Finite element investigation of stentless pericardial aortic valves: Relevance of leaflet geometry

Annals of Biomedical Engineering

Volumn 38, Issue 5, 2010, Pages 1908-1918

  Xiong, Fang Li ^a   Goetz, Wolfgang A ^b   Chong, Chuh Khiun ^c   Chua, Yeow Leng ^d   Pfeifer, Stefan ^b   Wintermantel, Erich ^b   Yeo, Joon Hock ^a  

^a NANYANG TECHNOLOGICAL UNIVERSITY   (Singapore)

^b TECHNICAL UNIVERSITY OF MUNICH   (Germany)

^c UNIVERSITY OF SHEFFIELD   (United Kingdom)

^d DEPARTMENT OF CARDIOLOGY   (Singapore)

Author keywords

Coaptation area; Coaptation height; Compressive stress; Dynamic leaflet behavior; Effective valve orifice area; Single point attached commissures; Valve molds

Indexed keywords

AORTIC VALVES; BIOPROSTHESES; CARDIAC CYCLES; COAPTATION AREA; DYNAMIC FINITE ELEMENT; EFFECTIVE VALVE ORIFICE AREA; FINITE ELEMENT INVESTIGATION; IMPLANTATION TECHNIQUE; LEAFLET GEOMETRY; MECHANICAL PERFORMANCE; ORIFICE AREA; PERICARDIAL VALVES; PRESSURE LOADING; SINGLE POINT; SPECIALLY DESIGNED MOLD; STRESS DISTRIBUTION; THREE-DIMENSIONAL STRUCTURE; TIME VARYING; TUBULAR DESIGN;

BLOOD VESSELS; COMPRESSIVE STRESS; DESIGN; HEART VALVE PROSTHESES; MOLDS; ORIFICES; STRESS CONCENTRATION; TENSILE STRESS;

VALVES (MECHANICAL);

AORTA VALVE; ARTICLE; BIOPROSTHESIS; DRUG ADMINISTRATION ROUTE; HEART VALVE PROSTHESIS; PERICARDIUM; PHYSIOLOGY;

AORTIC VALVE; BIOPROSTHESIS; DRUG ADMINISTRATION ROUTES; HEART VALVE PROSTHESIS; PERICARDIUM;

EID: 77952012028     PISSN: 00906964     EISSN: 15739686     Source Type: Journal    
DOI: 10.1007/s10439-010-9940-6     Document Type: Article

References (34)

1. AR Akar A Szafranek C Alexious R Janas MJ Jasinski J Swanevelder AW Sosnowski 2002 Use of stentless xenografts in the aortic position: determinants of early and late outcome Ann. Thorac. Surg. 74 1450 1457 10.1016/S0003-4975(02) 03845-6 12440592 (Pubitemid 35222620)
2. G Arcidiacono A Corvi T Severi 2005 Functional analysis of bioprosthetic heart valves J. Biomech. 38 1483 1490 10.1016/j.jbiomech.2004.07.007 1:STN:280:DC%2BD2M3nvFWmtg%3D%3D 15922759 (Pubitemid 40744905)
3. KL Billiar MS Sacks 2000 Biaxial mechanical properties of the native and glutaraldehyde-treated aortic valve cusp: Part I. Experimental results ASME J. Biomech. Eng. 122 23 30 10.1115/1.429624 1:STN:280:DC%2BD3c3ltFChsA%3D%3D (Pubitemid 30204698)
4. RJ Brewer JD Deck B Capati SP Nolan 1976 The dynamic aortic root-its role in aortic valve function J. Thorac. Cardiovasc. Surg. 72 413 417 1:STN:280:DyaE283ms1WhtA%3D%3D 957758
5. G Cacciola GWM Peters PJG Schreurs 2000 A three-dimensional mechanical analysis of a stentless fibre-reinforced aortic valve prosthesis J. Biomech. 33 521 530 10.1016/S0021-9290(99)00222-5 1:STN:280:DC%2BD3c7nsFGkuw%3D%3D 10708772 (Pubitemid 30116689)
6. CJ Carmody G Burriesci IC Howard EA Patterson 2006 An approach to the simulation of fluid-structure interaction in the aortic valve J. Biomech. 39 158 169 10.1016/j.jbiomech.2004.10.038 1:STN:280:DC%2BD2Mrptlahtg%3D%3D 16271600 (Pubitemid 41585021)
7. T Courtney MS Sacks J Stankus J Guan WR Wagner 2006 Design and analysis of tissue engineering scaffolds that mimic soft tissue mechanical anisotropy Biomaterials 27 19 3631 3638 1:CAS:528:DC%2BD28XjtVKjtbs%3D 16545867
8. JL Cox N Ad K Myers M Gharib RC Quijano 2005 Tubular heart valves: a new tissue prosthesis design-preclinical evaluation of the 3F aortic bioprosthesis J. Thorac. Cardiovasc. Surg. 130 2 520 527 10.1016/j.jtcvs.2004.12.054 16077422 (Pubitemid 41074187)
9. LP Dasi HA Simon P Sucosky AP Yoganathan 2009 Fluid mechanics of artificial heart valves Clin. Exp. Pharmacol. Physiol. 36 2 225 237 10.1111/j.1440-1681.2008.05099.x 1:CAS:528:DC%2BD1MXis1antbc%3D 19220329
10. J De Hart GWM Peters PJG Schreurs FPT Baaijens 2003 A three-dimensional computational analysis of fluid-structure interaction in the aortic valve J. Biomech. 36 103 112 10.1016/S0021-9290(02)00244-0 12485644 (Pubitemid 35448099)
11. M Deiwick B Glasmacher HA Baba N Roeder H Reul G von Bally HH Scheld 1998 In vitro testing of bioprostheses: influence of mechanical stresses and lipids on calcification Ann. Thorac. Surg. 66 6 Suppl S206 S211 10.1016/S0003-4975(98) 01125-4 1:STN:280:DyaK1M7islKguw%3D%3D 9930449 (Pubitemid 29087162)
12. M Doss S Martens JP Wood A Miskovic T Christodoulou G Wimmer-Greinecker A Moritz 2005 Aortic leaflet replacement with the new 3F stentless aortic bioprosthesis Ann. Thorac. Surg. 79 2 682 685 10.1016/j.athoracsur.2003.10.106 15680860 (Pubitemid 40186583)
13. R Gnyaneshwar RK Kumar KR Balakrishnan 2002 Dynamic analysis of the aortic valve using a finite element model Ann. Thorac. Surg. 73 1122 1129 10.1016/S0003-4975(01)03588-3 11996252 (Pubitemid 34275890)
14. WA Goetz KH Lim R Ibled N Grousson S Salgues JH Yeo 2006 Forces at single point attached commissures (SPAC) in pericardial aortic valve prosthesis Eur. J. Cardiothorac. Surg. 29 150 155 10.1016/j.ejcts.2005.12.002 16386912 (Pubitemid 43120394)
15. WA Goetz TE Tan KH Lim S Salgues N Grousson F Xiong YL Chua JH Yeo 2008 Truly stentless molded autologous pericardial aortic valve prosthesis with single point attached commissures in a sheep model Eur. J. Cardiothorac. Surg. 33 548 553 10.1016/j.ejcts.2007.12.044 18243723
16. H Grubitzsch J Linneweber C Kossagk E Sanli S Beholz W Konertz 2005 Aortic valve replacement with new-generation stentless pericardial valves: short-term clinical and hemodynamic results J. Heart Valve Dis. 14 5 623 629 16245501
17. R Haj-Ali LP Dasi H Kim J Choi HW Leo AP Yoganathan 2008 Structural simulations of prosthetic tri-leaflet aortic heart valves J. Biomech. 41 1510 1519 10.1016/j.jbiomech.2008.02.026 18395212
18. JG Hanlon RW Suggit JW Love 1999 Preuse intraoperative testing of autologous tissue for valvular surgery: a proof of concept study J. Heart Valve Dis. 8 614 624 1:STN:280:DC%2BD3c%2FotF2rsQ%3D%3D 10616237
19. H Kim KB Chandran MS Sacks J Lu 2007 An experimentally derived stress resultant shell model for heart valve dynamic simulations Ann. Biomed. Eng. 35 1 30 44 10.1007/s10439-006-9203-8 17089074 (Pubitemid 44916314)
20. H Kim J Lu MS Sacks KB Chandran 2008 Dynamic simulation of bioprosthetic heart valves using a stress resultant shell model Ann. Biomed. Eng. 36 2 262 275 10.1007/s10439-007-9409-4 18046648
21. JM Lee SA Haberer DR Boughner 1989 The bovine pericardial xenograft: I. Effect of fixation in aldehydes without constraint on the tensile viscoelastic properties of bovine pericardium J. Biomed. Mater. Res. 23 457 475 10.1002/jbm.820230502 1:STN:280:DyaL1M3jsVWhtA%3D%3D 2715160 (Pubitemid 19110710)
22. J Li XY Luo ZB Kuang 2001 A nonlinear anisotropic model for porcine aortic heart valves J. Biomech. 34 1279 1289 10.1016/S0021-9290(01)00092-6 1:STN:280:DC%2BD3MvnvFaisg%3D%3D 11522307 (Pubitemid 32750638)
23. KH Lim J Candra JH Yeo CM Duran 2004 Flat or curved pericardial aortic valve cusps: a finite element study J. Heart Valve Dis. 13 5 792 797 15473482
24. A Mirnajafi J Raymer MJ Scott MS Sacks 2005 The effects of collagen fiber orientation on the flexural properties of pericardial heterograft biomaterials Biomaterials 26 795 804 10.1016/j.biomaterials.2004.03.004 1:CAS:528: DC%2BD2cXnt1Gqu7k%3D 15350785 (Pubitemid 39179964)
25. X Mueller LK von Segesser 2003 A new equine pericardial stentless valve J. Thorac. Cardiovasc. Surg. 125 6 1405 1411 10.1016/S0022-5223(02)73242-X 12830061 (Pubitemid 36759242)
26. MF O'Brien valve 1995 The Cryolife-O'Brien composite aortic stentless xenograft: surgical technique of implantation Ann. Thorac. Surg. 60 2 Suppl S410 S413
27. EA Patterson IC Howard MA Thornton 1996 A comparative study of linear and nonlinear simulations of the leaflets in a bioprosthetic heart valve during the cardiac cycle J. Med. Eng. Technol. 20 95 108 10.3109/03091909609008387 1:STN:280:DyaK2s%2FjtFyntg%3D%3D 8877750
28. V Rao GT Christakis J Sever SE Fremes G Bhatnagar G Cohen MA Borger L Abouzahr BS Goldman CF Sintek 1999 A novel comparison of stentless versus stented valves in the small aortic root J. Thorac. Cardiovasc. Surg. 117 431 438 10.1016/S0022-5223(99)70321-1 1:STN:280:DyaK1M7lvVyrsg%3D%3D 10047644
29. R Sodian SP Hoerstrup JS Sperling SH Daebritz DP Martin FJ Schoen JP Vacanti JE Mayer 2000 Tissue engineering of heart valves: in vitro experiences Ann. Thorac. Surg. 70 140 144 10.1016/S0003-4975(00)01255-8 1:STN:280: DC%2BD3cvgvVGrsw%3D%3D 10921698 (Pubitemid 30485738)
30. VC Sripathi RK Kumar KR Balakrishnan 2004 Further insights into normal aortic valve function: role of a compliant aortic root on leaflet opening and valve orifice area Ann. Thorac. Surg. 77 844 851 10.1016/S0003-4975(03)01518-2 14992884 (Pubitemid 38271046)
31. Thubrikar, M. J. The Aortic Valve. Boca Raton, FL: CRC Press, 1990.
32. MJ Thubrikar JD Deck J Aouad SP Nolan 1983 Role of mechanical stress in calcification of aortic bioprosthetic valves J. Thorac. Cardiovasc. Surg. 86 1 115 125 1:STN:280:DyaL3s3ktlWrsg%3D%3D 6865456
33. Yoganathan, A. P., and B. R. Travis. Fluid dynamics of prosthetic valves. In: The Practice of Clinical Echocardiography, edited by C. M. Otto. Philedelphia, PA: WB Saunders, 2000.
34. P Zioupos JC Barbenel J Fisher 1994 Anisotropic elasticity and strength of glutaraldehyde fixed bovine pericardium for use in pericardial bioprosthetic valves J. Biomed. Mater. Res. 28 49 57 10.1002/jbm.820280107 1:CAS:528:DyaK2cXit1Krtb0%3D 8126028 (Pubitemid 24006476)