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Dynamic Mode Decomposition of Fontan Hemodynamics in an Idealized Total Cavopulmonary Connection
Yann T Delorme1, Anna-Elodie M Kerlo1, Kameswararao Anupindi1
1School of Mechanical Engineering, Purdue University, Lafayette, IN, United States.
Insights
Univentricular heart disease treatment involves complex surgery creating a Total Cavopulmonary Connection (TCPC). Dynamic Mode Decomposition reveals flow instabilities in TCPC, aiding surgical improvement and device design.
Area of Science:
- Cardiovascular Surgery
- Biomedical Engineering
- Fluid Dynamics
Background:
- Univentricular heart disease is a leading cause of infant mortality from birth defects.
- Surgical repair often involves creating a Total Cavopulmonary Connection (TCPC) through multiple open-heart procedures.
- TCPC results in passive pulmonary blood flow, leading to inefficient circulation and potential complications.
Purpose of the Study:
- To analyze the fluid dynamics within an idealized Total Cavopulmonary Connection (TCPC).
- To identify and characterize unsteady flow patterns and energy dissipation in the TCPC.
- To assess the agreement between experimental data and computational simulations for TCPC flow.
Main Methods:
- Utilized Dynamic Mode Decomposition (DMD) to analyze flow data.
- Applied DMD to Stereoscopic Particle Imaging Velocimetry (SPIV) experimental data.
- Applied DMD to Large Eddy Simulation (LES) computational fluid dynamics results.
Main Results:
- DMD effectively highlighted unsteady vortical dynamics within the TCPC.
- Identified significant energy dissipation and pressure loss due to confined impinging jets.
- Demonstrated qualitative agreement between SPIV measurements and LES simulations.
Conclusions:
- DMD is a valuable tool for understanding complex hemodynamics in TCPC.
- The findings provide insights for improving TCPC surgical techniques.
- Results support the use of LES and SPIV for designing mechanical cavopulmonary assist devices.
Abstract:
Univentricular heart disease is the leading cause of death from any birth defect in the first year of life. Typically, patients have to undergo three open heart surgical procedures within the first few years of their lives to eventually directly connect the superior and inferior vena cavae to the left and right pulmonary arteries forming the Total Cavopulmonary Connection or TCPC. The end result is a weak circulation where the single working ventricle pumps oxygenated blood to the body and de-oxygenated blood flows passively through the TCPC into the lungs. The fluid dynamics of the TCPC junction involve confined impinging jets resulting in a highly unstable flow, significant mechanical energy dissipation, and undesirable pressure loss. Understanding and predicting such flows is important for improving the surgical procedure and for the design of mechanical cavopulmonary assist devices. In this study, Dynamic Mode Decomposition (DMD) is used to analyze previously obtained Stereoscopic Particle Imaging Velocimetry (SPIV) data and Large Eddy Simulation (LES) results for an idealized TCPC. Analysis of the DMD modes from the SPIV and LES serve to both highlight the unsteady vortical dynamics and the qualitative agreement between measurements and simulations.
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