Acta Mechanica Slovaca 2010, 14(2):18-25

Mitral Valve Leakage Quantification by Means of Experimental and Numerical Flow Modeling

Mathias Vermeulen1*, Benjamin Van Der Smissen, Tom Claessens, Rado Kaminsky, Patrick Segers, Pascal Verdonck, Peter Van Ransbeeck
1 University College Ghent, Belgium

Accurate quantification of mitral valve regurgitation (MR) is a challenging task in clinical cardiology. In order to develop and refine new algorithms for estimating the severity of MR using real-time 3D Doppler echocardiography (RT3DE), an experimental and numerical flow model have been designed and constructed. Using CAD, Rapid Prototyping Manufacturing (RPM) and five-axis milling technology, a hydraulic in vitro flow model, compatible for flow investigation with 2D normal speed Particle Image Velocimetry (PIV) and 2D Doppler Echocardiography. The same CAD model was used to conduct the Computational Fluid Dynamics (CFD) analysis. PIV, 2D Doppler Echocardiography and CFD results compare successfully in the upstream converging region and in the downstream turbulent regurgitated jet zone. These results are expected to improve the clinical assessment of mitral valve regurgitation severity by means of Doppler echocardiography.

Keywords: Particle Image Velocimetry, Computational Fluid Dynamics, 2D Doppler Echocardiography, Mitral Valve Regurgitation, Heart Valve, Rapid Prototyping Modeling

Published: October 31, 2010  Show citation

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Vermeulen, M., Van Der Smissen, B., Claessens, T., Kaminsky, R., Segers, P., Verdonck, P., & Van Ransbeeck, P. (2010). Mitral Valve Leakage Quantification by Means of Experimental and Numerical Flow Modeling. Acta Mechanica Slovaca14(2), 18-25
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References

  1. Amatya D.M., Longmire E.K., 2007, "Simultaneous Measurements of Velocity and Deformation in Flows Through Compliant Diaphragms Used as Heart Valve Analogues", Proceeding of the ASME 2007 Summer Bioengineering Conference, Colorado, USA, 2007 Go to original source...
  2. Bonow RO, Carabello BA, Chatterjee K, de Leon AC Jr, Faxon DP, Freed MD, Gaasch WH, Lytle BW, Nishimura RA, O'Gara PT, O'Rourke RA, Otto CM, Shah PM, Shanewise JS. 2008 Focused update incorporated into the ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients With Valvular Heart Disease). Circulation. 2008;118:e523- e661 Go to original source...
  3. Fallon A.M., 2006, "The Development of a Novel in vitro Flow System to Evaluate Platelet Activation and Procoagulant Potential Induced by Bileaflet Mechanical Heart Valve Leakage Jets", PhD dissertation, Georgia Institute of Technology.
  4. Fallon A.M. et al., 2008, "Procoagulant Properties of Flow Fields in Stenotic and Expansive Orifices, Annals of Biomedical Engineering, 36(1), pp. 1-13 Go to original source...
  5. Hopkins L. M. et al., 2000, "Particle Image Velocimetry Measurements in Complex Geometries," Exp. Fluids, 29, pp. 91-95 Go to original source...
  6. Horstkotte D, Schulte HD, Niehues R, Klein RM, Piper C, Strauer BE. Diagnostic and therapeutic considerations in acute, severe mitral regurgitation: Experience in 42 consecutive patients entering the intensive care unit with pulmonary edema. J Heart Valve Dis. 1993;/2:/512_22
  7. Reichardt H., Gesetzmässigkeiten der freien Turbulenz, VDI-Forschungsheft 414 (1942), 2nd ed. 1951
  8. Thomas L, Foster E, Schiller NB. Peak mitral inflow velocity predicts mitral regurgitation severity. J Am Coll Cardiol. 1998;/31:/174_9 Go to original source...
  9. Vahanian A, Baumgartner H, Bax J, Butchart E, Dion R, Filippatos G, et al. Guidelineson the management of valvular heart disease: The Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology. Eur Heart J. 2007;/28:/230_68 Go to original source...
  10. Zoghbi WA, Enriquez-Sarano M, Foster E, Grayburn PA, Kraft CD, Levine RA, et al. Recommendations for evaluation of the severity of native valvular regurgitation with twodimensional and Doppler echocardiography. J Am Soc Echocardiogr. 2003;/16:/777_802 Go to original source...

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