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  • Open Access

    ARTICLE

    Computational simulation of postoperative pulmonary flow distribution in Alagille patients with peripheral pulmonary artery stenosis

    Weiguang Yang1, Frank L. Hanley2, Frandics P. Chan3, Alison L. Marsden1,4, Irene E. Vignon-Clementel5, Jeffrey A. Feinstein1,4

    Congenital Heart Disease, Vol.13, No.2, pp. 241-250, 2018, DOI:10.1111/chd.12556

    Abstract Background: Up to 90% of individuals with Alagille syndrome have congenital heart diseases. Peripheral pulmonary artery stenosis (PPS), resulting in right ventricular hypertension and pulmonary flow disparity, is one of the most common abnormalities, yet the hemodynamic effects are illdefined, and optimal patient management and treatment strategies are not well established. The purpose of this pilot study is to use recently refined computational simulation in the setting of multiple surgical strategies, to examine the influence of pulmonary artery reconstruction on hemodynamics in this population.
    Materials and Methods: Based on computed tomography angiography and cardiac catheterization data, preoperative pulmonary artery models… More >

  • Open Access

    ARTICLE

    Screening performance of congenital heart defects in first trimester using simple cardiac scan, nuchal translucency, abnormal ductus venosus blood flow and tricuspid regurgitation

    Natasa Karadzov Orlic1, Amira Egic1, Barbara Damnjanovic‐Pazin MD2 | Relja Lukic1, Ivana Joksic3, Zeljko Mikovic1

    Congenital Heart Disease, Vol.14, No.6, pp. 1094-1101, 2019, DOI:10.1111/chd.12852

    Abstract Objective: The objective of this study was to analyze if the addition of simple cardiac scan in cases with increased nuchal translucency (NT) and/or abnormal ductus venosus (DV) blood flow, and/or tricuspid regurgitation (TCR) can improve detection of congenital heart defects (CHD) in chromosomally normal fetuses without non‐ cardiac defects at 11‐13 + 6 gestational weeks in a population of singleton pregnancies.
    Methods: During the 10 years period, all singleton pregnancies at 11‐13 + 6 weeks were routinely scanned for NT, DV blood flow and TCR assessment and, if a sin‐ gle of these parameters was abnormal, simple cardiac scan… More >

  • Open Access

    ARTICLE

    Exact Solution of Non-Newtonian Blood Flow with Nanoparticles through Porous Arteries: A Comparative Study

    Wafaa Alharbi1, Abdulrahman Aljohani1, Essam El-Zahar2, 3, *, Abdelhalim Ebaid1

    CMC-Computers, Materials & Continua, Vol.63, No.3, pp. 1143-1157, 2020, DOI:10.32604/cmc.2020.08875

    Abstract In this paper, the mathematical model describing the third-grade nonNewtonian blood flow suspended with nanoparticles through porous arteries is exactly solved. The present physical model was solved in the research literature via the optimal homotopy analysis method and the collocation method, where the obtained solution was compared with the numerical fourth-order Runge-Kutta solution. However, the present paper only introduces a new approach to obtain the exact solution of the concerned system and implements such exact solution as a reference to validate the published approximate solutions. Several remarks on the previously published results are observed and discussed in detail through tables… More >

  • Open Access

    ARTICLE

    What is a hemodynamically significant PDA in preterm infants?

    Jennifer L. Shepherd, Shahab Noori

    Congenital Heart Disease, Vol.14, No.1, pp. 21-26, 2019, DOI:10.1111/chd.12727

    Abstract Objective: There is no consensus on the definition of a hemodynamically significant patent ductus arteriosus (hsPDA). In this review article, our objective is to discuss the main variables that one should consider when determining the hemodynamic signifi‐ cance of a PDA.
    Results: We describe the various approaches that have been utilized over time to define an hsPDA and discuss the strengths and weaknesses of each echocardio‐ graphic index. Finally, we propose a comprehensive and individualized approach in determining the hemodynamic significance of the PDA.
    Conclusion: There are several PDA‐related clinical, echocardiographic, and other ob‐ jective variables to take into consideration… More >

  • Open Access

    ARTICLE

    Fetal hemodymanic effects on ductus arteriosus development and influences on postnatal management in infants with ductal‐dependent pulmonary blood flow

    Anthony Merlocco

    Congenital Heart Disease, Vol.14, No.1, pp. 100-104, 2019, DOI:10.1111/chd.12719

    Abstract The ductus arteriosus (DA) has been studied since Galen. Initially after birth in neo‐ nates with obstruction to pulmonary blood flow, DA patency is integral to ensure out‐ put and oxygenation. While DA stenting dates back 25 years, there is emerging interest in better understanding how and when to utilize this strategy as an alternative to surgi‐ cal shunt placement or ongoing prostaglandin administration. Understanding the nor‐ mal fetal circulation and the perturbations that affect flow and oxygenation is integral to comprehending how normal DA anatomy and morphology may change and how this may influence technical and clinical considerations. In… More >

  • Open Access

    ARTICLE

    Stenting of the ductus arteriosus for ductal‐dependent pulmonary blood flow—current techniques and procedural considerations

    Varun Aggarwal1, Christopher J. Petit2, Andrew C. Glatz3,4, Bryan H. Goldstein5, Athar M. Qureshi1

    Congenital Heart Disease, Vol.14, No.1, pp. 110-115, 2019, DOI:10.1111/chd.12709

    Abstract The use of prostaglandin‐E1 immediately after birth and subsequent surgical crea‐ tion of the modified Blalock‐Taussig shunt (BTS) shunt have remarkably improved the prognosis and survival of children with congenital heart disease and ductal‐depend‐ ent pulmonary blood flow (PBF). Despite the advancement in surgical techniques, bypass strategies, and postoperative management, significant morbidity and mortal‐ ity after BTS still remain. Patent ductus arteriosus stenting has been shown to be as an acceptable alternative to BTS placement in select infants with ductal‐dependent PBF. Newer procedural techniques and equipment, along with operator experience have all contributed to procedural refinement associated with improved outcomes… More >

  • Open Access

    ARTICLE

    Application of Smooth Particle Hydrodynamics Method for Modelling Blood Flow with Thrombus Formation

    M. Al-Saad1, C. A. Suarez2, 4, A. Obeidat2, S. P. A. Bordas1, 2, 3, *, S. Kulasegaram1

    CMES-Computer Modeling in Engineering & Sciences, Vol.122, No.3, pp. 831-862, 2020, DOI:10.32604/cmes.2020.08527

    Abstract Thrombosis plays a crucial role in atherosclerosis or in haemostasis when a blood vessel is injured. This article focuses on using a meshless particle-based Lagrangian numerical technique, the smoothed particles hydrodynamic (SPH) method, to study the flow behaviour of blood and to explore the flow parameters that induce formation of a thrombus in a blood vessel. Due to its simplicity and effectiveness, the SPH method is employed here to simulate the process of thrombogenesis and to study the effect of various blood flow parameters. In the present SPH simulation, blood is modelled by two sets of particles that have the… More >

  • Open Access

    ABSTRACT

    In Vitro Measurement of Blood Flow in Microvascular Network with Realistic Geometry

    Ken-ichi Tsubota1,2,*, Yuya Kodama1, Hiroyoshi Aoki2, Yutaka Yamagata2

    Molecular & Cellular Biomechanics, Vol.16, Suppl.2, pp. 38-39, 2019, DOI:10.32604/mcb.2019.07285

    Abstract We measured a blood flow in a polydimethysiloxane micro channel to reflect the complex geometry of a microvascular network. A flow rate was compared between two working fluids: water and blood. The measured flow rate reflected the bifurcation effects on the apparent viscosity determined by hematocrit, as well as the effects of the surrounding flow channels as bypasses. More >

  • Open Access

    ABSTRACT

    Some Aspects in Mechano-Biology of Platelet and Leukocyte in Blood Flows

    Ying Fang1, Jianhua Wu1,*

    Molecular & Cellular Biomechanics, Vol.16, Suppl.1, pp. 5-6, 2019, DOI:10.32604/mcb.2019.05695

    Abstract For hemostasis and thrombosis, some proteins, such as Von Willebrand Factor (VWF, a multimeric plasma glycoprotein synthesized in endothelial cells and megakaryocytes and secreted to circulation or attached to endothelial cells), the metalloprotease ADAMTS13 (a disintegrin and metalloprotease with a thrombospondin type 1 motif, member 13), P-selectin (one of three selectin family members with a N-terminal C-type lectin domain, an epidermal growth factor (EGF)-like module, a series of consensus repeat (CR) units, a transmembrane segment and a short cyto-plasmic domain) and β2 integrin. In adhesion and aggregation of circulating platelets towards to the sites of vascular injury, VWF on vascular… More >

  • Open Access

    ARTICLE

    Modeling of Surface-Tension-Driven Flow of Blood in Capillary Tubes

    Jun Wang1, Wei Huang2, Raghbir S. Bhullar3, Pin Tong2

    Molecular & Cellular Biomechanics, Vol.1, No.2, pp. 161-168, 2004, DOI:10.3970/mcb.2004.001.161

    Abstract Surface-tension-driven blood flow into a capillary tube, as in some medical devices, is studied. In a previous article, we considered the early stages of the entry flow from a drop of blood into a capillary, and solved the problem analytically under the assumption that the resistance of the air is negligible. In the present note we consider a capillary tube of finite length, with the far end containing a small window which opens to the atmosphere. The dynamic reverberation of the air in the capillary tube is analyzed in conjunction with the dynamics of the blood. Existing computing programs are… More >

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