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Lumped Parameter Model for Computing the Minimum Pressure During Mechanical Heart Valve Closure

机译:机械心脏瓣膜关闭过程中最小压力的集总参数模型

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摘要

The cavitation inception threshold of mechanical heart valves has been shown to be highly variable. This is in part due to the random distribution of the initial and final conditions that characterize leaflet closure. While numerous hypotheses exist explaining the mechanisms of inception, no consistent scaling laws have been developed to describe this phenomenon due to the complex nature of these dynamic conditions. Thus in order to isolate and assess the impact of these varied conditions and mechanisms on inception, a system of ordinary differential equations is developed to describe each system component and solved numerically to predict the minimum pressure generated during valve closure. In addition, an experiment was conducted in a mock circulatory loop using an optically transparent size 29 bileaflet valve over a range of conditions to calibrate and validate this model under physiological conditions. High-speed video and high-response pressure measurements were obtained simultaneously to characterize the relationship between the valve motion, fluid motion, and negative pressure transients during closure. The simulation model was calibrated using data from a single closure cycle and then compared to other experimental flow conditions and to results found in the literature. The simulation showed good agreement with the closing dynamics and with the minimum pressure trends in the current experiment. Additionally, the simulation suggests that the variability observed experimentally (when using dP/dt alone as the primary measure of cavitation inception) is predictable. Overall, results from the current form of this lumped parameter model indicate that it is a good engineering assessment tool.
机译:机械心脏瓣膜的气蚀开始阈值已显示出高度可变的特征。这部分是由于表征小叶闭合的初始和最终条件的随机分布。尽管存在许多解释初始机制的假设,但由于这些动态条件的复杂性质,尚未开发出一致的缩放定律来描述此现象。因此,为了隔离和评估这些变化的条件和机理对启动的影响,开发了一个常微分方程系统来描述每个系统组件,并对其进行数值求解以预测阀关闭过程中产生的最小压力。此外,在一系列条件下使用光学透明的29号双叶瓣在模拟循环循环中进行了实验,以在生理条件下校准和验证该模型。同时获得了高速视频和高响应压力测量结果,以表征阀门运动,流体运动和关闭期间负压瞬变之间的关系。使用来自单个闭合循环的数据对仿真模型进行校准,然后将其与其他实验流动条件以及文献中的结果进行比较。在当前实验中,模拟结果与关闭动力学和最小压力趋势显示出良好的一致性。此外,模拟表明,实验观察到的变异性是可预测的(当单独使用dP / dt作为空化开始的主要指标时)。总体而言,该集总参数模型的当前形式的结果表明,它是一个很好的工程评估工具。

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