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Hemodynamic Influence of Different Pulmonary Stenosis Degree in Glenn Procedure: A Numerical Study

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机构: [1]Beijing Univ Technol, Coll Life Sci & Bioengn, Beijing 100124, Peoples R China; [2]Capital Med Univ, Beijing You An Hosp, Dept Diagnost Radiol, Beijing 100069, Peoples R China; [3]Tohoku Univ, Inst Fluid Sci, Ohta Lab, Grad Sch Engn,Aoba Ku, Sendai, Miyagi 9808577, Japan; [4]Capital Med Univ, Beijing An Zhen Hosp, Beijing 100029, Peoples R China; [5]Beijing Fuwai Hosp CAMS, Beijing 100037, Peoples R China; [6]PUMC, Beijing 100037, Peoples R China; [7]Peking Univ, Peoples Hosp, Dept Cardiac Surg, Beijing 100044, Peoples R China; [8]Peking Univ, Hlth Sci Ctr, Beijing 100191, Peoples R China; [9]Beijing Univ Technol, Coll Life Sci & Bioengn, 100 Pingleyuan, Beijing 100124, Peoples R China
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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.

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出版当年[2013]版:
大类 | 4 区 工程技术
小类 | 3 区 工程:机械 3 区 热力学
最新[2025]版:
大类 | 4 区 工程技术
小类 | 4 区 工程:机械 4 区 热力学
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出版当年[2012]版:
Q2 THERMODYNAMICS Q2 ENGINEERING, MECHANICAL
最新[2023]版:
Q2 THERMODYNAMICS Q3 ENGINEERING, MECHANICAL

影响因子: 最新[2023版] 最新五年平均 出版当年[2012版] 出版当年五年平均 出版前一年[2011版] 出版后一年[2013版]

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第一作者机构: [1]Beijing Univ Technol, Coll Life Sci & Bioengn, Beijing 100124, Peoples R China;
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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
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