Bulletin of the American Physical Society
66th Annual Meeting of the APS Division of Fluid Dynamics
Volume 58, Number 18
Sunday–Tuesday, November 24–26, 2013; Pittsburgh, Pennsylvania
Session E16: Biofluids: Physiological III - Experimental Studies in Cardiovascular Flows |
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Chair: Sahar Hendabadi, Illinois Institute of Technology Room: 304 |
Sunday, November 24, 2013 4:45PM - 4:58PM |
E16.00001: Effect of mitral orifice shape on intra-ventricular filling fluid dynamics Ikechukwu Okafor, Yagna Angirish, Ajit Yoganathan, Arvind Santhanakrishnan The natural geometry of the mitral orifice is D-shaped. However, most current designs of prosthetic valves employ O-shaped orifice geometry. The goal of this study was to compare the effect of geometrical modification between the D and O orifice on the intra-ventricular fluid dynamics during diastolic filling. The different mitral orifice geometries were incorporated into an in vitro left heart simulator consisting of a flexible-walled anatomical left ventricle (LV) physical model enclosed in an acrylic housing. Physiological flow rates and pressures were obtained via tuning systemic resistance and compliance elements in the flow loop. A programmable piston pump was used to generate the LV model wall motion. 2D Particle image velocimetry measurements were conducted along multiple longitudinal planes perpendicular to the annulus plane. During peak diastole, the incoming jet width at the LV central plane was smaller for the D-orifice than that of the O-orifice. Further, the core of the vortex ring in the D-orifice was reduced in size compared to that of the O-orifice. The spatiotemporal spreading of the inflow jet as well as the propagation of the vortex ring will be discussed. [Preview Abstract] |
Sunday, November 24, 2013 4:58PM - 5:11PM |
E16.00002: Effect of varying heart rate on intra-ventricular filling fluid dynamics Arvind Santhanakrishnan, Ikechukwu Okafor, Yagna Angirish, Ajit Yoganathan Impaired exercise tolerance is used to delineate asymptomatic patients during the clinical diagnosis of diastolic left heart failure. Examining the effects of varying heart rate on intra-ventricular filling can provide a physical understanding of the specific flow characteristics that are impacted during exercise. In this study, diastolic filling was investigated with an anatomical left ventricle (LV) physical model under normal heart rate of 70 bpm, and varying exercise conditions of 100 bpm and 120 bpm. The LV model was incorporated into a flow loop and tuned for physiological inflow rates and outflow pressures. 2D PIV measurements were conducted along 3 parallel longitudinal planes. The systemic pressure was maintained the same across all test conditions. The E/A ratio was maintained within 1.0-1.2 across all heart rates. The strength of the mitral vortex ring formed during E-wave, as well as the peak incoming jet velocity, decreased with increasing heart rate. During peak flow of the A-wave, the vortex ring propagated farther into the LV for 120 bpm as compared to 70 bpm. The results point to the heightened role of the atrial kick for optimal LV filling during exercise conditions. [Preview Abstract] |
Sunday, November 24, 2013 5:11PM - 5:24PM |
E16.00003: ABSTRACT WITHDRAWN |
Sunday, November 24, 2013 5:24PM - 5:37PM |
E16.00004: Assessment of transmitral flow after mitral valve edge-to-edge repair using High-speed particle image velocimetry Morteza Jeyhani, Shahrokh Shahriari, Michel Labrosse, Lyes Kadem Approximately 500,000 people in North America suffer from mitral valve regurgitation (MR). MR is a disorder of the heart in which the mitral valve (MV) leaflets do not close securely during systole. Edge-to-edge repair (EtER) technique can be used to surgically treat MR. This technique produces a double-orifice configuration for the MV. Under these un-physiological conditions, flow downstream of the MV forms a double jet structure that may disturb the intraventricular hemodynamics. Abnormal flow patterns following EtER are mainly characterized by high-shear stress and stagnation zones in the left ventricle (LV), which increase the potential of blood component damage. In this study, a custom-made prosthetic bicuspid MV was used to analyze the LV flow patterns after EtER by means of digital particle image velocimetry (PIV). Although the repair of a MV using EtER technique is an effective approach, this study confirms that EtER leads to changes in the LV flow field, including the generation of a double mitral jet flow and high shear stress regions. [Preview Abstract] |
Sunday, November 24, 2013 5:37PM - 5:50PM |
E16.00005: Flow Behavior in the Left Heart Ventricle Following Apico-Aortic Bypass Surgery Shahrokh Shahriari, Morteza Jeyhani, Michel Labrosse, Lyes Kadem Apico-aortic bypass (AAB) surgery is an alternative for transcatheter aortic valve implantation (TAVI) to reduce left ventricle (LV) overload in patients with severe aortic stenosis (AS). It consists in connecting the apex of the LV to the descending thoracic aorta with a valved conduit. Postoperative flow assessments show that two thirds of the outflow is conducted from the LV apex to the conduit, while only one third crosses the native aortic valve. In this study, we performed high speed particle image velocimetry (PIV) measurements of flow pattern within an in vitro elastic model of LV in the presence of a very severe AS, before and after AAB. Results indicate that AAB effectively relieves the LV outflow obstruction; however, it also leads to abnormal ventricular flow patterns. Normal LV flow dynamics is characterized by an emerging mitral jet flow followed by the development of a vortical flow with velocities directed towards the aortic valve, while measurements in the presence of AAB show systolic flow bifurcating to the apical conduit and to the aortic valve outflow tract. This study provides the first insight into the LV flow structure after AAB including outflow jets and disturbed stagnation regions. [Preview Abstract] |
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