Flow Characteristics Inside a Transpatent Flexible Left Ventricle With Anatomical and Antianatomical Valve Orientation
Abstract Mechanical heart valves (MHV) and the operation of heart valve replacement have evolved to a level of universal acceptance and yet, MHV implantation is not always the ideal solution. Apparently the flow through pivoted leaflets of MHVs induces a combination of flow characteristics, which are clearly conducive to clot formation and can initiate many other pathological conditions. Most in vitro studies of the flow downstream of a MHV have been conducted with the valve in the aortic position (i.e. Reul et al., 1986). Bluestein et al., (2000) used a numerical simulation and Digital Particle-Image Velocimetry (DPIV) to reveal intricate patterns of interacting shed vortices downstream of the aortic valve and demonstrated that blood elements exposed to the highest shear stresses in the immediate proximity of the MHV could be trapped within the vortices that form in the wake of the valve.