The hemodynamic study of non-Newtonian properties on Fontan procedure
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    Abstract:

    Objective Present study aimed to investigate the effects of non-Newtonian properties on hemodynamic characteristics of Fontan procedure in computational simulation. Methods A Fontan vascular model was reconstructed based on patient-specific medical images. The boundary conditions were set according to velocity profiles measured by real-time echocardiography. The Newtonian model and two non-Newtonian (Casson and Carreau) models were applied to analyze the hemodynamic parameters, including flow ratio (FR), energy loss (EL), wall shear stress (WSS) as well as non-Newtonian importance factor, in order to compare the flow differences between the Newtonian model and non-Newtonian models. Results The rheological models had little effect on the FR. The EL of non-Newtonian models was higher than the Newtonian model, and the EL of Casson model was the highest. Flow recirculation and flow disturbance accompanied with low WSS were observed in inferior vena cava (IVC), which was even more profound when inflow velocity was low. The calculations of non-Newtonian importance factor suggested significant non-Newtonian viscosity in IVC. Conclusions Non-Newtonian viscosity is significant in IVC where low velocity and flow recirculation are observed. Non-Newtonian properties of blood should be considered in patient-specific hemodynamic modelling of Fontan procedure.

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History
  • Received:December 21,2020
  • Revised:February 07,2021
  • Adopted:February 18,2021
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