نشریه علمی مهندسی پزشکی زیستی

Study of Leaflet Radial Curve Effect on Polymeric Valve Performance By Finite Element Method

Document Type : Full Research Paper

Authors

1 Ph.D. Student, Biomedical Engineering Department, Sahand University of Technology, Tabriz, Iran

2 Professor, Biomedical Engineering Department, Sahand University of Technology, Tabriz, Iran

3 Associate Professor, Biomedical Engineering Department, Sahand University of Technology, Tabriz, Iran

4 Associate Professor, Biomedical Engineering Department, Amirkabir University of Technology, Tehran, Iran

Abstract
Geometries of leaflets play an important role in designing prosthetic valves (PVs). A valve must have a high geometric orifice area (GOA) and low regurgitation to function properly. In this paper, some polymeric tri-leaflet valves were designed based on radial and free edge curves of previous designs and together with them a new radial curve, which consists of two lines and an arc between them was proposed. Mechanical properties of polystyrene polymer are assigned to leaflets using the Mooney-Rivlin hyperelastic model. The finite element method (FEM) has been utilized to evaluate GOA, regurgitation, von Mises stress, and leaflets' coaptation in a fully closed and opened state. Results were compared, and the valve with the proposed leaflet geometry exhibited better performance among all valves. 69.1% GOA, 2.6 mm coaptation width, 0.921 MPa von Mises stress for closed-form, and 0.731 MPa von Mises stress for opened form were recorded. The significance of the radial curve in designing the geometry of leaflets has been revealed especially on the case of leaflets' coaptation. The more this curve tends to a straight line the higher the geometric orifice area and the weaker the coaptation. The proposed curve establishes an equilibrium between these two parameters.

Keywords

Subjects


  1. N. Ghista, “Toward an optimum prosthetic trileaflet aortic-valve design,” Med. Biol. Eng., vol. 14, no. 2, Mar. 1976, doi: 10.1007/BF02478737.
  2. Généreux et al., “Transcatheter aortic valve implantation 10-year anniversary: review of current evidence and clinical implications,” Eur. Heart J., vol. 33, no. 19, pp. 2388–2398, 2012.
  3. L. Li et al., “Mechanical considerations for polymeric heart valve development: Biomechanics, materials, design and manufacturing,” Biomaterials, vol. 225. Elsevier Ltd, p. 119493, Dec. 01, 2019, doi: 10.1016/j.biomaterials.2019.119493.
  4. B. Roe and D. Moore, “Design and fabrication of prosthetic valves,” Exp. Med. Surg., vol. 16, no. 2–3, pp. 177–182, 1958.
  5. N. Ghista and H. Reul, “Optimal prosthetic aortic leaflet valve: Design parametric and longevity analyses: Development of the avcothane-51 leaflet valve based on the optimum design analysis,” J. Biomech., vol. 10, no. 5–6, pp. 313–324, Jan. 1977, doi: 10.1016/0021-9290(77)90004-5.
  6. B. Wisman, W. S. Pierce, J. H. Donachy, W. E. Pae, J. L. Myers, and G. A. Prophet, “A polyurethane trileaflet cardiac valve prosthesis: In vitro and in vivo studies,” Trans. Am. Soc. Artif. Intern. Organs, vol. 28, no. 1, pp. 164–168, 1982, Accessed: Feb. 06, 2021. [Online]. Available: https://pennstate.pure.elsevier.com/en/publications/a-polyurethane-trileaflet-cardiac-valve-prosthesis-in-vitro-and-i.
  7. E. Leat and J. Fisher, “A synthetic leaflet heart valve with improved opening characteristics,” Med. Eng. Phys., vol. 16, no. 6, pp. 470–476, Nov. 1994, doi: 10.1016/1350-4533(94)90071-X.
  8. G. Mackay, D. J. Wheatley, G. M. Bernacca, A. C. Fisher, and C. S. Hindle, “New polyurethane heart valve prosthesis: Design, manufacture and evaluation,” Biomaterials, vol. 17, no. 19, pp. 1857–1863, Oct. 1996, doi: 10.1016/0142-9612(95)00242-1.
  9. R. Labrosse, K. Lobo, and C. J. Beller, “Structural analysis of the natural aortic valve in dynamics: From unpressurized to physiologically loaded,” J.Biomech.,vol.43, no. 10,Jul.2010, 10.1016/j.jbiomech.2010.03.020.
  10. H. Gharaie and Y. Morsi, “A Novel Design of a Polymeric Aortic Valve,” Int. J. Artif. Organs, vol. 38, no. 5, May 2015, doi: 10.5301/ijao.5000413.
  11. Dabiri, J. Ronsky, I. Ali, A. Basha, A. Bhanji, and K. Narine, “Effects of leaflet design on transvalvular gradients of bioprosthetic heart valves,” Cardiovasc. Eng. Technol., vol. 7, no. 4, pp. 363–373, 2016.
  12. Mohammadi, D. Goode, G. Fradet, and K. Mequanint, “Proposed percutaneous aortic valve prosthesis made of cryogel,” Proc. Inst. Mech. Eng. Part H J. Eng. Med., vol. 233, no. 5, May 2019, doi: 10.1177/0954411919837302.
  13. Pfensig et al., “Assessment of heart valve performance by finite-element design studies of polymeric leaflet-structures,” Curr. Dir. Biomed. Eng., vol. 3, no. 2, pp. 631–634, 2017.
  14. Utku Gulbulak, A. Ertas, T. B. Baturalp, and T. Pavelka, “The effect of fundamental curves on geometric orifice and coaptation areas of polymeric heart valves,” J. Mech. Behav. Biomed. Mater., vol. 112, p. 104039, Dec. 2020, doi: 10.1016/j.jmbbm.2020.104039.
  15. De Kerchove et al., “Free margin length and coaptation surface area in normal tricuspid aortic valve: An anatomical study,” Eur. J. Cardio-thoracic Surg., vol. 53, no. 5, pp. 1040–1048, May 2018, doi: 10.1093/ejcts/ezx456.
  16. Li and W. Sun, “Simulated transcatheter aortic valve deformation: A parametric study on the impact of leaflet geometry on valve peak stress,” Int. j. numer. method. biomed. eng., vol. 33, no. 3, Mar. 2017, doi: 10.1002/cnm.2814.
  17. Serrani et al., “A Computational Tool for the Microstructure Optimization of a Polymeric Heart Valve Prosthesis,” J. Biomech. Eng., vol. 138, no. 6, Jun. 2016, doi: 10.1115/1.4033178.
  18. Brubert, S. Krajewski, H. P. Wendel, S. Nair, J. Stasiak, and G. D. Moggridge, “Hemocompatibility of styrenic block copolymers for use in prosthetic heart valves,” J. Mater. Sci. Mater. Med., vol. 27, no. 2, Feb. 2016, doi: 10.1007/s10856-015-5628-7.
  19. Thubrikar, L. P. Bosher, and S. P. Nolan, “The mechanism of opening of the aortic valve,” J. Thorac. Cardiovasc. Surg., vol. 77, no. 6, pp. 863–870, 1979.
  20. Thubrikar, W. C. Piepgrass, T. W. Shaner, and S. P. Nolan, “The design of the normal aortic valve,” Am. J. Physiol. Circ. Physiol., vol. 241, no. 6, pp. H795–H801, 1981.
  21. Luraghi, F. Migliavacca, and J. F. Rodriguez Matas, “Study on the Accuracy of Structural and FSI Heart Valves Simulations,” Cardiovasc. Eng. Technol., vol. 9, no. 4, pp. 723–738, Dec. 2018, doi: 10.1007/s13239-018-00373-3.
  22. E. Hall and M. E. Hall, Guyton and Hall textbook of medical physiology e-Book. Elsevier Health Sciences, 2020.
  23. Li and W. Sun, “Simulated Thin Pericardial Bioprosthetic Valve Leaflet Deformation Under Static Pressure-Only Loading Conditions: Implications for Percutaneous Valves,” Ann. Biomed. Eng., vol. 38, no. 8, Aug. 2010, doi: 10.1007/s10439-010-0009-3.
  24. J. Thubrikar, J. D. Deck, J. Aouad, and S. P. Nolan, “Role of mechanical stress in calcification of aortic bioprosthetic valves,” J. Thorac. Cardiovasc. Surg., vol. 86, no. 1, pp. 115–125, 1983.
  25. M. Bernacca, T. G. Mackay, R. Wilkinson, and D. J. Wheatley, “Calcification and fatigue failure in a polyurethane heart valve,” Biomaterials, vol. 16, no. 4, pp. 279–285, 1995.
  26. Brubert, “A novel polymeric prosthetic heart valve: design, manufacture, and testing,” University of Cambridge, 2016.
  27. Borowski et al., “Fluid-structure interaction of heart valve dynamics in comparison to finite-element analysis,” Curr. Dir. Biomed. Eng., vol. 4, no. 1, pp. 259–262, 2018.
Volume 15, Issue 4
Winter 2022
Pages 299-312

  • Receive Date 04 September 2021
  • Revise Date 30 March 2022
  • Accept Date 16 April 2022