Journal article
Modeling of coarctation of aorta in human fetuses using 3D/4D fetal echocardiography and computational fluid dynamics
Echocardiography (Mount Kisco, N.Y.), v 34(12), pp 1858-1866
01 Dec 2017
PMID: 28833523
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
ObjectivesWe sought to develop a hemodynamic model of aortic and ductal arches using computational fluid dynamics (CFD) and 3D/4D spatio-temporal image correlation (STIC) fetal echocardiography and to investigate the hemodynamics of coarctation of aorta (CoA) in human fetuses using this approach.
MethodsWe obtained 3D/4D STIC fetal echocardiographic images of the aortic and ductal arches (DA) in five normal fetuses. Based on these images, we simulated the hemodynamics in the two arches using CFD. Subsequently, we reduced the dimensions of aortic isthmus from 100% to 85%, 70%, 55%, 40%, and 25% of the original dimension digitally. Numerical simulation was repeated in each condition, and flow profile, velocity, pressure, and wall shear stress (WSS) were compared with those of the baseline normal aortic and ductal arches.
ResultsWith the progressive narrowing in the aortic isthmus, there were alterations in the flow profile, velocity, pressure, and WSS. The downstream vortexes disappeared, and the double helix profile became single helix. When the aortic isthmus reduced by 55% in dimension, there was an exponential increase in velocity and WSS and decrease in pressure.
ConclusionsThe aortic and ductal arch geometry and flow lead to the alterations in flow profile, velocity, pressure, and WSS in the aortic isthmus in normal and CoA models, which are conductive of ductal issue migration into these areas. A 55% reduction in the dimension of aortic isthmus is associated with exponential change in velocity, pressure, and WSS, a probable threshold for hemodynamically significant CoA.
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Details
- Title
- Modeling of coarctation of aorta in human fetuses using 3D/4D fetal echocardiography and computational fluid dynamics
- Creators
- Zhuo Chen - Beijing Anzhen HospitalYue Zhou - Beihang UniversityJingying Wang - Beihang UniversityXiaowei Liu - Beijing Anzhen HospitalShuping Ge - St. Christopher's Hospital for ChildrenYihua He - Beijing Anzhen Hospital
- Publication Details
- Echocardiography (Mount Kisco, N.Y.), v 34(12), pp 1858-1866
- Publisher
- Wiley
- Number of pages
- 9
- Grant note
- 116211 / Beijing Lab for Cardiovascular Precision Medicine Z151100003915142 / Beijing Municipal Science and Technology Commission; Beijing Municipal Science & Technology Commission BZ0308 / Beijing Key Laboratory of Maternal-Fetus Medicine
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Web of Science ID
- WOS:000418938800012
- Scopus ID
- 2-s2.0-85039788188
- Other Identifier
- 991019167446504721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Cardiac & Cardiovascular Systems