Background. Single ventricle disease is treated by Glenn surgery. It is generally accompanied by stenosis on a pulmonary artery or its branches, which has great effect on hemodynamics. This study investigated the hemodynamic influence of different pulmonary stenosis degree in Glenn procedure. Materials. Four three-dimensional Glenn models with different left pulmonary artery stenosis rates as, respectively, 0% (model 1), 25% (model 2), 50% (model 3), and 75% (model 4) by the diameter were generated. Method. Geometric multiscale analysis method was used in the numerical simulations by coupling the lumped parameter model (LPM) and three-dimensional model. Results. During one cardiac cycle, the flow ratio between left pulmonary artery and superior vena cava was about 0.49 for models 1, 2, and 3, while the ratio decreased to 0.34 for model 4. On the other hand, hemodynamics parameters like power loss and oscillation shear index show complications of the stenosis to the postoperative development. Conclusion. When the stenosis rate is above 75%, it is suggested to treat stenosis before Glenn procedure, while when the stenosis rate is below 50%, there is no necessity to pay attention to it due to the little effect it makes.
基金:
National Science Foundation of ChinaNational Natural Science Foundation of China [11172016]; Natural Science Foundation of Beijing, ChinaBeijing Natural Science Foundation [KZ201210005006]; Specialized Research Fund for the Doctoral Program of Higher Education of ChinaSpecialized Research Fund for the Doctoral Program of Higher Education (SRFDP) [20111103110012]
第一作者机构:[1]Beijing Univ Technol, Coll Life Sci & Bioengn, Beijing 100124, Peoples R China;
通讯作者:
通讯机构:[1]Beijing Univ Technol, Coll Life Sci & Bioengn, Beijing 100124, Peoples R China;[9]Beijing Univ Technol, Coll Life Sci & Bioengn, 100 Pingleyuan, Beijing 100124, Peoples R China
推荐引用方式(GB/T 7714):
Ma Liancai,Liu Youjun,Zhao Xi,et al.Hemodynamic Influence of Different Pulmonary Stenosis Degree in Glenn Procedure: A Numerical Study[J].ADVANCES IN MECHANICAL ENGINEERING.2014,2014:-.doi:10.1155/2014/472370.
APA:
Ma, Liancai,Liu, Youjun,Zhao, Xi,Ren, Xiaochen,Bai, Fan...&Han, Hua.(2014).Hemodynamic Influence of Different Pulmonary Stenosis Degree in Glenn Procedure: A Numerical Study.ADVANCES IN MECHANICAL ENGINEERING,2014,
MLA:
Ma, Liancai,et al."Hemodynamic Influence of Different Pulmonary Stenosis Degree in Glenn Procedure: A Numerical Study".ADVANCES IN MECHANICAL ENGINEERING 2014.(2014):-