Cardiovascular disease: The mechanics of prosthetic heart valves


Dec. 20, 2012 ? Computer simulations of blood upsurge by automatic heart valves could pave a proceed for some-more individualized prosthetics.

Every year, over 300,000 heart valve deputy operations are achieved worldwide. Diseased valves are mostly transposed with automatic heart valves (MHVs), that can’t nonetheless be designed to fit any patient’s specific needs. Complications such as blood clots can occur, that can need patients to take blood-thinning medication.

To examine since such complications occur, Vinh-Tan Nguyen during A*STAR’s Institute of High Performance Computing, Singapore, together with scientists during a National University of Singapore and institutions opposite a USA, have grown a new mechanism indication to copy a dynamics of blood upsurge by MHVs1.

“The stream use for heart valve deputy in patients is a one-size-fits-all proceed where a studious is ingrained with a best-fit valve accessible on a market,” explains Nguyen. “The valves are good designed for ubiquitous physiological conditions, though competence not be suitable for any individual’s sold heart condition.”

The researchers focused on a blood upsurge dynamics in a prosthetic valve famous as a bileaflet MHV. This form of MHV contains dual mobile leaflets, or gates, that are hold in place by hinges. The leaflets open and tighten in response to blood upsurge pressures by a valve. Little is famous about a outcome that a hinged leaflets have on blood dynamics, nonetheless such designs are suspected of causing blood clots.

The mechanism indication grown by Nguyen and his group simulates vigour flows by bileaflet MHVs by representing blood vessels as a computational mesh, where calculations are achieved for particular blocks of a mesh. Their essential allege was in enabling this filigree to pierce and develop in response to a prospectus movements.

The researchers certified their mechanism indication by laboratory experiments with a full 3D facsimile of a heart’s dissemination system. Particle imaging apparatus authorised them to daydream a liquid dynamics underneath opposite scenarios including pulsatile flow, that follows a settlement of a standard cardiac cycle.

“We performed good agreement between a mechanism simulations and a experiments in terms of a bulk and quickness of blood upsurge by a leaflets,” states Nguyen. The researchers also found that prospectus hinges competence play a critical purpose in clotting, since particular hinges have opposite tolerances that can interrupt normal blood upsurge and means highlight in a capillary walls.

This investigate is a initial essential step in bargain a impact of MHVs on blood flow. “Ultimately we wish to yield doctors with a apparatus to weigh blood upsurge dynamics and other associated aspects in patients with newly ingrained valves,” says Nguyen.

The A*STAR-affiliated researchers contributing to this investigate are from a Institute of High Performance Computing.

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The above story is reprinted from materials supposing by The Agency for Science, Technology and Research (A*STAR), around ResearchSEA.

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Journal Reference:

  1. Vinh-Tan Nguyen, Yee Han Kuan, Po-Yu Chen, Liang Ge, Fotis Sotiropoulos, Ajit P. Yoganathan, Hwa Liang Leo. Experimentally Validated Hemodynamics Simulations of Mechanical Heart Valves in Three Dimensions. Cardiovascular Engineering and Technology, 2011; 3 (1): 88 DOI: 10.1007/s13239-011-0077-z

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Via: Health Medicine Network