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Author:

Li, Xuanyu (Li, Xuanyu.) | Simakov, Sergey (Simakov, Sergey.) | Liu, Youjun (Liu, Youjun.) (Scholars:刘有军) | Liu, Taiwei (Liu, Taiwei.) | Wang, Yue (Wang, Yue.) | Liang, Fuyou (Liang, Fuyou.)

Indexed by:

Scopus SCIE

Abstract:

Aortic valve disease (AVD) often coexists with coronary artery disease (CAD), but whether and how the two diseases are correlated remains poorly understood. In this study, a zero-three dimensional (0-3D) multi-scale modeling method was developed to integrate coronary artery hemodynamics, aortic valve dynamics, coronary flow autoregulation mechanism, and systemic hemodynamics into a unique model system, thereby yielding a mathematical tool for quantifying the influences of aortic valve stenosis (AS) and aortic valve regurgitation (AR) on hemodynamics in large coronary arteries. The model was applied to simulate blood flows in six patient-specific left anterior descending coronary arteries (LADs) under various aortic valve conditions (i.e., control (free of AVD), AS, and AR). Obtained results showed that the space-averaged oscillatory shear index (SA-OSI) was significantly higher under the AS condition but lower under the AR condition in comparison with the control condition. Relatively, the overall magnitude of wall shear stress was less affected by AVD. Further data analysis revealed that AS induced the increase in OSI in LADs mainly through its role in augmenting the low-frequency components of coronary flow waveform. These findings imply that AS might increase the risk or progression of CAD by deteriorating the hemodynamic environment in coronary arteries.

Keyword:

multi-scale modeling hemodynamics coronary artery disease aortic valve disease

Author Community:

  • [ 1 ] [Li, Xuanyu]Shanghai Jiao Tong Univ, Sch Naval Architecture Ocean & Civil Engn, Dept Engn Mech, Shanghai 200240, Peoples R China
  • [ 2 ] [Liu, Taiwei]Shanghai Jiao Tong Univ, Sch Naval Architecture Ocean & Civil Engn, Dept Engn Mech, Shanghai 200240, Peoples R China
  • [ 3 ] [Liang, Fuyou]Shanghai Jiao Tong Univ, Sch Naval Architecture Ocean & Civil Engn, Dept Engn Mech, Shanghai 200240, Peoples R China
  • [ 4 ] [Simakov, Sergey]Russian Acad Sci, Marchuk Inst Numer Math, Moscow 119991, Russia
  • [ 5 ] [Liu, Youjun]Beijing Univ Technol, Coll Life Sci & Bioengn, Beijing 100124, Peoples R China
  • [ 6 ] [Wang, Yue]Shanghai Jiao Tong Univ, Shanghai Peoples Hosp 9, Dept Cardiol, Sch Med, Shanghai 200011, Peoples R China
  • [ 7 ] [Liang, Fuyou]Shanghai Jiao Tong Univ, Sch Naval Architecture Ocean & Civil Engn, State Key Lab Ocean Engn, Shanghai 200240, Peoples R China

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Source :

BIOENGINEERING-BASEL

Year: 2023

Issue: 6

Volume: 10

4 . 6 0 0

JCR@2022

Cited Count:

WoS CC Cited Count: 1

SCOPUS Cited Count: 1

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 11

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