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Characterization
of Flow through a Monoleaflet Mechanical Heart Valve.
Matan Setton, Plainview Old Bethpage, JFK HS, Plainview,
NY; Yared Alemu, and Daniel Bluestein, Biomedical Engineering Department,
Biofluids Lab, Stony Brook University.
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The implantation
of Mechanical Heart Valves has been linked to thrombus formation within
the cardiovascular system, with flow-induced platelet activation suggested
as one of the major mechanisms leading to this pathology. Platelet activation
may lead to formation of thromboemboli in the blood stream, posing a significant
risk to the patient by having the potential to obstruct blood flow in
small blood vessels, e.g., in the brain, thereby increasing the likelihood
of cardioembolic stroke. While many hemodynamic mechanisms contribute
to this phenomenon, the primary factors are regions of elevated flow stress
and recirculation zones. The aim of this investigation is to characterize
blood flow across a 27 mm monoleaflet Medtronic heart valve via numerical
simulations using Computational Flow Dynamics (CFD). CFD is used in a
2D geometry to solve both steady flow and transient flow. The numerical
results are compared to an experimental study in which a non-invasive
flow measurement technique, Digital Particle Image Velocimetry (DPIV),
is used to map the velocity vectors in the area downstream the valve.
DPIV employs a Nd:YAG Laser to highlight latex particles as they pass
through the valve. A CCD camera is used to record the flow fields, while
software analyzes the images, using spatial cross-correlation technique,
to compute the velocity fields. Dynamic Similarity, necessary to substantiate
any correlations between the experimental setup and the numerical simulations,
is achieved by maintaining the same Reynolds Number. Preliminary results
indicate regions of increased velocity surrounding the leaflet in addition
to a decrease in velocity along the vessel walls. Shed vortices and a
distinct recirculation zone has been mapped immediately downstream the
valve. Normal flow was restored further downstream. The DPIV measurements
had validated the predictions of the CFD simulations. These flow conditions
are conducive to platelet activation and aggregation, increasing the risk
of thromboembolism.
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