Key result
Reducing the flow channel to around 0.1 mm in a mechanical heart valve model generated a high-speed jet flow velocity of up to 2 m/s, causing a local pressure reduction and potential cavitation.
In vitro particle image velocimetry demonstrates that squeeze flow in closing mechanical heart valves reaches velocities up to 2 m/s, creating pressure drops that likely contribute to cavitation.
May increase cavitation risk in mechanical heart valves; extends mechanistic understanding but leaves clinical implications open.
Fluid between the reducing flow channel of the valve occluder and the orifice wall tends to be squeezed out of the flow channel, causing a high-speed flow. The squeeze flow is accompanied by a sharp local pressure drop, which may result in potential cavitation phenomenon in a mechanical heart valve (MHV). Limited experimental investigation has been conducted into the flow physics of this squeeze flow phenomenon, which is likely to be the origin of MHV cavitation. We used a pulsatile test loop simulating physiologic flow conditions and an actual-size transparent MHV model for flow visualization. A digital particle image velocimetry (DPIV) system incorporated with a microscope was applied to observe flow within a narrowing channel. A triggering mechanism was designed so that the DPIV system could be timed to capture images when the valve occluder was near its closing position. A series of images within the channel from 1.4 to 0.1 mm were captured. As the gap between the tip of the valve occluder and orifice wall becomes narrower, evidence of high-speed jet flow becomes more apparent. When the flow channel is reduced to around 0.1 mm, flow velocity of up to 2 m/s was noted. A sudden increase in high-speed jet flow causes a corresponding reduction in local pressure, and is a likely source for potential cavitation.
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Zhang et al. (2006) studied Mechanical heart valve cavitation. Digital particle image velocimetry in a mechanical heart valve model was evaluated on Flow velocity and local pressure drop within a narrowing channel. Reducing the flow channel to around 0.1 mm in a mechanical heart valve model generated a high-speed jet flow velocity of up to 2 m/s, causing a local pressure reduction and potential cavitation.
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