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An Anatomically Shaped Mitral Valve for Hemodynamic Testing

Authors: Darwish APapolla CRieu RKadem L


Affiliations

1 Laboratory of Cardiovascular Fluid Dynamics, Concordia University, Montreal, QC, H3G 1M8, Canada. lcfd@encs.concordia.ca.
2 Mechanical Power Engineering Department, Assiut University, Assiut, 71515, Egypt. lcfd@encs.concordia.ca.
3 Laboratory of Cardiovascular Fluid Dynamics, Concordia University, Montreal, QC, H3G 1M8, Canada.
4 Aix-Marseille University, LBA UMR T24, Marseille, France.

Description

In vitro modeling of the left heart relies on accurately replicating the physiological conditions of the native heart. The targeted physiological conditions include the complex fluid dynamics coming along with the opening and closing of the aortic and mitral valves. As the mitral valve possess a highly sophisticated apparatus, thence, accurately modeling it remained a missing piece in the perfect heart duplicator puzzle. In this study, we explore using a hydrogel-based mitral valve that offers a full representation of the mitral valve apparatus. The valve is tested using a custom-made mock circulatory loop to replicate the left heart. The flow analysis includes performing particle image velocimetry measurements in both left atrium and ventricle. The results showed the ability of the new mitral valve to replicate the real interventricular and atrial flow patterns during the whole cardiac cycle. Moreover, the investigated valve has a ventricular vortex formation time of 5.2, while the peak e- and a-wave ventricular velocities was 0.9 m/s and 0.4 m/s respectively.


Keywords: In vitroLeft atriumLeft ventricleMitral regurgitationMitral valveMitral valve prolapsecirculatory loop


Links

PubMed: https://pubmed.ncbi.nlm.nih.gov/38228812/

DOI: 10.1007/s13239-024-00714-5