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Computational Simulations Demonstrate Altered Wall Shear Stress In Aortic Coarctation Patients Previously Treated By Resection With End-To-End Anastomosis, John F. Ladisa, Ronak Jashwant Dholakia, Alberto Figueroa, Irene E. Vignon-Clementel, Frandics P. Chan, Margaret M. Samyn, Joseph Richard Cava, Charles A. Taylor, Jeffrey A. Feinstein
Computational Simulations Demonstrate Altered Wall Shear Stress In Aortic Coarctation Patients Previously Treated By Resection With End-To-End Anastomosis, John F. Ladisa, Ronak Jashwant Dholakia, Alberto Figueroa, Irene E. Vignon-Clementel, Frandics P. Chan, Margaret M. Samyn, Joseph Richard Cava, Charles A. Taylor, Jeffrey A. Feinstein
Biomedical Engineering Faculty Research and Publications
Background. Atherosclerotic plaque in the descending thoracic aorta (dAo) is related to altered wall shear stress (WSS) for normal patients. Resection with end-to-end anastomosis (RWEA) is the gold standard for coarctation of the aorta (CoA) repair, but may lead to altered WSS indices that contribute to morbidity.
Methods. Computational fluid dynamics (CFD) models were created from imaging and blood pressure data for control subjects and age- and gender-matched CoA patients treated by RWEA (four males, two females, 15 ± 8 years). CFD analysis incorporated downstream vascular resistance and compliance to generate blood flow velocity, time-averaged WSS (TAWSS), and oscillatory shear …