Effect of physiological factors on proximal flow convergence upstream of an incompetent valve: an in-vitro study

The flow (Q) through regurgitant valves may be quantified by multiplying the area of an isovelocity contour (isovel) by its velocity. This was tested computationally and experimentally (using MRI). Q = 14 to 141 ml/s, using flat and conical orifice plates. Plotting Q versus isovelocity radius, a plateau was found which, for low flow, corresponded to the true Q. At higher flow or large confinement, Q was overestimated. For conical plates, angle correction worked at low Q but not at higher values due to the formation of separation regions. These converted the cone plate into a flat plate. MRI produced similar results at 57 ml/s in that Q was correct with no angle correction. At low flow, MRI was too noisy to produce a clear plateau consistently.