首页> 美国卫生研究院文献>Journal of Biomechanical Engineering >TWO-DIMENSIONAL SIMULATION OF FLOW AND PLATELET DYNAMICS IN THE HINGE REGION OF A MECHANICAL HEART VALVE
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TWO-DIMENSIONAL SIMULATION OF FLOW AND PLATELET DYNAMICS IN THE HINGE REGION OF A MECHANICAL HEART VALVE

机译:机械心脏瓣膜铰链区流动和血小板动力学的二维模拟

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摘要

The hinge region of a mechanical bileaflet valve is implicated in blood damage and initiation of thrombus formation. Detailed fluid dynamic analysis in the complex geometry of the hinge region during the closing phase of the bileaflet valve is the focus of this study to understand the effect of fluid-induced stresses on the activation of platelets. A fixed-grid Cartesian mesh flow solver is used to simulate the blood flow through a two-dimensional geometry of the hinge region of a bi-leaflet mechanical valve. Use of local mesh refinement algorithm provides mesh adaptation based on the gradients of flow in the constricted geometry of the hinge. Leaflet motion is specified from the fluid-structure interaction analysis of the leaflet dynamics during the closing phase from a previous study which focused on the fluid mechanics at the gap between the leaflet edges and the valve housing. A Lagrangian particle tracking method is used to model and track the platelets and to compute the magnitude of the shear stress on the platelets as they pass through the hinge region. Results show that there is a boundary layer separation in the gaps between the leaflet ear and the constricted hinge geometry. Separated shear layers roll up into vortical structures that lead to high residence times combined with exposure to high shear stresses for particles in the hinge region. Particles are preferentially entrained into this re-circulation zone, presenting the possibility of platelet activation, aggregation, and initiation of thrombi.
机译:机械双叶瓣膜的铰链区与血液损害和血栓形成的开始有关。本研究的重点是在双瓣膜瓣关闭期间对铰链区的复杂几何形状进行详细的流体动力学分析,以了解流体诱发的应力对血小板活化的影响。固定网格的笛卡尔网格流量求解器用于模拟通过双叶机械阀的铰链区域的二维几何形状的血液流动。局部网格细化算法的使用基于铰链的收缩几何形状中的流动梯度来提供网格自适应。根据先前研究的闭阀阶段对小叶动力学的流体-结构相互作用分析,可以指定小叶运动,该研究集中在小叶边缘和瓣膜壳体之间的间隙处的流体力学。拉格朗日粒子跟踪方法用于建模和跟踪血小板,并计算当血小板通过铰链区域时在其上的剪切应力的大小。结果表明,在小叶耳和狭窄的铰链几何形状之间的间隙中存在边界层分离。分离的剪切层会卷成涡状结构,从而导致较长的停留时间,并在铰链区域内的颗粒承受较高的剪切应力。优先将颗粒夹带到该再循环区域,这表示血小板活化,聚集和血栓形成的可能性。

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