• Title/Summary/Keyword: Valve size

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심초음파도를 이용한 대동맥인공판막치수 예 (Two-Dimensional Echocardiographic Prediction of Prosthetic Aortic Valve Size)

  • 박창권
    • Journal of Chest Surgery
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    • 제20권4호
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    • pp.655-658
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    • 1987
  • Aortic annulus size was measured by two-dimensional echocardiography [2DE] in 29 patients undergoing aortic valve replacement or double valve replacement in order to predict prosthetic aortic valve size. Fifteen patients had aortic stenoinsufficiency, eleven had aortic insufficiency, and three had aortic stenosis. 2DE measurements of aortic annulus diameter, as determined from the parasternal long-axis view, demonstrated a high correlation with actual prosthetic valve size implanted at surgery [r=0.85, p<0.05]. 2DE exactly predicted actual prosthetic valve size in 8 of 29 patients [27.6%], was within 1mm of prosthetic valve size in 11 of 29 patients [37.9%], was within 2mm of prosthetic valve size in 8 of 29 patients, and was within 3mm of prosthetic valve size in 2 patients.

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Cineangiogram 을 이용한 대동맥판막의 수술전 인공판막 치수의 예 (Prediction of the Prosthetic Valve size by use of Supraaortic Cineangiogram)

  • 이영탁;안혁;박재형
    • Journal of Chest Surgery
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    • 제20권1호
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    • pp.60-64
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    • 1987
  • We compared between prosthetic aortic valve size and aortic annulus size in supravalvular aortic cineangiogram in 30` RAO view postoperatively. Retrospectively, supraaortic cineangiogram of 27 patients among the patients underwent aortic valve replacement only or double valve replacement from April, 1986 to January, 1987 was examined and measured the aortic annulus size. In comparing the two values, the cases within 1mm is 22, and the cases within 2mm is 25, correlation coefficient yield r = 0.92. In two cases, the difference between two values is within 3mm We concluded that to prevent the complication from mismatching the prosthetic aortic valve size to patient`s annulus size [e.g. left ventricular failure, hemolysis, limited exercise tolerance], prediction of the prosthetic valve size preoperatively by use of cineangiogram is useful.

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혈관손상에 관한 임상적 고찰 (Surgical Treatment of Vascular Injuries)

  • 홍종완
    • Journal of Chest Surgery
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    • 제21권6호
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    • pp.984-989
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    • 1988
  • 2-D echocardiographic examination of the aortic root diameter was known to be useful in the selection of the size of the prosthetic valve. Valve-patient mismatch was occasionally a serious problem after valve replacement, especially in aortic valve disease. Preoperative knowledge of the patient`s valve annulus size is therefore of great importance in the surgical management of these patients. So the relationship between preoperative 2-D echocardiographic diameter of the annulus size and replaced prosthetic valve were evaluated. 13 patients were analyzed in this study. 2-D echocardiographic measurements of aortic annulus diameter, as determined from the parasternal long axis view and apical four chamber view, demonstrated a high correlation with actual prosthetic valve size implanted at surgery[r=0.86, p< 0.001, SEE=1.08].

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극저온 선형 팽창기용 리드밸브의 기하학적 형상변화에 따른 유동 특성 연구 (A Study on the Flow Characteristics of Reed Valve with Variable Geometric Variations for Cryogenic Linear Expander)

  • 정은아;김지우;염한길;윤소남
    • 드라이브 ㆍ 컨트롤
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    • 제12권4호
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    • pp.48-53
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    • 2015
  • This paper deals with the flow characteristics of a reed valve analyzed using computational dynamics(CFD) for optimal design. The seat sizes of the valve are modeled asØ6[mm] and Ø8[mm] to compare the flow characteristics. The inlet boundary condition is entered at 10[kPa], 15[kPa], 20[kPa], and 30[kPa] and the outlet boundary condition is set to the atmospheric pressure. The flow coefficient(C) and pressure loss coefficient(K) are calculated from the results of flow analysis. From the analysis results, it was confirmed that the flow coefficient of a reed valve having a seat size of Ø6[mm] is greater than that having a seat size of Ø8[mm], and the coefficient of pressure loss of a valve with a seat size of Ø6[mm] is lower than the Ø8[mm] size valve.

인공판막 치환수술후의 용혈 (Intravascular Hemolysis after Prosthetic Valve Replacement)

  • 장원채;이계영;김상형
    • Journal of Chest Surgery
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    • 제25권12호
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    • pp.1556-1562
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    • 1992
  • Forty two consecutive patients who had had valve replacement with St. Jude Medical prosthesis were studied on a view point of intravascular hemolysis. Patients were consisted of 14 mitral valve replacement, and 7 aortic valve replacement, and 21 double, mitral and aortic, valve replacement. Serum LDH, indirect bilirubin, GOT, hemoglobin levels and ret-iculocyte count were pursued in postopeative 1st day, 3rd day, 7th day, 14th day and 21th day. Postoperatively, all patients were not detected paravalvular leakage on the ech-ocardiographical study. The patients with double valve replacement revealed higher levels of LDH on postopeative 14th day[P<0 05] than those with single valve replacement. Among the patients with single valve replacement, the patients with aortic valve replacement revealed slightly higher levels of entire postopeative data, but considered insignificant. There was correlation between the severity of hemolysis and the size of replaced aortic valve. In the postoperative LDH levels, the patients with small sized-aortic valve[less than 21mm in diameter] replacement revealed higher levels of postoperative 3rd day, 7th day and 14th day than those with large size[more than 23mm in diameter]. The patients with high level LDH of greater than 800 WU /L on postoperative 7th day were 61.9%[26 of 42]. The high LDH frequency of DVR was 71.4%[15 of 21], MVR 50.0%[7 of 14] and AVR, 57.1%[4 of 7]. The level of LDH declined gradualiy thereafter through postoperative 3 weeks. In conclusion, intravascular hemolysis after prosthetic valve replacement was dependent on position of valve replacement and size of valve. And this study supports the conventional valve selection and usage in our hospital. The patients with subclinical hemolysis after valve replacement should be placed on a close observation.

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좁은 틈새 원판 밸브의 추력에 관한 연구 (A Study on the Thrust Force of a Narrowly Spaced Disk Valve)

  • 정효민;김시영
    • 수산해양기술연구
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    • 제23권1호
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    • pp.30-38
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    • 1987
  • 좁은 틈새를 가진 원판밸브의 추력에 대한 이론적 해석 및 실험 결과로부터 다음과 같이 요약할 수 있다. 1. 원판 밸브의 틈새가 비교적 작은 경우(H/D sub(1)가 0.1 이하) 즉, 유량이 적을 때에는 점성류가 지배적이고 이론식으로부터 추력을 높게 예측할 수 있었다. 2. 압력의 영향에 대한 추력은 입구 압력이 낮을수록 이론결과와 실험결과가 잘 일치하고 높을수록 관성의 영향이 크게 나타나는 경향을 보였다. 3. 밸브 크기 변화에 대한 추력의 영향은 D sub(2)/D sub(1)=>4.6에서는 포물선적으로 감소하고 그 이하에서는 직선적으로 감소하였다.

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Outcomes after Mechanical Aortic Valve Replacement in Children with Congenital Heart Disease

  • Joon Young Kim;Won Chul Cho;Dong-Hee Kim;Eun Seok Choi;Bo Sang Kwon;Tae-Jin Yun;Chun Soo Park
    • Journal of Chest Surgery
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    • 제56권6호
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    • pp.394-402
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    • 2023
  • Background: The optimal choice of valve substitute for aortic valve replacement (AVR) in pediatric patients remains a matter of debate. This study investigated the outcomes following AVR using mechanical prostheses in children. Methods: Forty-four patients younger than 15 years who underwent mechanical AVR from March 1990 through March 2023 were included. The outcomes of interest were death or transplantation, hemorrhagic or thromboembolic events, and reoperation after mechanical AVR. Adverse events included any death, transplant, aortic valve reoperation, and major thromboembolic or hemorrhagic event. Results: The median age and weight at AVR were 139 months and 32 kg, respectively. The median follow-up duration was 56 months. The most commonly used valve size was 21 mm (14 [31.8%]). There were 2 in-hospital deaths, 1 in-hospital transplant, and 1 late death. The overall survival rates at 1 and 10 years post-AVR were 92.9% and 90.0%, respectively. Aortic valve reoperation was required in 4 patients at a median of 70 months post-AVR. No major hemorrhagic or thromboembolic events occurred. The 5- and 10-year adverse event-free survival rates were 81.8% and 72.2%, respectively. In univariable analysis, younger age, longer cardiopulmonary bypass time, and smaller valve size were associated with adverse events. The cut-off values for age and prosthetic valve size to minimize the risk of adverse events were 71 months and 20 mm, respectively. Conclusion: Mechanical AVR could be performed safely in children. Younger age, longer cardiopulmonary bypass time and smaller valve size were associated with adverse events. Thromboembolic or hemorrhagic complications might rarely occur.

정밀제어용 버터플라이 밸브의 유동특성에 관한 연구 (STUDY ON FLOW CHARACTERISTICS FOR PRECISION CONTROL BUTTERFLY VALVE)

  • 박송묵;최훈기;유근종
    • 한국전산유체공학회지
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    • 제19권1호
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    • pp.21-26
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    • 2014
  • Butterfly valve is a valve that controls fluid flow depending on the size of the opening angle. In general, the size of the opening angle of the valve increases, the fluid flow has also increased sharply. However, sometimes, in a specific piping system, a particular operating condition is needed that the fluctuation of the fluid flow should not have large amount although the size of opening angle of the valve become larger. In butterfly value, the shape of a typical thin plate, it is impossible to control a minute fluid, but in thick plate type, it is possible. In this study, we got the fluid flow control characteristics and pressure drop through both a numerical method and an experimental method about thick plate type. The numerical result and experimental result of flow coefficient show a similar pattern. In addition, we could find that minute fluid flow control was possible in the area of small size of the opening angle.

머신 러닝을 이용한 밸브 사이즈 및 종류 예측 모델 개발 (Data-driven Modeling for Valve Size and Type Prediction Using Machine Learning)

  • 김찬호;최민식;주종효;이아름;윤건;조성호;김정환
    • Korean Chemical Engineering Research
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    • 제62권3호
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    • pp.214-224
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    • 2024
  • 밸브는 유량과 압력 조절 등의 중요한 역할을 수행하며, 적절한 밸브 사이즈와 유형 선택이 필요하다. Engineering Procurement Construction (EPC) 산업에선 밸브 사이즈 계수(Cv)의 수식적 계산을 바탕으로 사이즈와 유형을 선정해왔으나 이러한 방식은 전문가의 많은 시간과 비용이 요구되어 비효율적이다. 본 연구는 이를 해결하기위해 머신 러닝기법을 이용한 밸브 사이즈 및 유형 예측 모델을 개발하였다. Artificial neural network (ANN), Random Forest, XGBoost, Catboost의알고리즘을 적용하여 모델들을 개발하였으며, 평가 지표로는 사이즈 예측에는 Normalized root mean squared error (NRMSE)와 R2를, 종류 예측에는 F1 score를 적용하였다. 또한, 유체 상에 따른 영향을 확인하고자 유체 전체, 액체, 기체, 스팀의 4개의 데이터 세트로 사례 연구를 진행하였다. 연구 결과, 사이즈의 경우 전체, 액체, 기체에선 Catboost(R2기준, 전체: 0.99216, 액체: 0.98602, 기체: 0.99300. NRMSE 기준, 전체: 0.04072, 액체: 0.04886, 기체: 0.03619)가, 스팀에선 Random Forest가(R2: 0.99028, NRMSE: 0.03493) 가장 뛰어난 모델임을 확인하였다. 종류의 경우 Catboost가 모든 데이터에서 가장 높은 성과를 제시하였다(F1 score 기준, 전체: 0.95766, 액체: 0.96264, 기체: 0.95770, 스팀: 1.0000). 본 연구에서 제안한 모델들을 적용할 경우, 주어진 조건에 따른 밸브 선택을 도와 의사결정 속도를 높여줄 것으로 기대된다.

도플러 초음파를 이용한 인공판막 상하의 압력차 측정에 관한 연구 -승모판막 치환에 사용한 Duromedics 인공판막과 정사인의 승모판막과의 비교연구- (Noninvasive assessment of pressure gradients across prosthetic heart valve by doppler ultrasound -A comparative studyof the duromedics bileaflet valves in mitral position and normal mitral valves-)

  • 진성훈;서경필
    • Journal of Chest Surgery
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    • 제20권2호
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    • pp.223-229
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    • 1987
  • Doppler echocardiography provides valuable information regarding prosthetic heart valve function rather than structure. There are three methods of expressing the severity of mitral valve obstruction: the transvalvular pressure gradient, effective valve area, and pressure half-time. Of these, the transvalvular pressure gradient [~p] can be determined by the measurement of maximum transvalvular blood flow velocity [V] according to the modified Bernoulli`s equation [gp=4V*]. Eleven patients, who underwent mitral valve replacement with Duromedics mechanical prostheses, and 17 normal persons were investigated. There were significantly higher calculated pressure gradients in prosthetic than normal mitral valves [9.*10*2.22mmHg-vs-3.26*0.99mmHg:p<0,01], and there was a inverse relationship between pressure gradient and prosthetic valve size [11.17*0.%mmHg in size 27mm and 29mm -v- 7.38*1.12mmHg in size 31mm and 33mm; r=0.85, p<0.01] The noninvasive Doppler technique should be useful in the diagnosis of prosthetic valve obstruction.

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