In this study, we present a fully-coupled fluid-structure interaction (FSI) framework that combines smoothed particle hydrodynamics (SPH) and nonlinear finite element (FE) method to investigate the coupled aortic and mitral valves structural response and the bulk intraventricular hemodynamics in a realistic left ventricle (LV) model during the entire cardiac cycle. The FSI model incorporates valve structures that consider native asymmetric leaflet geometries, anisotropic hyperelastic material models and human material properties. Comparison of FSI results with subject-specific echocardiography data demonstrates that the SPH-FE approach is able to quantitatively predict the opening and closing times of the valves, the mitral leaflet opening and closing angles, and the large-scale intraventricular flow phenomena with a reasonable agreement. Moreover, comparison of FSI results with a LV model without valves reveals substantial differences in the flow field. Peak systolic velocities obtained from the FSI model and the LV model without valves are 2.56 m/s and 1.16 m/s, respectively, compared to the Doppler echo data of 2.17 m/s. The proposed SPH-FE FSI framework represents a further step towards modeling patient-specific coupled LV-valve dynamics, and has the potential to improve our understanding of cardiovascular physiology and to support professionals in clinical decision-making.
ABSTRACT Bicuspid aortic valve (BAV), the most common congenital heart disease, is prone to develop significant valvular dysfunction and aortic wall abnormalities. Growing evidence has suggested that abnormal BAV hemodynamics could contribute to the disease progression. In order to investigate the BAV hemodynamic, we performed 3D patient-specific fluid-structure interaction (FSI) simulations of BAV with fully coupled flow dynamics and valve motions throughout the cardiac cycle. The results showed that the flow during systole can be characterized by a systolic jet and two counter-rotating recirculation vortices. At peak systole, the jet was usually eccentric, with asymmetric recirculation vortices, and helical flow motion in the ascending aorta. The flow structure at peak systole was quantified using the vorticity, flow reversal ratio and helicity index at four locations from the aortic root to the ascending aorta. The systolic jet was evaluated using the metrics including the peak velocity, normalized flow displacement, and jet angle. It was found that both the peak velocity and normalized flow displacement (rather than jet angle) of the systolic jet showed a strong correlation with the vorticity and helicity index of the flow in the ascending aorta, which suggests that these two metrics can be used for noninvasive evaluation of abnormal flow patterns in BAV patients.
To improve medical device hole inner wall quality and overcome issues of traditional abrasive flow methods—limited fluidity in small holes causing deformation due to high inner wall pressure, and slow processing with low viscosity abrasives—a new method called shear thickening abrasive flow polishing is suggested. It uses shear thickening fluid as the medium. By leveraging the Preston equation and fluid dynamics theory, this study establishes both an abrasive flow dynamics model and a material removal model for the shear thickening abrasive flow machining of small titanium alloy hole workpieces in medical instruments. Utilizing the COMSOL software, the flow field state of shear thickening fluid within small holes is examined under varying flow behavior indexes and flow velocities. The findings demonstrate that shear thickening fluid yields superior polishing effects compared to Newtonian fluid. Elevating the flow behavior indexes facilitates a higher material removal rate on the inner wall surface; however, excessively large flow behavior indexes diminish the uniformity of material removal, thereby hindering the attainment of a high-quality polished surface. Furthermore, excessively large flow behavior indexes can reduce fluidity and consequently lower the efficiency of the polishing process. Conversely, while maintaining a constant flow behavior index, increasing the flow velocity contributes to an enhanced material removal rate and improved polishing efficiency. Nevertheless, as the flow velocity rises, the uniformity of inner wall surface roughness diminishes, posing challenges in achieving a high-quality polished surface.