The proposed computational model provides a method for optimizing the geometry of the stiffening ring in bi-leaflet prosthetic heart valves based on dynamic behavior and flow characteristics.
May guide bi-leaflet valve geometry optimization; animal data leave clinical translation open.
This paper provides new geometry definitions for the axi-symmetric stiffening (or sewing) ring, as part of a bi-leaflet prosthetic heart valve, and presents a dynamic behaviour analysis of the leaflet. An optimal stiffening ring geometry may be constructed by considering the point of flow separation on the stiffening ring (measured in the downstream coordinate), the effective orifice area of the stiffening ring and the associated dynamic behaviour of the leaflet. The dynamic model is accomplished by utilizing a second-order rotating system to simulate the opening and closing characteristics of the leaflet. The moments due to the aerodynamic loads are evaluated from an irrotational inviscid flow model, coupled with boundary layer theory, modelling the internal flow phenomena of the bi-leaflet heart valve implanted in the aortic root. It has been shown that this internal flow model provides the correct evaluation of lift and induced drag and the subsequent dynamic characteristics.
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David et al. (1996) studied this question.
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