Patient-specific modeling of a neonatal patient with truncus arteriosus and quadricuspid valve
Segmentation of CT imaging to create pre- and postoperative patient anatomy
Quadricuspid valve construction via elasticity-based design [Kaiser et al.]
Fluid-structure interaction simulations [Griffith et al.] to evaluate valve performance
Prediction of in vivo valve performance and elimination of valve regurgitation after truncus arteriosus repair without direct leaflet intervention
Global stability analysis applied to three-dimensional flow field downstream of fluttering and non-fluttering bioprosthetic aortic valve
Higher growth rates of instabilities downstream of non-fluttering valve
Transient growth analysis to identify optimal initial perturbations maximizing energy gain
Perturbations generated by vortical structures closely resembling those observed in fully coupled nonlinear fluid–structure interaction simulations
Optimal perturbations may initiate the shear-layer instabilities responsible for transition to turbulence
Laminar-turbulent transition downstream of fluttering and non-fluttering bioprosthetic aortic valve design
Fluttering valve
triangular starting vortex
periodical vortex shedding consistent with fluttering frequency
streamwise vortex pairs above valve commissures
Non-fluttering valve
round/hexagonal starting vortex
small-scale vortices due to flow separation at curved open leaflets
Fluid–structure interaction simulations for generic aortic geometries with fluttering bioprosthetic aortic valve design
flexible leaflets / base aortic geometry
flexible leaflets / narrow aortic geometry
fixed open leaflets / base aortic geometry
Interaction between starting vortex, counter-rotating streamwise vortices and periodic vortex rings leads to nonlinear breakdown to small-scale vortices
No fluttering alters vortex formation and results in lower turbulence levels
Modal analysis shows that (1) transition in non-fluttering valve governed by azimuthal mode of wavenumber 6, (2) fluttering motion promotes mode of wavenumber 3 and suppresses higher modes
Linear stability analysis and FSI simulations of simplified valve model to study mechanisms of laminar–turbulent transition
Modified Orr–Sommerfeld equations with FSI model indicate Kelvin–Helmholtz and FSI instabilities for physiological Re numbers
FSI simulations confirm the growth rates and phase speeds of these instabilities
Eigenmodes associated with leaflet kinematics allow for decoupled oscillations
Starting vortex interacts with the aortic wall leading to secondary vortex moving towards the shear layer in the leaflet wake
Earlier onset of instability in narrow aorta
Shear layer instability onset followed by leaflet motion onset leading to vortex shedding and nonlinear breakdown of flow
Growing perturbations of the shear layer instability propagate upstream and may initiate the FSI instabilities on leaflets
Lagrangian particle tracing to compute platelet activation indices for assessing thombosis risk in larger aortic roots with and without neo-sinus
Larger aorta may be associated with higher risk for transcatheter heart valve thrombosis
Higher platelet activation levels in larger aorta
Less efficient sinus washout in larger aorta
Highest platelet activation for particles stagnating in neo-sinus of larger aorta