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Numerical and Experimental Investigation of Pulsatile Hemodynamics in the Total Cavopulmonary Connection

机译:脉动血流动力学在总肺血管连接中的数值和实验研究

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摘要

Computational fluid dynamics (CFD) tools have been extensively applied to study the hemodynamics in the total cavopulmonary connection (TCPC) in patients with only a single functioning ventricle. Without the contraction of a sub-pulmonary ventricle, pulsatility of flow through this connection is low and variable across patients, which is usually neglected in most numerical modeling studies. Recent studies suggest that such pulsatility can be non-negligible and can be important in hemodynamic predictions. The goal of this work is to compare the results of an in-house numerical methodology for simulating pulsatile TCPC flow with experimental results. Digital particle image velocimetry (DPIV) was acquired on TCPC in vitro models to evaluate the capability of the CFD tool in predicting pulsatile TCPC flow fields. In vitro hemodynamic measurements were used to compare the numerical prediction of power loss across the connection. The results demonstrated the complexity of the pulsatile TCPC flow fields and the validity of the numerical approach in simulating pulsatile TCPC flow dynamics in both idealized and complex patient specific models.
机译:计算流体动力学(CFD)工具已被广泛应用于研究仅具有单个功能心室的患者的总腔肺连接(TCPC)中的血液动力学。在没有肺下室收缩的情况下,通过这种连接的血流脉动性低,并且在患者之间变化很大,这在大多数数值模拟研究中通常被忽略。最近的研究表明,这种搏动可能是不可忽略的,并且在血液动力学预测中可能很重要。这项工作的目的是将内部模拟脉动TCPC流量的数值方法的结果与实验结果进行比较。在TCPC体外模型上获得了数字粒子图像测速仪(DPIV),以评估CFD工具预测脉动TCPC流场的能力。体外血液动力学测量被用来比较整个连接的功率损耗的数值预测。结果证明了脉动TCPC流场的复杂性以及数值化方法在理想化和复杂患者特定模型中模拟脉动TCPC流动力学的有效性。

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