Title
Numerical simulation and hemodynamic analysis of the modified Blalock-Taussig shunt.
Abstract
The modified Blalock-Taussig (mB-T) shunt is an effective palliative surgical method in the treatment of cyanotic congenital heart diseases. It increases the pulmonary blood flow through an implanted shunt between systemic and pulmonary arteries. The surgical technique improved over the years. However, it is still a challenge to control appropriate distribution of blood flow through this shunt after this kind of procedure till now. Here, we report on the method of computational fluid dynamics (CFD) for the hemodynamic studies of a patient-specific case after the mB-T shunt. The analysis system that we validated previously in the studies of the Norwood procedure was applied to predict the hemodynamic characteristics in the mB-T hunt area. The real-time velocities derived from Echocardiography measurements and the blood pressure wave reflections from peripheral vessels were utilized as boundary conditions to physiologically capture the blood flow information in the simulation. The local pressure, blood flow distribution and wall shear stress were calculated. The results suggest pressure decreases greatly through the shunt and around 40% of blood flow is distributed from the systemic circulation to pulmonary arteries in one cardiac cycle. These indict computational hemodynamics may be applied in future studies of establishing quantitative standards to evaluate the outcomes of the mB-T shunt and to optimize the implantation of the mB-T shunt in virtual surgeries.
Year
DOI
Venue
2013
10.1109/EMBC.2013.6609598
EMBC
Keywords
DocType
Volume
wall shear stress,cardiology,palliative surgical method,diseases,hemodynamic analysis,internal stresses,computational fluid dynamics,pulmonary blood flow,systemic circulation,blood vessels,cyanotic congenital heart disease treatment,modified blalock-taussig shunt,echocardiography measurements,mb-t shunt implantation,numerical analysis,blood flow information,pulmonary arteries,patient-specific case,blood pressure wave reflections,hemodynamics,virtual surgeries,boundary conditions,surgical technique,numerical simulation,systemic arteries,blood flow distribution,norwood procedure,peripheral vessels,cardiovascular flow,cardiac cycle,surgery,cfd,computational hemodynamics,haemodynamics
Conference
2013
Issue
ISSN
Citations 
null
1557-170X
1
PageRank 
References 
Authors
0.48
1
5
Name
Order
Citations
PageRank
Jinlong Liu110.48
Qi Sun210.48
Yi Qian3677.15
Haifa Hong455.06
Jinfen Liu553.71