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Biomedical Engineering and Bioengineering Commons™
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Full-Text Articles in Biomedical Engineering and Bioengineering
Altered Hemodynamics, Endothelial Function, And Protein Expression Occur With Aortic Coarctation And Persist After Repair, Arjun Menon, Thomas J. Eddinger, Hongfeng Wang, David C. Wendell, Jeffrey M. Toth, John F. Ladisa
Altered Hemodynamics, Endothelial Function, And Protein Expression Occur With Aortic Coarctation And Persist After Repair, Arjun Menon, Thomas J. Eddinger, Hongfeng Wang, David C. Wendell, Jeffrey M. Toth, John F. Ladisa
Biomedical Engineering Faculty Research and Publications
Coarctation of the aorta (CoA) is associated with substantial morbidity despite treatment. Mechanically induced structural and functional vascular changes are implicated; however, their relationship with smooth muscle (SM) phenotypic expression is not fully understood. Using a clinically representative rabbit model of CoA and correction, we quantified mechanical alterations from a 20-mmHg blood pressure (BP) gradient in the thoracic aorta and related the expression of key SM contractile and focal adhesion proteins with remodeling, relaxation, and stiffness. Systolic and mean BP were elevated for CoA rabbits compared with controls leading to remodeling, stiffening, an altered force response, and endothelial dysfunction both …
Including Aortic Valve Morphology In Computational Fluid Dynamics Simulations: Initial Findings And Application To Aortic Coarctation, David C. Wendell, Margaret M. Samyn, Joseph Richard Cava, Laura M. Ellwein, Mary M. Krolikowski, Kimberly L. Gandy, Andrew N. Pelech, Shawn C. Shadden, John F. Ladisa
Including Aortic Valve Morphology In Computational Fluid Dynamics Simulations: Initial Findings And Application To Aortic Coarctation, David C. Wendell, Margaret M. Samyn, Joseph Richard Cava, Laura M. Ellwein, Mary M. Krolikowski, Kimberly L. Gandy, Andrew N. Pelech, Shawn C. Shadden, John F. Ladisa
Biomedical Engineering Faculty Research and Publications
Computational fluid dynamics (CFD) simulations quantifying thoracic aortic flow patterns have not included disturbances from the aortic valve (AoV). 80% of patients with aortic coarctation (CoA) have a bicuspid aortic valve (BAV) which may cause adverse flow patterns contributing to morbidity. Our objectives were to develop a method to account for the AoV in CFD simulations, and quantify its impact on local hemodynamics. The method developed facilitates segmentation of the AoV, spatiotemporal interpolation of segments, and anatomic positioning of segments at the CFD model inlet. The AoV was included in CFD model examples of a normal (tricuspid AoV) and a …