Computational Analysis of Wall Shear Stress Patterns on Calcified and Bicuspid Aortic Valves: Focus on Radial and Coaptation Patterns

Calcification and bicuspid valve formation are important aortic valve disorders that disturb the hemodynamics and the valve function. The detailed analysis of aortic valve hemodynamics would lead to a better understanding of the disease’s etiology. We computationally modeled the aortic valve using s...

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Main Authors: Huseyin Enes Salman, Levent Saltik, Huseyin C. Yalcin
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:Fluids
Subjects:
Online Access:https://www.mdpi.com/2311-5521/6/8/287
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author Huseyin Enes Salman
Levent Saltik
Huseyin C. Yalcin
author_facet Huseyin Enes Salman
Levent Saltik
Huseyin C. Yalcin
author_sort Huseyin Enes Salman
collection DOAJ
description Calcification and bicuspid valve formation are important aortic valve disorders that disturb the hemodynamics and the valve function. The detailed analysis of aortic valve hemodynamics would lead to a better understanding of the disease’s etiology. We computationally modeled the aortic valve using simplified three-dimensional geometry and inlet velocity conditions obtained via echocardiography. We examined various calcification severities and bicuspid valve formation. Fluid-structure interaction (FSI) analyses were adapted using ANSYS Workbench to incorporate both flow dynamics and leaflet deformation accurately. Simulation results were validated by comparing leaflet movements in B-mode echo recordings. Results indicate that the biomechanical environment is significantly changed for calcified and bicuspid valves. High flow jet velocities are observed in the calcified valves which results in high transvalvular pressure difference (TPG). Wall shear stresses (WSS) increased with the calcification on both fibrosa (aorta side) and ventricularis (left ventricle side) surfaces of the leaflet. The WSS distribution is regular on the ventricularis, as the WSS values proportionally increase from the base to the tip of the leaflet. However, WSS patterns are spatially complex on the fibrosa side. Low WSS levels and spatially complex WSS patterns on the fibrosa side are considered as promoting factors for further calcification and valvular diseases.
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spelling doaj.art-c8684d86df5a45fbaeb12e2b10a6786c2023-11-22T07:37:00ZengMDPI AGFluids2311-55212021-08-016828710.3390/fluids6080287Computational Analysis of Wall Shear Stress Patterns on Calcified and Bicuspid Aortic Valves: Focus on Radial and Coaptation PatternsHuseyin Enes Salman0Levent Saltik1Huseyin C. Yalcin2Department of Mechanical Engineering, TOBB University of Economics and Technology, Ankara 06560, TurkeyDepartment of Pediatric Cardiology, American Hospital, Istanbul 34365, TurkeyBiomedical Research Center, Qatar University, Doha P.O. Box 2713, QatarCalcification and bicuspid valve formation are important aortic valve disorders that disturb the hemodynamics and the valve function. The detailed analysis of aortic valve hemodynamics would lead to a better understanding of the disease’s etiology. We computationally modeled the aortic valve using simplified three-dimensional geometry and inlet velocity conditions obtained via echocardiography. We examined various calcification severities and bicuspid valve formation. Fluid-structure interaction (FSI) analyses were adapted using ANSYS Workbench to incorporate both flow dynamics and leaflet deformation accurately. Simulation results were validated by comparing leaflet movements in B-mode echo recordings. Results indicate that the biomechanical environment is significantly changed for calcified and bicuspid valves. High flow jet velocities are observed in the calcified valves which results in high transvalvular pressure difference (TPG). Wall shear stresses (WSS) increased with the calcification on both fibrosa (aorta side) and ventricularis (left ventricle side) surfaces of the leaflet. The WSS distribution is regular on the ventricularis, as the WSS values proportionally increase from the base to the tip of the leaflet. However, WSS patterns are spatially complex on the fibrosa side. Low WSS levels and spatially complex WSS patterns on the fibrosa side are considered as promoting factors for further calcification and valvular diseases.https://www.mdpi.com/2311-5521/6/8/287computational fluid dynamics 1fluid-structure interaction 2wall shear stress 3hemodynamics 4calcification 5aortic valve 6
spellingShingle Huseyin Enes Salman
Levent Saltik
Huseyin C. Yalcin
Computational Analysis of Wall Shear Stress Patterns on Calcified and Bicuspid Aortic Valves: Focus on Radial and Coaptation Patterns
Fluids
computational fluid dynamics 1
fluid-structure interaction 2
wall shear stress 3
hemodynamics 4
calcification 5
aortic valve 6
title Computational Analysis of Wall Shear Stress Patterns on Calcified and Bicuspid Aortic Valves: Focus on Radial and Coaptation Patterns
title_full Computational Analysis of Wall Shear Stress Patterns on Calcified and Bicuspid Aortic Valves: Focus on Radial and Coaptation Patterns
title_fullStr Computational Analysis of Wall Shear Stress Patterns on Calcified and Bicuspid Aortic Valves: Focus on Radial and Coaptation Patterns
title_full_unstemmed Computational Analysis of Wall Shear Stress Patterns on Calcified and Bicuspid Aortic Valves: Focus on Radial and Coaptation Patterns
title_short Computational Analysis of Wall Shear Stress Patterns on Calcified and Bicuspid Aortic Valves: Focus on Radial and Coaptation Patterns
title_sort computational analysis of wall shear stress patterns on calcified and bicuspid aortic valves focus on radial and coaptation patterns
topic computational fluid dynamics 1
fluid-structure interaction 2
wall shear stress 3
hemodynamics 4
calcification 5
aortic valve 6
url https://www.mdpi.com/2311-5521/6/8/287
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