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Reconstruction of Swirling Blood Flow in the Heart and Aorta on the Basis of Measurements of Dynamic Geometry and Elastic Properties of the Flow Channel

[+] Author Affiliations
Eugeny A. Talygin, Shota T. Zhorzholiani, Marina M. Tkhagapsova, Yuriy M. Tsygankov, Andrei V. Agafonov, Alexander Y. Gorodkov, Gennadiy I. Kiknadze, Leo A. Bockeria

Bakulev National Medical Research Center for Cardiovascular Surgery, Moscow, Russia

Paper No. IMECE2018-87680, pp. V003T04A052; 7 pages
doi:10.1115/IMECE2018-87680
From:
  • ASME 2018 International Mechanical Engineering Congress and Exposition
  • Volume 3: Biomedical and Biotechnology Engineering
  • Pittsburgh, Pennsylvania, USA, November 9–15, 2018
  • Conference Sponsors: ASME
  • ISBN: 978-0-7918-5202-6
  • Copyright © 2018 by ASME

abstract

As it has been shown previously, the blood flow in the heart and the main vessels is a self-organizing tornado-like flow of a viscous fluid, exhaustively described by the particular solution of nonstationary hydrodynamic equations coined in 1986. This solution is implemented in a local dynamic cylindrical coordinate system, which origin moves with the flow. Streamlines of these flows are characterized with an axial symmetry and determine certain restrictions to the geometry of the flow channels. It has been proved, that the experimentally measured orientations of intraventricular trabeculae and dynamic geometric characteristics of the aortic flow channel during the cardiac cycle satisfy the conditions for the self-organization of tornado-like blood flow. This enables to obtain relative estimates of the flow parameters using the geometric characteristics of the flow channel. For this, a set of experimentally measured quasi-invariant anatomical marks was used, which static and dynamic parameters are utterly determined by the structure of the dominant blood jet. Such marks are the position of the embouchures of pulmonary veins and the left atrium auricle, the directions of the trabecular profile on the left ventricle streamlined surface, the dynamic geometry of the mitral and aortic valves, the length and radial elasticity of the aorta, etc. These marks allow a formal localization of the dynamic coordinate system position of a swirling blood flow in the investigated part of the cardiovascular channel and more accurate estimation of the jet structural parameters evolution.

Basing on these parameters, a consistent theory of the initiation and evolution of swirling blood jet in the flow channel beginning from the left atrium to the aorta and its main branches has been proposed. The result of the study is a concept, integrating the measured characteristics of the heart and the aorta flow channel (dynamic dimensions, elasticity) and the structural parameters of swirling blood flow. It was shown that flow channel pathological changes significantly affect the flow structure.

Copyright © 2018 by ASME

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