High-speed particle image velocimetry to assess cardiac fluid dynamics in vitro: From performance to validation

Abnormality in cardiac fluid dynamics is highly correlated with several heart conditions. This is particularly true in valvular heart diseases and congenital heart defects where changes in flow-field accompany significant variations in chambers’ pressure gradients. Particle Image Velocimetry (PIV) is a convenient technique in assessing cardiac fluid dynamics in vitro. With PIV, it is possible to quantitatively differentiate between normal and abnormal intracardiac flow fields in transparent models of cardiac chambers. Understanding the flow-field inside the heart chambers is challenging due to the fast pace of the flow, three dimensionality of the events, and complex deformability of the heart chambers that highly depends on compliance. Defining standard test-phantoms for particular performance studies ensure accuracy of the tests and reproducibility of the data for implantable devices, regardless of who performs the tests. In this work, we have described several different measures for assessment of cardiac fluid dynamics of heart valves using our novel experimental system that is particularly designed and developed for in vitro investigation of intracardiac flow.

[1]  Michele Milano,et al.  Correlation Between Vortex Ring Formation and Mitral Annulus Dynamics During Ventricular Rapid Filling , 2007, ASAIO journal.

[2]  E. J. Roschke,et al.  An Engineer's View of Prosthetic Heart Valve Performance , 1973 .

[3]  Yong Zhao,et al.  Particle Image Velocimetry Study of Pulsatile Flow in Bi-leaflet Mechanical Heart Valves with Image Compensation Method , 2007, Journal of biological physics.

[4]  Arash Kheradvar,et al.  Optimal vortex formation as an index of cardiac health. , 2006, Proceedings of the National Academy of Sciences of the United States of America.

[5]  Mitsuo Umezu,et al.  Effects of Turbulent Stresses upon Mechanical Hemolysis: Experimental and Computational Analysis , 2004, ASAIO journal.

[6]  M A Proschan,et al.  Echocardiographic Assessment of Mitral Valve Size in Obstructive Hypertrophic Cardiomyopathy Anatomic Validation From Mitral Valve Specimen , 1993, Circulation.

[7]  H L Petrie,et al.  Determination of principal reynolds stresses in pulsatile flows after elliptical filtering of discrete velocity measurements. , 1993, Journal of biomechanical engineering.

[8]  Toshinosuke Akutsu,et al.  Dynamic particle image velocimetry flow analysis of the flow field immediately downstream of bileaflet mechanical mitral prostheses , 2006, Journal of Artificial Organs.

[9]  Louis-Gilles Durand,et al.  Flow-dependent changes in Doppler-derived aortic valve effective orifice area are real and not due to artifact. , 2006, Journal of the American College of Cardiology.

[10]  Petter Dyverfeldt,et al.  Quantification of presystolic blood flow organization and energetics in the human left ventricle. , 2011, American journal of physiology. Heart and circulatory physiology.

[11]  Arash Kheradvar,et al.  An In Vitro Study of Changing Profile Heights in Mitral Bioprostheses and Their Influence on Flow , 2006, ASAIO journal.

[12]  Lorenzo Scalise,et al.  PIV Measurements of Flows in Artificial Heart Valves , 2007 .

[13]  Arash Kheradvar,et al.  On Mitral Valve Dynamics and its Connection to Early Diastolic Flow , 2008, Annals of Biomedical Engineering.

[14]  Eric Bertrand,et al.  Particle imaging velocimetry measurements in a heart simulator , 2005, J. Vis..

[15]  Arash Kheradvar,et al.  The effects of dynamic saddle annulus and leaflet length on transmitral flow pattern and leaflet stress of a bileaflet bioprosthetic mitral valve. , 2012, The Journal of heart valve disease.

[16]  Antonio Cenedese,et al.  Effect of the prosthetic mitral valve on vortex dynamics and turbulence of the left ventricular flow , 2010 .

[17]  Paul Dagum,et al.  Mitral Leaflet Remodeling in Dilated Cardiomyopathy , 2006, Circulation.

[18]  Arash Kheradvar Development and Testing a Dynamic Bi-leaflet Mitral Prosthesis , 2009 .

[19]  Toshinosuke Akutsu,et al.  Time-resolved particle image velocimetry and laser doppler anemometry study of the turbulent flow field of bileaflet mechanical mitral prostheses , 2005, Journal of Artificial Organs.

[20]  Hélène A. Simon,et al.  Vorticity dynamics of a bileaflet mechanical heart valve in an axisymmetric aorta , 2007 .

[21]  Arash Kheradvar,et al.  Influence of Ventricular Pressure Drop on Mitral Annulus Dynamics Through the Process of Vortex Ring Formation , 2007, Annals of Biomedical Engineering.

[22]  M. Gharib,et al.  A universal time scale for vortex ring formation , 1998, Journal of Fluid Mechanics.

[23]  Arash Kheradvar,et al.  Assessment of transmitral vortex formation in patients with diastolic dysfunction. , 2012, Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography.

[24]  S. Rahimtoola,et al.  Choice of prosthetic heart valve for adult patients. , 2003, Journal of the American College of Cardiology.