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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

    Experimental Study on the Performance of ORC System Based on Ultra-Low Temperature Heat Sources

    Tianyu Zhou1, Liang Hao1, Xin Xu2,3, Meng Si2,3, Lian Zhang2,3,*

    Energy Engineering, Vol.121, No.1, pp. 145-168, 2024, DOI:10.32604/ee.2023.042798

    Abstract This paper discussed the experimental results of the performance of an organic Rankine cycle (ORC) system with an ultra-low temperature heat source. The low boiling point working medium R134a was adopted in the system. The simulated heat source temperature (SHST) in this work was set from 39.51°C to 48.60°C by the simulated heat source module. The influence of load percentage of simulated heat source (LPSHS) between 50% and 70%, the rotary valve opening (RVO) between 20% and 100%, the resistive load between 36 Ω and 180 Ω or the no-load of the generator, as well as the autumn and winter… More >

  • Open Access

    ARTICLE

    EXPERIMENTAL AND 3D-CFD STUDY ON OPTIMIZATION OF CONTROL VALVE DIAMETER FOR A CONVERGENT VORTEX TUBE

    Seyed Ehsan Rafiee*, M. M. Sadeghiazad

    Frontiers in Heat and Mass Transfer, Vol.7, pp. 1-15, 2016, DOI:10.5098/hmt.7.13

    Abstract The aim of this investigation is study on separation phenomenon inside a special vortex tube affected by structural and physical factors including; throttle diameter, nozzle number and injection pressure as well as the parametric optimization based on separation efficiency using experimental and 3D-CFD methods. The results show that convergent VT with Dth=5.5mm provides 30.01% and 20.04% higher cooling and heating effectiveness compared to basic model. As another result, the higher injection pressure, the higher cooling effectiveness. The cooling effectiveness improves (16.86%) with increase in slot number up to N=4, then decreases. The maximum disagreement between experimental and predicted values is… More >

  • Open Access

    ARTICLE

    Role of Surgery on Growth of Tricuspid Valve in Pulmonary Atresia with Intact Ventricular Septum: Mid-Term Results of Modified Right-Ventricular Overhauling Procedure

    Jae Gun Kwak1, Eung Re Kim2, Taeyoung Yun1, Sungkyu Cho1, Chang-Ha Lee2, Woong-Han Kim1,*

    Congenital Heart Disease, Vol.18, No.3, pp. 325-336, 2023, DOI:10.32604/chd.2023.027758

    Abstract Objectives: To access the effectiveness of our modified right-ventricular overhauling procedure on tricuspid valve (TV) growth in patients with pulmonary atresia with intact ventricular septum (PAIVS). Methods: We retrospectively reviewed 21 patients with PAIVS who underwent modified right ventricular overhauling (mRVoh) between 2008 and 2019 at two institutions. Our mRVoh consisted of wide resection of hypertrophied infundibular and trabecular muscle, peeling off fibrotic endocardial tissue in the right ventricle (RV) cavity, surgical pulmonary valvotomy, and Blalock-Taussig shunt or banding of ductus arteriosus under cardiopulmonary bypass. The TV annulus sizes were measured and analyzed using echocardiography before and after mRVoh. Results:More > Graphic Abstract

    Role of Surgery on Growth of Tricuspid Valve in Pulmonary Atresia with Intact Ventricular Septum: Mid-Term Results of Modified Right-Ventricular Overhauling Procedure

  • Open Access

    ARTICLE

    Anatomic Correlates of Mitral Systolic Anterior Motion in Transposition of the Great Arteries Following Atrial Switch Operation

    Norman Aiad1,2,3,7, Mark V. Sherrid1,7, Adam J. Small1, Youssef Elnabawi1,7, Jodi Feinberg1, Leon Axel1,4, Ralph Mosca5, T. K. Susheel Kumar5, Michael Argilla6, Dan G. Halpern1,7,*

    Congenital Heart Disease, Vol.18, No.3, pp. 267-277, 2023, DOI:10.32604/chd.2023.025853

    Abstract Introduction: We sought to investigate whether the development of sub-pulmonic systolic anterior motion (SAM) may be inherent to the anatomy of the the mitral valve (MV) or affected by external factors, such as a dilated right ventricle or chest abnormalities in d-looped transposition of the great arteries post atrial switch operation (d-TGA/AtS). Methods: Analysis was performed of clinical and cardiac imaging studies acquired on 19 adult patients with d-TGA/AtS (age 42 ± 6 years old, 56% male) between 2015–2019. Echocardiography data included mitral apparatus anatomy, and CT/MRI data included biventricular dimensions, function, and Haller index (HI) for pectus deformity. Results:More >

  • Open Access

    ARTICLE

    Machine Learning Prediction Models of Optimal Time for Aortic Valve Replacement in Asymptomatic Patients

    Salah Alzghoul1,*, Othman Smadi1, Ali Al Bataineh2, Mamon Hatmal3, Ahmad Alamm4

    Intelligent Automation & Soft Computing, Vol.37, No.1, pp. 455-470, 2023, DOI:10.32604/iasc.2023.038338

    Abstract Currently, the decision of aortic valve replacement surgery time for asymptomatic patients with moderate-to-severe aortic stenosis (AS) is made by healthcare professionals based on the patient’s clinical biometric records. A delay in surgical aortic valve replacement (SAVR) can potentially affect patients’ quality of life. By using ML algorithms, this study aims to predict the optimal SAVR timing and determine the enhancement in moderate-to-severe AS patient survival following surgery. This study represents a novel approach that has the potential to improve decision-making and, ultimately, improve patient outcomes. We analyze data from 176 patients with moderate-to-severe aortic stenosis who had undergone or… More >

  • Open Access

    ARTICLE

    COMPARISON OF TRANSIENT CHARACTERISTICS OF A CENTRIFUGAL PUMP DURING FORWARD AND REVERSE STOPPING PERIODS

    Y. L. Zhanga , H. B. Linb, S. P. Lib,*, J. J. Xiaoa, L. Zhangc

    Frontiers in Heat and Mass Transfer, Vol.18, pp. 1-6, 2022, DOI:10.5098/hmt.18.47

    Abstract Centrifugal pumps need to be stopped in the case of closing valve sometimes due to some specific application requirements. This paper presents a numerical simulation of the unsteady flow inside a low specific speed centrifugal pump during closed-valve forward and reverse stopping process. The study results show that the average internal pressure gradually decreases during stopping periods. At the same blade radius, the pressure on working surface is significantly higher than the suction surface. The pressure gradually increases from the impeller inlet to the outlet. The simulation fully shows the transient flow characteristics inside the centrifugal pump during forward and… More >

  • Open Access

    ARTICLE

    Outcomes of Self-Expanding Transcatheter Pulmonary Valves: Extended Follow-Up of a Prospective Trial

    Jingnan Zhang1, Junyi Wan1, Yihang Li2, Yu Han2, Jiahua Pan3, Fang Fang1, Shiliang Jiang4, Xiangbin Pan1, Gejun Zhang1,*

    Congenital Heart Disease, Vol.18, No.2, pp. 219-234, 2023, DOI:10.32604/chd.2023.027562

    Abstract Background: The Venus-P valve was the first self-expanding valve used world-wide for transcatheter pulmonary valve replacement (TPVR) in patients with severe pulmonary regurgitation (PR). We intended to report the extended follow-up results from the prospective trial (No. NCT02590679). Methods: A total of 38 patients with severe PR (mean age 24.2 ± 13.2) were included. Follow-up data were obtained after implanted at 1, 6, and 12 months and yearly after. The frame geometry was assessed on post-implant computer tomography (CT) scanning by calculating the non-circularity [circularity ratio (minimum diameter/maximum diameter) < 0.9] and under-expansion [expansion ratio (derived external valve area/nominal external valve area)… More > Graphic Abstract

    Outcomes of Self-Expanding Transcatheter Pulmonary Valves: Extended Follow-Up of a Prospective Trial

  • Open Access

    CASE REPORT

    Compound Heterozygous PLD1 Variants in Right-Sided Heart Malformations

    Cherith Somerville1,2, Kelsey Kalbfleisch1,2, Roozbeh Manshaei1,2, Qiliang Ding1,2, John B.A. Okello1,2,3, Rachel Silver4, David Chitayat2,4, Varsha Thakur5, Olivier Villemain5,6,7, Rebekah Jobling1,2,8,*

    Congenital Heart Disease, Vol.18, No.2, pp. 213-218, 2023, DOI:10.32604/chd.2023.023042

    Abstract We report a three-year-old male child who presented with congenital valvular defects, right ventricular malformation, and initial developmental delay. Genome sequencing showed rare deleterious biallelic missense variants in PLD1. In his parents’ second pregnancy, echocardiogram at 13 weeks gestation revealed right-sided cardiac malformations resembling the clinical presentation of the family’s first child. Targeted DNA analysis showed that the fetus carried the same biallelic PLD1 variants as their older sibling. This case helps to further delineate the clinical spectrum of PLD1-related defects and highlights the value of both genome sequencing in congenital heart disease and early fetal echocardiography to establish phenotype. More >

  • Open Access

    ARTICLE

    Outcomes of Transcatheter Closure in Outlet-Type Ventricular Septal Defect after 1 Year

    Supaporn Roymanee1,*, Nantawan Su-angka1,2, Worakan Promphan2,3,*, Kanjarut Wongwaitaweewong1, Jirayut Jarutach1, Rujira Buntharikpornpun1, Pimpak Prachasilchai2,3

    Congenital Heart Disease, Vol.18, No.2, pp. 169-181, 2023, DOI:10.32604/chd.2023.021238

    Abstract Background: Ventricular septal defect (VSD) is the most common congenital heart disease. Transcatheter VSD closure is an effective treatment for patients with muscular and perimembranous VSD. However, there is a limit data for outlet VSD, especially impact to the aortic valve leaflet after transcatheter closure. This study aims to assess the outcomes of transcatheter closure of the outlet-type ventricular septal defect (OVSD) after 1 postoperative year. Methods: A retrospective study was performed including 50 patients who underwent transcatheter (n = 25) and surgical (n = 25) OVSD closure during the exact time frame at two medical centres. Results: The median age and body weight… More > Graphic Abstract

    Outcomes of Transcatheter Closure in Outlet-Type Ventricular Septal Defect after 1 Year

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