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Laser flow measurements in an idealized total cavopulmonary connection with mechanical circulatory assistance
Journal article   Peer reviewed

Laser flow measurements in an idealized total cavopulmonary connection with mechanical circulatory assistance

Steven G Chopski, Emily Downs, Christopher M Haggerty, Ajit P Yoganathan and Amy L Throckmorton
Artificial organs, v 35(11), pp 1052-1064
Nov 2011
PMID: 21955328

Abstract

Vena Cava, Inferior - surgery Vena Cava, Inferior - physiopathology Assisted Circulation - instrumentation Models, Cardiovascular Humans Blood Flow Velocity Hydrodynamics Hemodynamics Vena Cava, Superior - surgery Child Fontan Procedure - instrumentation Vena Cava, Superior - physiopathology
This study examined the interactive fluid dynamics between a cavopulmonary assist device and univentricular Fontan circulation. We conducted two-dimensional particle image velocimetry measurements on an idealized total cavopulmonary connection (TCPC) with an axial pump prototype intravascularly inserted into the inferior vena cava (IVC) and then in the IVC and the superior vena cava (SVC) for a dual-pump support case. The glass model of the TCPC consisted of rigid vessels having a diameter of 13.4 mm and a one-diameter vessel offset at the TCPC junction. Fluid velocity profiles were examined at a cardiac output of 3 L/min and SVC and IVC flow ratios of 30/70%, 40/60%, and 50/50% and pump rotational speeds from 3000 to 9000 rpm. In addition, cardiac outputs of 5 and 7 L/min were also examined. As compared to the flow profile with the pump present, the measured velocity field demonstrated the presence of rotational (i.e., out of plane) motion, which forced the higher-velocity regions toward the periphery of the vessel. As a result, few flow vortices were captured in the image plane downstream of the pump in the TCPC junction. However, the velocity profiles for all cases demonstrated the expected shunting preference of IVC flow toward the right pulmonary artery. Furthermore, the inclusion of the pump provided a pressure rise of 3 to 9 mm Hg, which would be sufficient to relieve systemic hypertension in Fontan patients with circulatory dysfunction.

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11 citations in Scopus

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Collaboration types
Domestic collaboration
Web of Science research areas
Engineering, Biomedical
Transplantation
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