• Journal of Chest Surgery
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• v.52 no.3
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• pp.178-181
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• 2019

Prosthetic valve endocarditis with aortic root abscess is a serious condition requiring urgent surgical intervention. We present a case caused by an infected Bentall mechanical valve conduit after cardiac surgery in a patient who was referred for a suprasternal pulsatile mass. The patient also had 1 episode of sentinel haemorrhage.

• Korean Journal of Air-Conditioning and Refrigeration Engineering
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• v.16 no.4
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• pp.324-331
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• 2004

Particle Image Velocimetry (PIV) measurements have been carried out to investigate the pulsatile flow characteristics in a triangular grooved channel. The results showed that a vortex was generated at the tip of the groove and flowed into the groove rotating inside during the acceleration phase of the main stream promoting the mixing of the fluid. Then, at the deceleration phase of the main stream, the vortex entrained fluid from the relatively slow moving main stream to grow bigger than the groove size. Finally the vortex was ejected to the main stream carrying the fluid away from the groove, resulting in the enhancement of mixing between the stagnant fluid in the groove and the main stream in the channel. It was found that the fluid mixing enhancement is maximized when the pulsatile period is the same as the time duration which the vortex takes to grow larger enough to fill the groove and to be ejected to the main stream.

• Proceedings of the KSME Conference
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• 2000.04b
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• pp.531-534
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• 2000

The objective of this investigation is to find effects of the pulsatile flow on the morphological changes of the endothelial cell(E.C.) in blood vessel. The shear flow experiment system is used to get the morphological changes of the E.C. The shapes of E.C. are simulated by the cosine curves and computer simulation is used to calculate the pressure and shear stress fields on the E.C. The inlet boundary condition is given from the measured velocity data of femoral artery. The endothelial cells reduce their heights in the flow field so as to reduce the pressure and wall shear stress on the surface. As the exposed time increases, the shear stress and pressure on the E.C. are reduced under the pulsatile flow. The shear stresses on the cell surface show the minimum values during the deceleration phase.

• 유체기계공업학회:학술대회논문집
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• 2004.12a
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• pp.641-647
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• 2004

Characteristics of the high frequency pulsatile flow have been investigated experimentally to understand the flow phenomena in the hydraulic system. The accumulator in high frequency hydraulic system but that is not effective all frequency zone. Therefore, a hydraulic damper used with accumulator is suggested to reduce the high frequency pulsatile where the accumulator is not effective. The pulsating pressure obtained by Pressure measurement system are analyzed to power spectral density distribution. According to the variations of pump input pressure and actuator acceleration frequency, the pressure is measured with or without an accumulator or pulsatile damper The amplitude of pressure with damper is very lower than those without accumulator or damper due to absorbing function of damper. As the frequency of actuator acceleration is increased, the effect of damper becomes very important to decrease the amplitude of pulsatile Pressure waveform with high frequencies.

• International Journal of Vascular Biomedical Engineering
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• v.2 no.2
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• pp.27-32
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• 2004

The objective of the present study is to visualize the steady and pulsatile flow fields in a branching model by using a high-resolution PIV system. A bifurcated flow system was built for the experiments in the steady and pulsatile flows. Harvard pulsatile pump was used to generate the pulsatile velocity waveforms. Conifer powder as the tracing particles was added to water to visualize the flow fields. CCD cameras($1K{\times}1K$(high resolution camera) and $640{\times}480$(low resolution camera)) captured two consecutive particle images at once for the image processing of several cross sections on the flow system. The range validation method and the area interpolation method were used to obtain the final velocity vectors with high accuracy. The results of the image processing clearly showed the recirculation zones and the formation of the paired secondary flows from the distal to the apex of the branch flow in the bifurcated model. The results also indicated that the particle velocities at the inner wall moved faster than the velocities at the outer wall due to the inertial force effects and the helical motions generated in the branch flows as the flow proceeded toward the outer wall. Even though the PIV images from the high resolution camera were closer to the simulation results than the images from the low resolution camera at some locations, both results of the PIV experiments from the two cameras generally agreed quite well with the results from the computer simulations. Therefore, instead of using the expensive stereoscopic PIV or 3D PIV system, the three-dimensional flow fields in a bifurcated model could be easily and exactly investigated by this study.

• Journal of Biomedical Engineering Research
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• v.26 no.5
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• pp.337-341
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• 2005

Blood pulsation has been reported to have an advantageous effect on extracorporeal blood circulation. However, the study of pulsatile blood flow in renal replacement therapy is very limited. The in-vitro experimental results of pulsatile blood flow on ultrafiltration, when compared with the conventional roller pump, are described in this paper. Methods: Blood flow rate (QB) and transmembrane pressure (TMP) were considered as regulating factors that have an influence on ultrafiltration. Experiments were performed under the condition of equal TMP and OB in both pulsatile and roller pump groups, Several kinds of hollow fiber dialyzers were tested using distilled water containing chemicals as a blood substitute. Mean TMP (mTMP) varied from 10 to 90mmHg while the QB was 200ml/min. Results: Ultrafiltration rate (QUF) was found to be linearly proportional to TMP, whereas QB had little influence on QUF. In addition, QUF was higher in the pulsatile group than the roller pump group at the identical TMP. Conclusion: In the controlled test, QUF increased solely as a consequence of blood pulsation, which implies that the pulse frequency represents an additional and important clinical variable during renal replacement therapy.

• Journal of Chest Surgery
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• v.37 no.3
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• pp.201-209
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• 2004

Extracorporeal life support (ECLS) system is a device for respiratory and/or heart failure treatment, and there have been many trials for development and clinical application in the world. Currently, a non-pulsatile blood pump is a standard for ECLS system. Although a pulsatile blood pump is advantageous in physiologic aspects, high pressure generated in the circuits and resultant blood cell trauma remain major concerns which make one reluctant to use a pulsatile blood pump in artificial lung circuits containing a membrane oxygenator. The study was designed to evaluate the hypothesis that placement of a pressure-relieving compliance chamber between a pulsatile pump and a membrane oxygenator might reduce the above mentioned side effects while providing physiologic pulsatile blood flow. The study was performed in a canine model of oleic acid induced acute lung injury (N=16). The animals were divided into three groups according to the type of pump used and the presence of the compliance chamber, In group 1, a non-pulsatile centrifugal pump was used as a control (n=6). In group 2 (n=4), a single-pulsatile pump was used. In group 3 (n=6), a single-pulsatile pump equipped with a compliance chamber was used. The experimental model was a partial bypass between the right atrium and the aorta at a pump flow of 1.8∼2 L/min for 2 hours. The observed parameters were focused on hemodynamic changes, intra-circuit pressure, laboratory studies for blood profile, and the effect on blood cell trauma. In hemodynamics, the pulsatile group II & III generated higher arterial pulse pressure (47$\pm$ 10 and 41 $\pm$ 9 mmHg) than the nonpulsatile group 1 (17 $\pm$ 7 mmHg, p<0.001). The intra-circuit pressure at membrane oxygenator were 222 $\pm$ 8 mmHg in group 1, 739 $\pm$ 35 mmHg in group 2, and 470 $\pm$ 17 mmHg in group 3 (p<0.001). At 2 hour bypass, arterial oxygen partial pressures were significantly higher in the pulsatile group 2 & 3 than in the non-pulsatile group 1 (77 $\pm$ 41 mmHg in group 1, 96 $\pm$ 48 mmHg in group 2, and 97 $\pm$ 25 mmHg in group 3: p<0.05). The levels of plasma free hemoglobin which was an indicator of blood cell trauma were lowest in group 1, highest in group 2, and significantly decreased in group 3 (55.7 $\pm$ 43.3, 162.8 $\pm$ 113.6, 82.5 $\pm$ 25.1 mg%, respectively; p<0.05). Other laboratory findings for blood profile were not different. The above results imply that the pulsatile blood pump is beneficial in oxygenation while deleterious in the aspects to high pressure generation in the circuits and blood cell trauma. However, when a pressure-relieving compliance chamber is applied between the pulsatile pump and a membrane oxygenator, it can significantly reduce the high circuit pressure and result in low blood cell trauma.

• Journal of Biomedical Engineering Research
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• v.28 no.3
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• pp.387-391
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• 2007

An oxygenator is a very important artificial organ and widely used for patients with lung failure or during open heart surgery. Although an oxygenator has been widely studied worldwide to enhance its efficiency, studies on oxygenators, in particular when using a pulsatile blood flow, are domestically limited. Therefore, a new oxygenator was developed in the lab and animal experimental results are described in the paper. The oxygenator is composed of polycarbonate housing and polypropylene hollow fibers. It has a total length of 400 mm and a surface area of $1.7 m^2$. The animal experiment lasted for 4 hours. The blood flow rate was set to 2 L/min and a pulsatile blood pump, T-PLS (Twin-Pulse Life Support), was used. Samples were drawn at the oxygenator's inlet and outlet. The total hemoglobin (Hb), saturation oxygen ($sO_2$), and partial oxygen pressure ($pO_2$), partial $CO_2$ pressure ($pCO_2$), and plasma bicarbonate ion concentration ($HCO_3^-$) were measured. The oxygen and carbon dioxide transfer rates were also calculated based on the experimental data in order to estimate the oxygenator's gas transfer efficiency. The oxygen and carbon dioxide transfer rates were $16.4{\pm}1.58$ and $165.7{\pm}10.96 mL/min$, respectively. The results showed a higher carbon dioxide transfer rate was achieved with the oxygenator. Also, the mean inlet and outlet blood pressures were 162.79 and 137.92 mmHg, respectively. The oxygenator has a low pressure drop between its inlet and outlet. The aim of own preliminary study was to make a new oxygenator and review its performance when applying a pulsatile blood pump thus, confirming the possibility of a new oxygenator suitable for pulsatile flow.

• Transactions of the Korean Society of Mechanical Engineers
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• v.17 no.9
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• pp.2294-2303
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• 1993

This paper investigated the characteristics of the turbulent incompressible flow past the orifice ring in an axi-symmetric pipe. The flow field was the turbulent pulsatile flow for Reynolds number of $2{\times}10^{5}$ which was defined based on the maximum velocity and the pipe diameter at the inlet, with oscillating frequence $(f_{os})=1/4{\pi}$ which was considered as quasi-steady state frequence. In the present investigation, finite analytic method was used to solve the governing equations in Navier Stokes and turbulent transport formulations. Particularly at high Reynolds number and low oscillation frequency, the effects of orifice ring on the flow were numerically investigated. The separation zone behind the orifice ring during the acceleration phase was found to be decreased. However, during the deceleration phase, the separation behind the orifice ring for pulsatile flow continuously grow to a size even larger than that in steady flow. The pressure drop in steady flow was found to be constant and always positive while for pulsatile flow the pressure drop change with time. And large turbulent kinetic energy, dissipation rate were found to be located in the region where the flow passes through the orifics ring. The maximum turbulent kinetic energy, generally occurs along the shear layer where the velocity gradient is large.

• Journal of Advanced Marine Engineering and Technology
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• v.38 no.2
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• pp.140-146
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• 2014

Stenosis is the drastic reduction in the cross-sectional area of blood vessel caused by accumulations of cholesterol. It affects the blood flow property and structure from the fluid dynamic point of view. To understand the flow phenomenon more clearly, a particle image velocimetry method is used and the fluid dynamic characteristics in a circular channel containing stenosis structure is investigated experimentally in this study. Different stenotic-structured models made of acrylic material are subjected to a pulsatile flow generated by an in-house designed pulsatile pump. The inner diameter of the tube inlet is 20 mm and the length of reduced area for stenosis ranges between 35mm and 40mm. It is circulated continuously through a circular channel by the pump system. Pressure is measured at four different sections during systolic and diastolic phase changes. The phase-averaged velocity field distribution shows a recirculation regime after the stenotic structure. The effects of the stenotic obstructions are found to be more severe when the aspect ratio is varied.