Bileaflet Prosthesis Design and Orientation Affect Fluid Shear, Residence Time, and Thrombus Formation
1Bioengineering Program, Dept. of Mechanical Engineering, San Diego State University, San Diego, CA.
Abstract:
The orientation and design of bileaflet valve prosthesis in the mitral position affects the intraventricular blood flow and exposure to shear. The combination of the anatomic orientation and a small gap size of the St. Jude Medical valve produces an increase in shear exposure and blood residence time, which both predispose the formation of thrombus in the high shear gaps of the valve hinges.
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Shearing Stress
The average shearing stress can be calculated by dividing the shear by the area of the cross-section.
