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In Vitro Assessment of Flow Patterns and Turbulence Intensity in Prosthetic Heart Valves Using Generalized Phase-Contrast MRI
Linköping University, Department of Medicine and Health Sciences, Physiology . Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Heart Centre, Department of Thoracic and Vascular Surgery.
Linköping University, Department of Medicine and Health Sciences, Clinical Physiology . Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Heart Centre, Department of Clinical Physiology.
Linköping University, Department of Medicine and Health Sciences, Clinical Physiology . Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Heart Centre, Department of Clinical Physiology.
Linköping University, Department of Medicine and Health Sciences, Thoracic Surgery. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Heart Centre, Department of Thoracic and Vascular Surgery.
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2010 (English)In: JOURNAL OF MAGNETIC RESONANCE IMAGING, ISSN 1053-1807, Vol. 31, no 5, 1075-1080 p.Article in journal (Refereed) Published
Abstract [en]

Purpose: To assess in vitro the three-dimensional mean velocity field and the extent and degree of turbulence intensity (TI) in different prosthetic heart valves using a generalization of phase-contrast MRI (PC-MRI). Materials and Methods: Four 27-mm aortic valves (Bjork-Shiley Monostrut tilting-disc, St. Jude Medical Standard bileaflet, Medtronic Mosaic stented and Freestyle stentless porcine valve) were tested under steady inflow conditions in a Plexiglas phantom. Three-dimensional PC-MRI data were acquired to measure the mean velocity field and the turbulent kinetic energy (TKE), a direction-independent measure of TI. Results: Velocity and TI estimates could be obtained up and downstream of the valves, except where metallic structure in the valves caused signal void. Distinct differences in the location, extent, and peak values of velocity and TI were observed between the valves tested. The maximum values of TKE varied between the different valves: tilting disc, 100 J/m(3); bileaflet, 115 J/m(3); stented, 200 J/m(3); stentless, 145 J/m(3). Conclusion: The TI downstream from a prosthetic heart valve is dependent on the specific valve design. Generalized PC-MRI can be used to quantify velocity and TI downstream from prosthetic heart valves, which may allow assessment of these aspects of prosthetic valvular function in postoperative patients.

Place, publisher, year, edition, pages
John Wiley and Sons, Ltd , 2010. Vol. 31, no 5, 1075-1080 p.
Keyword [en]
turbulence intensity, prosthetic heart valves, phase-contrast magnetic resonance imaging
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-56524DOI: 10.1002/jmri.22163ISI: 000277397100005OAI: oai:DiVA.org:liu-56524DiVA: diva2:320061
Available from: 2010-05-21 Created: 2010-05-21 Last updated: 2013-09-03

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Escobar Kvitting, John-PederDyverfeldt, PetterSigfridsson, AndreasFranzen, StefanWigström, LarsBolger, Ann FEbbers, Tino

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Escobar Kvitting, John-PederDyverfeldt, PetterSigfridsson, AndreasFranzen, StefanWigström, LarsBolger, Ann FEbbers, Tino
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Physiology Faculty of Health SciencesDepartment of Thoracic and Vascular SurgeryClinical Physiology Department of Clinical PhysiologyThoracic Surgery
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