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  • Open Access

    ARTICLE

    Isogeometric Analysis of Hyperelastic Material Characteristics for Calcified Aortic Valve

    Long Chen1, Ting Li1, Liang Liu1, Wenshuo Wang2,*, Xiaoxiao Du3, Wei Wang3

    CMES-Computer Modeling in Engineering & Sciences, Vol.139, No.3, pp. 2773-2806, 2024, DOI:10.32604/cmes.2024.046641

    Abstract This study explores the implementation of computed tomography (CT) reconstruction and simulation techniques for patient-specific valves, aiming to dissect the mechanical attributes of calcified valves within transcatheter heart valve replacement (TAVR) procedures. In order to facilitate this exploration, it derives pertinent formulas for 3D multi-material isogeometric hyperelastic analysis based on Hounsfield unit (HU) values, thereby unlocking foundational capabilities for isogeometric analysis in calcified aortic valves. A series of uniaxial and biaxial tensile tests is executed to obtain an accurate constitutive model for calcified active valves. To mitigate discretization errors, methodologies for reconstructing volumetric parametric models, integrating both geometric and material… More > Graphic Abstract

    Isogeometric Analysis of Hyperelastic Material Characteristics for Calcified Aortic Valve

  • Open Access

    ARTICLE

    Coronary Artery Complications after Right Ventricular Outflow Tract Reconstruction Surgery

    Hye Won Kwon1,2, Mi Kyoung Song1, Sang Yun Lee1, Gi Beom Kim1, Sungkyu Cho2, Jae Gun Kwak2, Woong-Han Kim2, Whal Lee3, Eun Jung Bae1,*

    Congenital Heart Disease, Vol.17, No.3, pp. 281-295, 2022, DOI:10.32604/chd.2022.019065

    Abstract Background: Mechanisms and clinical manifestations of coronary artery complications after right ventricular outflow tract reconstruction surgery are not well known. Methods: Patients who had coronary artery complications after pulmonary valve replacement or the Rastelli procedure at a single tertiary centre were retrospectively analysed. Results: Coronary artery complications were identified in 20 patients who underwent right ventricular outflow tract reconstruction surgery. The median age at diagnosis of coronary artery complication was 21 years (interquartile range: 13–25 years). Mechanisms of coronary artery complications were compression by adjacent materials in 12 patients, dynamic compression of intramural course of coronary artery in two patients,… More >

  • Open Access

    ARTICLE

    Midterm outcomes of right ventricular outflow tract reconstruction using the Freestyle xenograft

    James A. Kuo1, Tyler Hamby2, Maham N. Munawar3, Eldad Erez4, Vincent K. H. Tam5

    Congenital Heart Disease, Vol.14, No.4, pp. 651-656, 2019, DOI:10.1111/chd.12765

    Abstract Objective: Various options exist for right ventricular outflow tract (RVOT) recon‐ struction in congenital heart disease. The Freestyle porcine aortic root may be used but its longevity is not well defined.
    Design: We performed a retrospective review of all non‐Ross RVOT reconstructions using the Freestyle root in our institution. Survival and reintervention, either by sur‐ gery, transcatheter valve implantation, balloon valvuloplasty, or bare metal stent placement, were recorded. Factors associated with reintervention were assessed using Cox regression.
    Results: Between January 2002 and December 2015, there were 182 patients identi‐ fied. Sixteen patients were lost to follow‐up and 3 patients died,… More >

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