단순봉합모델을 이용한 문합에서 탄성경계층의 두께 변화에 따른 컴플라이언스 부적합에 관한 연구

The Study on Compliance Mismatch with respect to the Thickness Variation of Elastic Foundation in Anastomosis Using Simplified Suturing Model

In this paper we analyzed the effect of compliance mismatch with respect to the thickness variation of elastic foundation(fatty tissue) in end-to-end anastomosis. This study considered the preliminary deformed shape induced by suturing in the anastomosis of coronary artery and PTFE with different diameters using simplified suturing model and the fatty tissue surrounding heart and coronary artery for more accurate result using finite element method. Area compliance(C$\sub$A/) was used to analyze the final deformed shape of the anastomotic part with respect to the thickness variation of fatty tissue under mean blood pressure, 100 mmHg(13.3kPa). The results obtained were as follows : 1. When the elastic foundation, assumed to be incompressive material, surrounded the grafts in anastomosis, the compliance mismatch of artery and PTFE was improved by 47∼72%. 2. As the initial diameter ratio(R$\sub$I/) became larger, the higher difference of compliance was induced in spite of elastic foundation surrounding grafts.