双叶机械瓣膜不同植入角度的血流动力学研究
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1.华东交通大学;2.北京航空航天大学

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Hemodynamics study of bi-leaflet mechanical heart valves at different implantation angles
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1.Huadong Jiaotong University;2.Beihang University

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    摘要:

    目的: 比较研究双叶机械瓣膜不同植入角度对升主动脉旋动流的影响。方法: 基于一位健康自愿者主动脉的CT图像,本文采用计算机数值模拟方法,在定常流条件下,比较研究了4种不同瓣膜植入方位(0°、45°、90°和135°)对主动脉旋动流的影响。结果: 研究表明, BMHV的植入会严重干扰主动脉内的旋动流,影响升主动脉处的旋动流结构和旋动流强度分布、在瓣膜下游出现扰流区,对本文研究的案列来说,135度植入角对旋动流的破坏最大,产生逆向旋动区域最多;0和45度角植入对旋动流破坏相对较小。BMHV植入角度为0°时主动脉低壁面剪切应力(WSS低于0.5 Pa)所覆盖面积最小。结论:植入角度为0到45°之间时,BMHV对升主动脉内旋动流破坏相对较小。因此,对不同患者而言,应根据其主动脉(包括主动脉窦)的空间几何构型进行个性化选择,植入角度可在0至45°之间确定。 关键词:旋动流,机械心脏瓣膜,血流动力学

    Abstract:

    Aim: To study comparatively the effects of different implantation angles of bi-leaflet mechanical valve on the swirling flow in the ascending aorta. Method: Based on the aortic CT images of a healthy volunteer, using a computational simulation, the effects of 4 different valve implantation orientations (0 ° , 45 ° , 90 ° and 135 o) on the aortic rotational flow were studied. Results: The results showed that the implantation of BMHV can seriously interfere with the aortic rotational flow, affecting the structure and helicity distribution of the rotational flow in the ascending aorta, and resulting in disturbed blood flows distal to the valve. For the case studied in this paper, the 135-degree implantation angle caused the most disruption to the swirling flow, leading to the largest areas of reversed rotational flows, while the 0-degree and 45-degree implantation angles caused relatively less damage to the swirling flow. The areas with low wall shear stress (WSS less than 0.5 Pa) was the smallest when the implantation angle of BMHV was 0 o. Conclusions: When the implantation angle was between 0 o and 45o, the disruption of BMHV to the swirling flow in the ascending aorta was relatively small. Therefore, for different patients, the choice of the implantation angle should be individualized according to the spatial geometry of their aorta, including the aortic sinuses.

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  • 收稿日期:2024-03-26
  • 最后修改日期:2024-04-04
  • 录用日期:2024-04-04
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