Experimental investigation of steady flow in rigid models of abdominal aortic aneurysms

Abdominal aortic aneurysms occur in as much as 2–3% of the population, and their rupture produces a mortality rate of 78–94% (1), causing 15,000 deaths per year in the U.S. alone. As an investigation into the mechanical factors that lead to aneurysm rupture, flow field measurements are presented for steady flow through a range of aneurysm sizes and Reynolds numbers. Seven rigid symmetric models of aneurysms were constructed with uniform lengths of 4d and diameters that ranged from 1.4 to 3.3d, whered is the inner diameter of the undilated entrance tube. Color Doppler flow imaging was used to visualize the flow fields, while laser Doppler velocimetry was used to quantify the flow field velocities and to determine critical Reynolds numbers for the onset of, and complete transition to, turbulent flow. Estimates of mean and peak wall shear stresses were derived from velocity measurements. Flow in these models varied from fully laminar to fully turbulent over the range of Reynolds numbers corresponding toin vivo flows. There was a large range over which the flow was intermittently turbulent. High wall shear occurred in the models when the flow was turbulent, suggesting that turbulence inin vivo aneurysms may contribute significantly to their risk of rupture.

[1]  D. Brewster,et al.  Autopsy Study of Unoperated Abdominal Aortic Aneurysms: The Case for Early Resection , 1977, Circulation.

[2]  J. Melbin,et al.  Hemodynamic Phenomena in Fusiform Aneurysms - I: Steady Flow Conditions , 1976, IEEE Transactions on Biomedical Engineering.

[3]  R. Peattie,et al.  Development of turbulence in steady flow through models of abdominal aortic aneurysms. , 1994, Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine.

[4]  Bluth Ei,et al.  Color flow Doppler in the evaluation of aortic aneurysms. , 1990 .

[5]  A Qualitative Investigation of Turbulence in Flow Through a Model Abdominal Aortic Aneurysm , 1992, Investigative radiology.

[6]  P. Scherer,et al.  Flow in axisymmetrical glass model aneurysms. , 1973, Journal of biomechanics.

[7]  A. D. Young,et al.  An Introduction to Fluid Mechanics , 1968 .

[8]  [Diseases of the aorta]. , 1966, Nihon Ishikai zasshi. Journal of the Japan Medical Association.

[9]  S. Wille Pulsatile pressure and flow in an arterial aneurysm simulated in a mathematical model. , 1981, Journal of biomedical engineering.

[10]  E. Bluth,et al.  Color flow Doppler in the evaluation of aortic aneurysms. , 1990, International angiology : a journal of the International Union of Angiology.

[11]  J. Reilly,et al.  Incidence and etiology of abdominal aortic aneurysms. , 1989, The Surgical clinics of North America.

[12]  G. Louridas,et al.  The role of the aortic aneurysm diameter aortic diameter ratio in predicting the risk of rupture. , 1990, South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde.

[13]  G. Leopold,et al.  Growth rates of small abdominal aortic aneurysms. , 1976, Surgery.

[14]  J.M.A. Lenihan,et al.  Biomechanics — Mechanical properties of living tissue , 1982 .

[15]  L. Gilbert,et al.  The Coevolution of a Butterfly and a Vine , 1982 .

[16]  W. Janna,et al.  Introduction to Fluid Mechanics , 2012 .

[17]  R. Budwig,et al.  Steady flow in abdominal aortic aneurysm models. , 1993, Journal of biomechanical engineering.

[18]  P Boesiger,et al.  Human abdominal aorta: comparative measurements of blood flow with MR imaging and multigated Doppler US. , 1989, Radiology.

[19]  M. P. Nevitt,et al.  Prognosis of abdominal aortic aneurysms. A population-based study. , 1989, The New England journal of medicine.

[20]  Y. Fung,et al.  Biomechanics: Mechanical Properties of Living Tissues , 1981 .

[21]  R. Darling,et al.  Ruptured arteriosclerotic abdominal aortic aneurysms. A pathologic and clinical study. , 1970, American journal of surgery.

[22]  D. Sumner,et al.  Ultrasonic screening for the detection of abdominal aortic aneurysms. , 1989, The Surgical clinics of North America.

[23]  K. Perktold On the paths of fluid particles in an axisymmetrical aneurysm. , 1987, Journal of biomechanics.