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Protocol for Relative Hydrodynamic Assessment of Tri-leaflet Polymer Valves
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Evaluation of an aortic valve prosthesis: Fluid-structure interaction or structural simulation?

Giulia Luraghi1, Wei Wu1, Francesco De Gaetano1

  • 1Laboratory of Biological Structure Mechanics (LaBS), Department of Chemistry, Materials and Chemical Engineering "Giulio Natta", Politecnico di Milano, Milan, Italy.

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|April 30, 2017
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Fluid-structure interaction (FSI) simulations accurately predict bio-inspired polymeric heart valve (PHV) performance. This approach is superior to finite-element (FE) analysis for understanding PHV behavior and improving their clinical reliability.

Keywords:
Cardiovascular mechanicsFinite element analysisFluid-structure interactionPolymeric heart valve

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Area of Science:

  • Biomaterials Science
  • Computational Fluid Dynamics
  • Medical Device Engineering

Background:

  • Bio-inspired polymeric heart valves (PHVs) show promise for mimicking native valve function.
  • Current PHVs face reliability challenges hindering clinical adoption.
  • PHVs offer potential as alternatives to mechanical/biological valves and for minimally invasive procedures like transcatheter aortic valve implantation.

Purpose of the Study:

  • To compare the accuracy of structural Finite-Element (FE) and Fluid-Structure Interaction (FSI) analyses in predicting PHV performance.
  • To evaluate valve kinematics and geometric orifice area (GOA) using both in vitro and in silico methods.
  • To determine the most appropriate simulation method for assessing PHV behavior.

Main Methods:

  • Pulsatile tests were conducted using an in-house pulse duplicator for in vitro evaluation.
  • In silico analysis was performed using both structural FE and FSI simulations.
  • Valve kinematics and geometric orifice area (GOA) were measured and compared across methods.

Main Results:

  • FSI simulations demonstrated significantly higher similarity to experimental results compared to FE simulations.
  • The maximum difference in GOA between experimental and FSI data was 5%, versus 46.5% for FE.
  • FSI simulations revealed higher stress values on valve leaflets, reflecting more realistic kinematics.

Conclusions:

  • FSI simulations are more suitable than FE simulations for accurately modeling PHV behavior.
  • FSI analysis effectively captures valve-fluid interaction and provides realistic fluid dynamic outcomes.
  • This study highlights the importance of FSI for advancing the reliability and clinical application of PHVs.