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Full-Text Articles in Biomedical Engineering and Bioengineering
Computational Modeling Of Pathophysiologic Responses To Exercise In Fontan Patients, Ethan Kung, James C. Perry, Christopher Davis, Francesco Migliavacca, Giancarlo Pennati, Alessandro Giardini, Tain-Yen Hsia, Alison Marsden
Computational Modeling Of Pathophysiologic Responses To Exercise In Fontan Patients, Ethan Kung, James C. Perry, Christopher Davis, Francesco Migliavacca, Giancarlo Pennati, Alessandro Giardini, Tain-Yen Hsia, Alison Marsden
Publications
Reduced exercise capacity is nearly universal among Fontan patients. Although many factors have emerged as possible contributors, the degree to which each impacts the overall hemodynamics is largely unknown. Computational modeling provides a means to test hypotheses of causes of exercise intolerance via precisely controlled virtual experiments and measurements. We quantified the physiological impacts of commonly encountered, clinically relevant dysfunctions introduced to the exercising Fontan system via a previously developed lumped-parameter model of Fontan exercise. Elevated pulmonary arterial pressure was observed in all cases of dysfunction, correlated with lowered cardiac output (CO), and often mediated by elevated atrial pressure. Pulmonary …
A Simulation Protocol For Exercise Physiology In Fontan Patients Using A Closed Loop Lumped-Parameter Model, Ethan Kung, Giancarlo Pennati, Francesco Migliavacca, Tian-Yen Hsia, Richard Figliola, Alison Marsden, Alessandro Giardini
A Simulation Protocol For Exercise Physiology In Fontan Patients Using A Closed Loop Lumped-Parameter Model, Ethan Kung, Giancarlo Pennati, Francesco Migliavacca, Tian-Yen Hsia, Richard Figliola, Alison Marsden, Alessandro Giardini
Publications
Background: Reduced exercise capacity is nearly universal among Fontan patients, though its etiology is not yet fully understood. While previous computational studies have attempted to model Fontan exercise, they did not fully account for global physiologic mechanisms nor directly compare results against clinical and physiologic data. Methods: In this study, we developed a protocol to simulate Fontan lower-body exercise using a closed-loop lumped-parameter model describing the entire circulation. We analyzed clinical exercise data from a cohort of Fontan patients, incorporated previous clinical findings from literature, quantified a comprehensive list of physiological changes during exercise, translated them into a computational model …
In Vitro Validation Of Patient-Specific Hemodynamic Simulations In Coronary Aneurysms Caused By Kawasaki Disease, Ethan Kung, Andrew M. Kahn, Jane C. Burns, Alison Marsden
In Vitro Validation Of Patient-Specific Hemodynamic Simulations In Coronary Aneurysms Caused By Kawasaki Disease, Ethan Kung, Andrew M. Kahn, Jane C. Burns, Alison Marsden
Publications
To perform experimental validation of computational fluid dynamics (CFD) applied to patient specific coronary aneurysm anatomy of Kawasaki disease. We quantified hemodynamics in a patient-specific coronary artery aneurysm physical phantom under physiologic rest and exercise flow conditions. Using phase contrast MRI (PCMRI), we acquired 3-component flow velocity at two slice locations in the aneurysms. We then performed numerical simulations with the same geometry and inflow conditions, and performed qualitative and quantitative comparisons of velocities between experimental measurements and simulation results. We observed excellent qualitative agreement in flow pattern features. The quantitative spatially and temporally varying differences in velocity between PCMRI …
Connect With Bioengineering Researchers And Entrepreneurs, Clemson University
Connect With Bioengineering Researchers And Entrepreneurs, Clemson University
Bioengineering
2014 Program for Connect with Bioengineering Researchers and Entrepreneurs at Madren Conference Center.