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Effect of pannus formation on the prosthetic heart valve: In vitro demonstration using particle image velocimetry.


ABSTRACT: Although hemodynamic influence of the subprosthetic tissue, termed as pannus, may contribute to prosthetic aortic valve dysfunction, the relationship between pannus extent and hemodynamics in the prosthetic valve has rarely been reported. We investigated the fluid dynamics of pannus formation using in vitro experiments with particle image velocimetry. Subvalvular pannus formation caused substantial changes in prosthetic valve transvalvular peak velocity, transvalvular pressure gradient (TPG) and opening angle. Maximum flow velocity and corresponding TPG were mostly affected by pannus width. When the pannus width was 25% of the valve diameter, pannus formation elevated TPG to >2.5 times higher than that without pannus formation. Opening dysfunction was observed only for a pannus involvement angle of 360°. Although circumferential pannus with an involvement angle of 360° decreased the opening angle of the valve from approximately 82° to 58°, eccentric pannus with an involvement angle of 180° did not induce valve opening dysfunction. The pannus involvement angle largely influenced the velocity flow field at the aortic sinus and corresponding hemodynamic indices, including wall shear stress, principal shear stress and viscous energy loss distributions. Substantial discrepancy between the velocity-based TPG estimation and direct pressure measurements was observed for prosthetic valve flow with pannus formation.

SUBMITTER: Ha H 

PROVIDER: S-EPMC6023143 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature

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Effect of pannus formation on the prosthetic heart valve: In vitro demonstration using particle image velocimetry.

Ha Hojin H   Koo Hyun Jung HJ   Huh Hyung Kyu HK   Kim Guk Bae GB   Kweon Jihoon J   Kim Namkug N   Kim Young-Hak YH   Kang Joon-Won JW   Lim Tae-Hwan TH   Song Jae-Kwan JK   Lee Sang Joon SJ   Yang Dong Hyun DH  

PloS one 20180628 6


Although hemodynamic influence of the subprosthetic tissue, termed as pannus, may contribute to prosthetic aortic valve dysfunction, the relationship between pannus extent and hemodynamics in the prosthetic valve has rarely been reported. We investigated the fluid dynamics of pannus formation using in vitro experiments with particle image velocimetry. Subvalvular pannus formation caused substantial changes in prosthetic valve transvalvular peak velocity, transvalvular pressure gradient (TPG) and  ...[more]

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