title: CFD simulation of a novel bileaflet mechanical heart valve prosthesis: an estimation of the Venturi passage formed by the leaflets.
abstract: The aim of this study was to validate the flow characteristics of the novel Helmholtz-Institute Aachen Bileaflet (HIA-BL) heart valve prosthesis. The curved leaflets of the HIA-BL valve form a Venturi passage between the leaflets at peak systole. By narrowing the cross section the flow accelerates and the static pressure at the central passage decreases according to the Venturi effect. The low-pressure zone between the leaflets is expected to stabilize the leaflets in fully open position at peak systole. To investigate the Venturi passage, the flow fields of two valve geometries were investigated by CFD (Computational Fluid Dynamics): one geometry exhibits curved leaflets resulting in a Venturi passage; the other geometry features straight leaflets. The flow profiles, pressure distribution and resulting torque of both passages were compared and investigated. Although flow profiles downstream of both valves were similar, the flow passages between the leaflets were different for the investigated leaflet geometries. The straight leaflet passage showed a large boundary layer separation zone near the leaflets and the lowest pressure at the leading edge of the leaflet. The Venturi passage showed a reduction of the boundary layer separation zones and the lowest pressure between the leaflets could be found in the narrowest flow cross section of the Venturi passage. Additionally, the resulting torque showed that the Venturi passage produced an opening momentum. The results demonstrate that the Venturi passage stabilizes the leaflets in open position at peak systole.
authors.affiliation: Institute of Biomaterials and Bioengineering, Tokyo Medical and Dental University, Tokyo, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Yokoyama
authors.forename: D
authors.initials: D
authors.lastname: Medart
authors.forename: M
authors.initials: M
authors.lastname: Hormes
authors.forename: C
authors.initials: C
authors.lastname: Schmitz
authors.forename: K
authors.initials: K
authors.lastname: Hamilton
authors.forename: P B
authors.initials: PB
authors.lastname: Kwant
authors.forename: S
authors.initials: S
authors.lastname: Takatani
authors.forename: T
authors.initials: T
authors.lastname: Schmitz-Rode
authors.forename: U
authors.initials: U
authors.lastname: Steinseifer
mesh_terms: D001783:Blood Flow Velocity; D001794:Blood Pressure; D019544:Equipment Failure Analysis; D006350:Heart Valve Prosthesis; D018056:Hemorheology; D006801:Humans; D008955:Models, Cardiovascular; D009716:Numerical Analysis, Computer-Assisted; D011474:Prosthesis Design; D015203:Reproducibility of Results