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摘要:
Background: The various components of the aortic root maintain a particular geometric relationship to guarantee unobstructed blood flow across the aortic valve and valve competence. Objective: To quantify the effect of the position of the coronary sinus orifice (CSO) on aortic leaflet coaptation. Methods: 2D and 3D finite element models of an aortic valve and root were constructed, with the CSO located on the bottom and middle of the sinuses. ADINA fluid-structure interaction solver was employed to perform computational simulation. Results: The mean sinus pressure with left and right CSO was 1.02E+4 Pa and 1.03E+4 Pa, respectively, and the average leaflet pressure with left and right CSO was 1.06E+4 Pa and 1.05E+4 Pa, respectively, for the model with CSO located in the middle and bottom of the sinus. The leaflet summit displacement differences of the CSO position on the bottom and middle between left and right coronary sinuses and none were 11.56, -107.57, 16.17 and -92.86 mu m, respectively. Conclusions: The position of the CSO affects the pressure distribution of the aortic root. The local high pressure results in symmetrical deformation of the three leaflets, and decreases the risk of leaflet mismatch in coaptation.
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来源 :
JOURNAL OF MECHANICS IN MEDICINE AND BIOLOGY
ISSN: 0219-5194
年份: 2014
期: 6
卷: 14
0 . 8 0 0
JCR@2022
ESI学科: MOLECULAR BIOLOGY & GENETICS;
ESI高被引阀值:449
JCR分区:4
中科院分区:4
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