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作者:

Ren, X.-C. (Ren, X.-C..) | Liu, Y.-J. (Liu, Y.-J..) (学者:刘有军) | Bai, F. (Bai, F..) | Zhao, X. (Zhao, X..) | Zhang, M.-Z. (Zhang, M.-Z..) | Ding, J.-L. (Ding, J.-L..) | Ma, L.-C. (Ma, L.-C..) | Xie, J.-S. (Xie, J.-S..)

收录:

Scopus PKU CSCD

摘要:

Objective: To analyze and compare hemodynamic features of two different options for modified B-T shunt (MBTS) surgery, namely end-to-side (ETS) and side-to-side (STS), so as to provide references for clinical treatment of single ventricle heart defect syndrome. Methods: The real geometric model was reconstructed by medical images obtained from a patient with hypoplastic left heart syndrome (HLHS); MBTS surgery was simulated through virtual operations; a lumped parameter model (LPM) was constructed based on physiological data of the patient; the post-operational boundary conditions of computational fluid dynamics (CFD) models (namely STS model and ETS model) were predicted based on the LPM; numerical simulation was conducted on two CFD models by using finite volume method. Results: Flow details and wall shear stress distributions were all obtained for two models. The mean oscillatory shear index (OSI) of ETS model and STS model in part of pulmonary arteries was 3.058×10-3 and 13.624×10-3, respectively, while the energy loss was 116.5 and 94.8 mW, respectively, and blood flow rate ratios of left pulmonary artery to right pulmonary artery (RRPA/LPA) were 0.8 and 1.72, respectively. Conclusions: There were nearly no differences between two CFD models in energy loss, which led to a relatively small impact on the surgery. The STS model had a more balanced pulmonary artery blood perfusion and a smaller mean OSI in part of pulmonary arteries, therefore, the STS model was superior to the ETS model. This study provides an important theoretical support and reference for treating patients with HLHS.

关键词:

Computational fluid dynamics (CFD); Energy loss; Hemodynamics; Lumped parameter model (LPM); Shear stress

作者机构:

  • [ 1 ] [Ren, X.-C.]Biomedical Engineering Center, Beijing University of Technology, Beijing 100124, China
  • [ 2 ] [Liu, Y.-J.]Biomedical Engineering Center, Beijing University of Technology, Beijing 100124, China
  • [ 3 ] [Bai, F.]Biomedical Engineering Center, Beijing University of Technology, Beijing 100124, China
  • [ 4 ] [Zhao, X.]Biomedical Engineering Center, Beijing University of Technology, Beijing 100124, China
  • [ 5 ] [Zhang, M.-Z.]Biomedical Engineering Center, Beijing University of Technology, Beijing 100124, China
  • [ 6 ] [Ding, J.-L.]Biomedical Engineering Center, Beijing University of Technology, Beijing 100124, China
  • [ 7 ] [Ma, L.-C.]Biomedical Engineering Center, Beijing University of Technology, Beijing 100124, China
  • [ 8 ] [Xie, J.-S.]Beijing Anzhen Hospital Affiliated to Capital Medical University, Beijing 100029, China

通讯作者信息:

  • 刘有军

    [Liu, Y.-J.]Biomedical Engineering Center, Beijing University of Technology, Beijing 100124, China

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来源 :

Journal of Medical Biomechanics

ISSN: 1004-7220

年份: 2014

期: 2

卷: 29

页码: 146-153

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