Development of a fluid-structure interaction model to simulate mitral valve malcoaptation.

Autor: Hassani, Kamran, Karimi, Alireza, Dehghani, Ali, Tavakoli Golpaygani, Ali, Abdi, Hamed, Espino, Daniel M.
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Zdroj: Perfusion; Apr2019, Vol. 34 Issue 3, p225-230, 6p, 1 Black and White Photograph, 6 Graphs
Abstrakt: Object: Mitral regurgitation (MR) is a condition in which the mitral valve does not prevent the reversal of blood flow from the left ventricle into the left atrium. This study aimed at numerically developing a model to mimic MR and poor leaflet coaptation and also comparing the performance of a normal mitral valve to that of the MR conditions at different gap junctions of 1, 3 and 5 mm between the anterior and posterior leaflets. Results: The results revealed no blood flow to the left ventricle when a gap between the leaflets was 0 mm. However, MR increased this blood flow, with increases in the velocity and pressure within the atrium. However, the pressure within the aorta did not vary meaningfully (ranging from 22 kPa for a 'healthy' model to 25 kPa for severe MR). Conclusions: The findings from this study have implications not only for understanding the changes in pressure and velocity as a result of MR in the ventricle, atrium or aorta, but also for the development of a computational model suitable for clinical translation when diagnosing and determining treatment for MR. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index