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Impact of patient-specific morphologies on sinus flow stasis in transcatheter aortic valve replacement: An in vitro study.

  • Hatoum, Hoda1
  • Dollery, Jennifer2
  • Lilly, Scott M3
  • Crestanello, Juan2
  • Dasi, Lakshmi Prasad4
  • 1 Department of Biomedical Engineering, The Ohio State University, Columbus, Ohio.
  • 2 Division of Cardiac Surgery, Department of Surgery, The Ohio State University, Columbus, Ohio.
  • 3 Division of Cardiovascular Medicine, Department of Internal Medicine, The Ohio State University, Columbus, Ohio.
  • 4 Department of Biomedical Engineering, The Ohio State University, Columbus, Ohio; Division of Cardiac Surgery, Department of Surgery, The Ohio State University, Columbus, Ohio. Electronic address: [email protected]
Published Article
The Journal of thoracic and cardiovascular surgery
Publication Date
Feb 01, 2019
DOI: 10.1016/j.jtcvs.2018.05.086
PMID: 29980299


The goal of this study is to evaluate how sinus flow patterns after transcatheter aortic valve replacement in realistic representative patient roots vary. Sinus flow can affect transcatheter aortic valve operation and likely leaflet thrombosis occurrence due to stasis and poor washout. How the interaction between transcatheter aortic valve and representative patient aortic roots affects sinus hemodynamics is important to establish for future individualization of transcatheter aortic valve replacement therapy. Two representative patient aortic roots were selected, segmented and 3-dimensional printed followed by deployment of Medtronic CoreValve (Medtronic Inc, Irvine, Calif) and Edwards SAPIEN (Edwards Lifesciences, Irvine Calif) transcatheter aortic valves. Sinus hemodynamics were assessed in vitro using high spatio-temporal resolution particle-image-velocimetry. Detailed sinus vortex tracking, shear stress probability density functions, and sinus washout were evaluated and assessed as a function of valve type and representative patient morphology as independent case studies. Peak velocity in the sinus with SAPIEN valve was approximately 3 times higher than with CoreValve for both models (0.30 ± 0.02 m/s and 0.34 ± 0.041 m/s vs 0.13 ± 0.01 m/s and 0.10 ± 0.02 m/s) (P < .01). Between representative patient models, vorticity magnitudes were significantly different (75 ± 1.1 s-1, 77 ± 3.2 s-1, 109 ± 2.3 s-1, and 250 ± 4.1 s-1) (P < .01) regardless of valve type. Sinus blood washout characteristic as a function of cardiac cycles was strongly both patient related and valve specific. Fluid dynamics favored shear stresses and washout characteristics due to a smaller sinus and sinotubular junction, further amplified by the SAPIEN valve. Sinus flow dynamics are highly sensitive to aortic root characteristics and transcatheter aortic valve aortic root interaction. Differences in sinus-flow washout and stasis regions between representative patient models may be reflected in different risks of leaflet thrombosis or valve degeneration. Copyright © 2018 The American Association for Thoracic Surgery. Published by Elsevier Inc. All rights reserved.

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