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Further Insights into Normal Aortic Valve Function: Role of a Compliant Aortic Root on Leaflet Opening and Valve Orifice Area
, Sripathi V.C., Komarakshi R Balakrishnan
Published in Elsevier USA
2004
Volume: 77
   
Issue: 3
Pages: 844 - 851
Abstract
Background. This study aims to find the fundamental differences in the mechanism of opening and closing of a normal aortic valve and a valve with a stiff root, using a dynamic finite element model. Methods. A dynamic, finite element model with time varying pressure was used in this study. Shell elements with linear elastic properties for the leaflet and root were used. Two different cases were analyzed: (1) normal leaflets inside a compliant root, and (2) normal leaflets inside a stiff root. Results. A compliant aortic root contributes substantially to the smooth and symmetrical leaflet opening with minimal gradients. In contrast, the leaflet opening inside a stiff root is delayed, asymmetric, and wrinkled. However, this wrinkling is not associated with increased leaflet stresses. In compliant roots, the effective valve orifice area can substantially increase because of increased root pressure and transvalvular gradients. In stiff roots this effect is strikingly absent. Conclusions. A compliant aortic root contributes substantially to smooth and symmetrical leaflet opening with minimal gradients. The compliance also contributes much to the ability of the normal aortic valve to increase its effective valve orifice in response to physiologic demands of exercise. This effect is strikingly absent in stiff roots. © 2004 by The Society of Thoracic Surgeons.
About the journal
JournalData powered by TypesetAnnals of Thoracic Surgery
PublisherData powered by TypesetElsevier USA
ISSN00034975
Open AccessNo