title: Fluid mechanics of regurgitant jets and calculation of the effective regurgitant orifice in free or complex configurations.
abstract: The velocity fields of turbulent jets can be described using a single formula which includes two empirical constants: k(core) determining the length of the central core and k(turb) the jet widening. Flow models simulating jet adhesion, confinement and noncircular orifices were studied using laser Doppler anemometer and the modifications of the constants were derived from series of velocity profiles. In circular free jets, k(core) was found equal to 4.1 with a variability of 1.4%. In complex configurations, its variability was equal to 15.2%. For k(turb), the value for free circular jets was of 45.2 with a variability of 6.0% and this variability in complex configurations was significantly higher (30. 1%, p=0.025). The correlation between the actual orifice size and the jet extension was poor (r=0.52). However, the almost constant value of k(core) allowed to define a new algorithm calculating the regurgitant orifice diameter with the use of outlines of the jet image (r=0.89). In conclusion, the fluid mechanics of regurgitant jets is modified in complex configurations but, due to the relative independency of the central core, velocity fields could be used to evaluate the dimensions of the effective regurgitant orifice.
authors.affiliation: INSERM, U. 494, Hopital Broussais, 96 rue Didot, 75674, Paris Cedex, France. diebold@hbroussais.fr
authors.forename: B
authors.initials: B
authors.lastname: Diebold
authors.forename: A
authors.initials: A
authors.lastname: Delouche
authors.forename: A
authors.initials: A
authors.lastname: Decesare
authors.forename: P
authors.initials: P
authors.lastname: Delouche
authors.forename: J P
authors.initials: JP
authors.lastname: Guglielmi
authors.forename: A
authors.initials: A
authors.lastname: Herment
mesh_terms: D000465:Algorithms; D001021:Aortic Valve / Q000473:pathology*; D001022:Aortic Valve Insufficiency / Q000503:physiopathology*; D001783:Blood Flow Velocity / Q000502:physiology; D018056:Hemorheology; D006801:Humans; D017078:Laser-Doppler Flowmetry; D008943:Mitral Valve / Q000473:pathology*; D008944:Mitral Valve Insufficiency / Q000503:physiopathology*; D008955:Models, Cardiovascular; D014261:Tricuspid Valve / Q000473:pathology*; D014262:Tricuspid Valve Insufficiency / Q000503:physiopathology*