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Author:

Wang, Q. (Wang, Q..) | Luo, X. (Luo, X..) | Qiu, J. (Qiu, J..) | Hu, S. (Hu, S..) | Ding, X. (Ding, X..) | Du, T. (Du, T..) | Zhang, Y. (Zhang, Y..) | Hou, Q. (Hou, Q..) | Qiao, A. (Qiao, A..)

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Abstract:

Objective To elucidate the influence of two procedures aortic root remodeling using a straight tubular artificial vessel while preserving the aortic valve and the Florida sleeve procedure on the biomechanics of the aortic root. Methods Five finite element models of the aortic root were reconstructed using computed tomography angiography images, including two cases of aortic root remodeling (A1 and A2), two cases of the Florida sleeve procedure (B1 and B2), and one control group without aortic root pathology (C). Numerical simulations were performed to obtain the blood flow and pressure distribution result to assess the differences in the hemodynamics of the aortic root. Results There were no significant differences in the peak systolic velocity between the two procedures and the control. However, the flow velocity after aortic root remodeling was smoother, similar to the model of the control group, with a more stable average aortic pressure and wall shear stress. In the Florida sleeve procedure, high-speed blood flow affected the vessel wall, leading to various degrees of wall shear stress and pressure concentrations along the aortic wall. Conclusions After aortic root replacement with valve preservation, blood flow patterns in the reconstructed aortic root depended on postoperative changes in sinus geometry. Both surgical procedures showed favorable blood flow patterns; however, the flow pattern after aortic root remodeling was more stable than that after the Florida sleeve procedure. © 2024 Editorial Department of Journal of Shanghai Second Medical University. All rights reserved.

Keyword:

computational fluid dynamics tubular grafts Florida sleeve procedure aortic root morphology modified aortic root remodeling procedure

Author Community:

  • [ 1 ] [Wang Q.]College of Chemistry and Life Science, Beijing University of Technology, Beijing, 100124, China
  • [ 2 ] [Luo X.]Department of Cardiovascular Surgery, National Center for Cardiovascular Diseases, Fuwai Hospital, Chinese Academy of Medical Sciences, Beijing, 100037, China
  • [ 3 ] [Qiu J.]Department of Cardiovascular Surgery, National Center for Cardiovascular Diseases, Fuwai Hospital, Chinese Academy of Medical Sciences, Beijing, 100037, China
  • [ 4 ] [Hu S.]Department of Cardiovascular Surgery, National Center for Cardiovascular Diseases, Fuwai Hospital, Chinese Academy of Medical Sciences, Beijing, 100037, China
  • [ 5 ] [Ding X.]College of Chemistry and Life Science, Beijing University of Technology, Beijing, 100124, China
  • [ 6 ] [Du T.]College of Chemistry and Life Science, Beijing University of Technology, Beijing, 100124, China
  • [ 7 ] [Zhang Y.]College of Chemistry and Life Science, Beijing University of Technology, Beijing, 100124, China
  • [ 8 ] [Hou Q.]State Key Laboratory of Cardiovascular Disease, National Center for Cardiovascular Diseases, Fuwai Hospital, Chinese Academy of Medical Sciences, Beijing, 100037, China
  • [ 9 ] [Qiao A.]College of Chemistry and Life Science, Beijing University of Technology, Beijing, 100124, China

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Source :

Journal of Medical Biomechanics

ISSN: 1004-7220

Year: 2024

Issue: 4

Volume: 39

Page: 691-698

Cited Count:

WoS CC Cited Count:

SCOPUS Cited Count:

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 4

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