2019
DOI: 10.3390/fluids4010019
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Use of Computational Fluid Dynamics to Analyze Blood Flow, Hemolysis and Sublethal Damage to Red Blood Cells in a Bileaflet Artificial Heart Valve

Abstract: Artificial heart valves may expose blood to flow conditions that lead to unnaturally high stress and damage to blood cells as well as issues with thrombosis. The purpose of this research was to predict the trauma caused to red blood cells (RBCs), including hemolysis, from the stresses applied to them and their exposure time as determined by analysis of simulation results for blood flow through both a functioning and malfunctioning bileaflet artificial heart valve. The calculations provided the spatial distribu… Show more

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Cited by 18 publications
(25 citation statements)
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“…The linear strain field used here is the simplest of all, being in a single direction: but it is consistent with that imposed by a stretched gel as used in our NMR experiments [14]. Much more complicated deformations occur in flowing systems, in which some domains of the RBC membrane are stressed into more positive curvature while others simultaneously undergo more negative curvature [37][38][39][40]. The ability of the RBC to accommodate these contortions decreases with the age of the cell and is posited as a major…”
Section: Discussionsupporting
confidence: 64%
See 1 more Smart Citation
“…The linear strain field used here is the simplest of all, being in a single direction: but it is consistent with that imposed by a stretched gel as used in our NMR experiments [14]. Much more complicated deformations occur in flowing systems, in which some domains of the RBC membrane are stressed into more positive curvature while others simultaneously undergo more negative curvature [37][38][39][40]. The ability of the RBC to accommodate these contortions decreases with the age of the cell and is posited as a major…”
Section: Discussionsupporting
confidence: 64%
“…Transient, distorted shapes exist in RBCs when they are in regions of high velocity that impose non-laminar flow around prosthetic and even healthy heart valves. Flow changes occur during valve development in cardiogenesis, in particular, and this flow is modified around calcified or diseased valves not just prosthetic ones [39,40], so there is considerable merit in having a computationally accessible means of modelling RBC shape changes with the methods presented here.…”
Section: Discussionmentioning
confidence: 99%
“…The linear strain field used here is the simplest of all, being in a single direction: but it is consistent with that imposed by a stretched gel, as used in our NMR experiments 15 . Much more complicated deformations occur in flowing systems, in which some domains of the RBC membrane are stressed into more positive curvature, while others simultaneously undergo more negative curvature 48 51 . The ability of the RBC to accommodate these contortions decreases with the age of the cell and it is posited as a major factor in what determines RBC survival, for ~ 120 days in the circulation 33 .…”
Section: Discussionmentioning
confidence: 99%
“…Computational fluid dynamics (CFD) is widely used to simulate fluid flow which cannot be experimentally reproduced. In the fields of neurosurgery and cardiovascular surgery, CFD allows hemodynamic parameters to be assessed non-invasively as an alternative to experiments on living bodies [17][18][19][20][21]. With help from modern mathematical modeling, we believe we are able to simulate the interaction between blood and biomaterial surfaces.…”
Section: Introductionmentioning
confidence: 99%