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Material properties of the ovine mitral valve anterior leaflet in vivo from inverse finite element analysis
Department of Cardiothoracic Surgery, Stanford University, Stanford, CA, United States, Department of Mechanical Engineering, Stanford University, Stanford, CA, United States.
Department of Cardiothoracic Surgery, Stanford University, Stanford, CA, United States.
Department of Cardiothoracic Surgery, Stanford University, Stanford, CA, United States.
Department of Cardiothoracic Surgery, Stanford University, Stanford, CA, United States.
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2008 (English)In: American Journal of Physiology. Heart and Circulatory Physiology, ISSN 0363-6135, E-ISSN 1522-1539, Vol. 295, no 3Article in journal (Refereed) Published
Abstract [en]

We measured leaflet displacements and used inverse finite-element analysis to define, for the first time, the material properties of mitral valve (MV) leaflets in vivo. Sixteen miniature radiopaque markers were sewn to the MV annulus, 16 to the anterior MV leaflet, and 1 on each papillary muscle tip in 17 sheep. Four-dimensional coordinates were obtained from biplane videofluoroscopic marker images (60 frames/s) during three complete cardiac cycles. A finite-element model of the anterior MV leaflet was developed using marker coordinates at the end of isovolumic relaxation (IVR, when the pressure difference across the valve is ~0), as the minimum stress reference state. Leaflet displacements were simulated during IVR using measured left ventricular and atrial pressures. The leaflet shear modulus (Gcirc-rad) and elastic moduli in both the commisure-commisure (Ecirc) and radial (Erad) directions were obtained using the method of feasible directions to minimize the difference between simulated and measured displacements. Group mean (±SD) values (17 animals, 3 heartbeats each, i.e., 51 cardiac cycles) were as follows: Gcirc-rad = 121 ± 22 N/mm2, Ecirc = 43 ± 18 N/mm2, and Erad = 11 ± 3 N/mm2 (Ecirc > E rad, P < 0.01). These values, much greater than those previously reported from in vitro studies, may result from activated neurally controlled contractile tissue within the leaflet that is inactive in excised tissues. This could have important implications, not only to our understanding of mitral valve physiology in the beating heart but for providing additional information to aid the development of more durable tissue-engineered bioprosthetic valves. Copyright © 2008 the American Physiological Society.

Place, publisher, year, edition, pages
2008. Vol. 295, no 3
Keyword [en]
Inverse finite-element analysis, Mitral valve material properties, Ovine model, Radiopaque markers
National Category
Engineering and Technology
Identifiers
URN: urn:nbn:se:liu:diva-50387DOI: 10.1152/ajpheart.00284.2008OAI: oai:DiVA.org:liu-50387DiVA: diva2:271283
Available from: 2009-10-11 Created: 2009-10-11 Last updated: 2017-12-12Bibliographically approved

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Karlsson, Matts

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Applied Thermodynamics and Fluid Mechanics The Institute of Technology
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