress. The presence of a bi-leaflet mechanical heart valve increased viscous dissipation energy loss by 43% (0° orientation) to 53% (90° orientation) compared with no valve.

synapsesocial.com/papers/6a0db15acecdf5fb20ba8fc9https://doi.org/10.1097/mat.0000000000001319
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