Effect of asymmetry on hemodynamics in fluid-structure interaction model of congenital bicuspid aortic valves

Gil Marom, Hee Sun Kim, Moshe Rosenfeld, Ehud Raanani, Rami Haj-Ali

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

Abstract

A bicuspid aortic valve (BAV) is a congenital cardiac disorder where the valve consists of only two cusps instead of three in a normal tricuspid valve (TAV). Although 97% of BAVs include asymmetric cusps, little or no prior studies investigated the blood flow through physiological three-dimensional BAV and root. This study presents four fully coupled fluid-structure interaction (FSI) models, including native TAV, asymmetric BAV with or without a raphe and an almost symmetric BAV. The FSI simulations are based on coupled structural and fluid dynamics solvers that allow accurate modeling of the pressure load on both the root and the cusps. The partitioned solver has non-conformal meshes and the flow is modeled employing an Eulerian approach. The cusps tissue in the structural model is composed of hyperelastic finite elements with collagen fiber network embedded in the elastin matrix. The tissues behavior of the aortic sinuses is also hyperelastic. The coaptation is modeled with master-slave contact algorithm. A full cardiac cycle is simulated by imposing the same physiological blood pressure at the upstream and downstream boundaries, for all the TAV and BAV models. The latter have significantly smaller opening area compared to the TAV. Larger stress values were also found in the cusps of the BAV models with fused cusps, both at the systolic and diastolic phases. The asymmetric geometry cause asymmetric vortices and much larger wall shear stress on the cusps, which is a potential cause for early valvular calcification in BAVs.

Original languageEnglish
Title of host publication2012 Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 2012
Pages637-640
Number of pages4
DOIs
StatePublished - 2012
Event34th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS 2012 - San Diego, CA, United States
Duration: 28 Aug 20121 Sep 2012

Publication series

NameProceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS
ISSN (Print)1557-170X

Conference

Conference34th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS 2012
Country/TerritoryUnited States
CitySan Diego, CA
Period28/08/121/09/12

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