Pulsatile Blood Flows Through a Bileaflet Mechanical Heart Valve with Different Approach Methods of Numerical Analysis : Pulsatile Flows with Fixed Leaflets and Interacted with Moving Leaflets

  • Park, Choeng-Ryul (Mechanical Engineering Department, Graduate School of Kyunghee University) ;
  • Kim, Chang-Nyung (College of Mechanical & Industrial System Engineering, Kyunghee University) ;
  • Kwon, Young-Joo (Department of Mechano-Informatics & Design Engineering, Hongik University) ;
  • Lee, Jae-Won (Department of Thoracic & Cardiovascular Surgery, Asan Medical Center, Ulsan University)
  • 발행 : 2003.07.01

초록

Many researchers have investigated the blood flow characteristics through bileaflet mechanical heart valves using computational fluid dynamics (CFD) models. Their numerical approach methods can be classified into three types; steady flow analysis, pulsatile flow analysis with fixed leaflets, and pulsatile flow analysis with moving leaflets. The first and second methods have been generally employed for two-dimensional and three-dimensional calculations. The pulsatile flow analysis interacted with moving leaflets has been recently introduced and tried only in two-dimensional analysis because this approach method has difficulty in considering simultaneously two physics of blood flow and leaflet behavior interacted with blood flow. In this publication, numerical calculation for pulsatile flow with moving leaflets using a fluid-structure interaction method has been performed in a three-dimensional geometry. Also, pulsatile flow with fixed leaflets has been analyzed for comparison with the case with moving leaflets. The calculated results using the fluid-structure interaction model have shown good agreements with results visualized by previous experiments. In peak systole. calculations with the two approach methods have predicted similar flow fields. However, the model with fixed leaflets has not been able to predict the flow fields during opening and closing phases. Therefore, the model with moving leaflets is rigorously required for advanced analysis of flow fields.

키워드

참고문헌

  1. Bluestein, D., Einav, S. and Hwang, N.H., 1994, 'A Squeeze Flow Phenomenon at the Closing of a Bileaflet Mechanical Heart Valve Prosthesis,' J. Biomechanics, Vol. 27, pp. 1369-1378 https://doi.org/10.1016/0021-9290(94)90046-9
  2. Cape, E.G., Yoganathan, A.P. and Levine, R.A., 1990, 'A New Theoretical Model for the Non Invasive Quantitation of Mitral Regurgitation,' J. Biomechanics, Vol. 23, pp. 27-331 https://doi.org/10.1016/0021-9290(90)90366-B
  3. Chandran, J.B., 1985a, 'Pulsatile Flow Past a St. Jude Medical Bileaflet Heart,' J. Thorac. Cardiovasc. Surg., Vol. 89, p. 743
  4. Chandran, K.B., Cabel, G.N., Khalighi, B. and Chan, C.J., 1985b, 'Laser Anemometer Measurements of Pulsatile Flow Past Aortic Valve Prostheses,' J. Biomechanics, Vol. 16, No. 10, pp. 865
  5. Choi, C.R. and Kim, C.N., 2001a, 'Analysis of Blood Flow Interacted with Leaflets in MHV in View of Fluid-Structure Interaction,' KSME Internationl Journal, Vol. 15, No. 5, pp. 613-622
  6. Choi, C.R. and Kim, C.N., 2001b, 'Characteristics of Transient Blood Flow in MHVs with Different Maximum Opening Angles Using Fluid-Structure Interaction Method,' Korean J. Chem. Eng., Vol. 18, No. 6, pp. 809-815 https://doi.org/10.1007/BF02705601
  7. Fatermi, R.S. and Chandran, K.B., 1989, 'An in Vitro Study of the St. Jude Medical and Edwards Duromedics Bileaflet Valve Using Laser Anemometry,' J. Biomech. Eng., Vol. 111, p. 298 https://doi.org/10.1115/1.3168382
  8. Giersiepen, M., Wurzinger, L.J., Opitz, R. and Reul, H., 1984, 'Estimation of Shear Stress Related Blood Damage in Heart Valve Prostheses-in Vitro Comparison of 25 mm Aortic Valves,' International Journal of Artificial Organs, Vol. 13, No. 5, pp. 300-306
  9. Giersiepen, M., 'Ermittlung Von Stromungs-profilen und Schubspannungen an Herzklappen-prothesen Mit Hilfe Der Laser-Doppler-Anemometrie in Pulsatiler Strimung [Thesis],' Aachen: RWTH Aachen, Faculty of Mechanical Engineering
  10. Gross, J.M., Shermer, C.D. and Hwang, N.H.C., 1988, 'Vortex Shedding in Bileaflet Heart Valve Protheses,' Trans. Am. Soc. Artif. Intern. Organs, Vol. 34, p.845
  11. Hasenkam, J.M., Mygaard, H., Giersiepen, M., Reul, H. and Stodkilde-Jorgensen, H., 1988, 'Turbulent Stress Measurements Downstream of Six Mechanical Aortic Valves in a Pulsatile Flow Model,' J. Biomechanics, Vol. 21. p. 631 https://doi.org/10.1016/0021-9290(88)90201-1
  12. Krafczyk, M., Cerrolaza, M., Schulz, M. and Rank, E., 1998a, 'Analysis of 3D Transient Blood Flow Passing through an Artificial Aortic Valve by Lattice-Boltzmann Methods' J. Biomechanics, Vol. 31, p. 453 https://doi.org/10.1016/S0021-9290(98)00036-0
  13. Krafczyk, M., Tolke, J., Rank, E. and Schulz, M., 2001b, 'Two-dimensional Simulation of Fluid-Structure Interaction Using Lattice-Boltzmann Methods,' Computers and Structures, Vol. 79, pp. 2031-2037 https://doi.org/10.1016/S0045-7949(01)00050-5
  14. Lee, S.C. and Chandran, K.B., 1995, 'Numerical Simulation of Instantaneos Bakflow through through Central Clearance of ...,' Med. Bio. Eng. Comp., Vol. 33, p. 257 https://doi.org/10.1007/BF02510497
  15. Nygaard, H., Paulsen, P.K., Hasenkan, J.M., Pedersen, E.M. and Rovsing, 1994, 'Turbulent Stresses Downstream of Three Mechanical Aortic Valve Protheses in Human Beings,' J.Thorac. Cardiovas. Surg., Vol. 107, p. 438
  16. Reul, H., Vahlbruch, A., Giersiepen, M., Schmitz-Rode, T.H., Hirtz, V., Effert, S., 1990, 'The Geometry of the Aortic Root in Health, at Valve Disease and After Valve Replacement,' J. Biomechanics, Vol. 23, No. 2, pp. 181-191 https://doi.org/10.1016/0021-9290(90)90351-3
  17. Sakhaeimanesh, A.A., Morsi, Y. and Tansley, G., 1996, Proc. 10th Conf. Eur. Soc. Biomech., Leuven, Belgium
  18. Thubrikar, M.J., Selim, G., Robicsek, F. and Fowler, B., 1996a, 'Effect of the Sinus Geometry on the Dynamics of Bioprosthetic Heart Valves (abstract),' Ann. Biomed. Eng., Vol. 24, S3
  19. Thubrikar, M.J., Selim, G., Robicsek, F. and Fowler, B., 1996b, 'Effect of the Sinus Geometry on the Dynamics of Bioprosthetic Heart Valves (abstract),' Proceedings of the 18th Annual Internationl Conference of the IEEE Engineering in Medicine and Biology Society Amsterdam, the Netherlands, pg. 10, November https://doi.org/10.1109/IEMBS.1996.652841
  20. Woo, Y.R. and Yoganathan, A.P., 1986, 'Pulsatile Flow Velocity and Shear Stress Measurements in the St. Jude Valve Prosthesis,' Scandinavian Journal of Thoratic and Cardiovascular Surgery, Vol. 20, pp. 15-28 https://doi.org/10.3109/14017438609105910
  21. Woo, Y.R. and Yoganathan, A.P., 1986, 'Pulsatile Flow Velocity and Shear Stress Measurements in the St. Jude Valve Prosthesis,' Scand. J. Thorac. Cardiovasc Surg., Vol. 20, p.15 https://doi.org/10.3109/14017438609105910
  22. Wu, Z.J. and Hwang, H.C., 1995, 'Ventricular Pressure Slope and Bileaflet Mechanical Heart Valve Closure,' ASAIO Journal, Vol. 41, pp. M763-M767 https://doi.org/10.1097/00002480-199507000-00115
  23. Yang, H.Q. and Makhijani, V.B., 1994, 'A Strongly Coupled Pressure-Based CFD Algorithm for Fluid-Structure Interaction,' Proceeding of 32nd Aerospace Science Meeting and Exhibit, Reno, NV, AIAA-94-0719
  24. Yuji, O., Yukiaki, K., Tishiyuki, S., Yoshinoti, M., Toshio, Y. and Takeyoshi, D., 2000, 'Effect of the Sinus of Valsalva on the Closing Motion of Bileaflet Prosthetic Heart Valves,' Artif. Organs, Vol. 24, No. 4, pp. 308-312 https://doi.org/10.1046/j.1525-1594.2000.06534-2.x