Expanded polytetrafluoroethylene conduits with curved and handsewn bileaflet designs for right ventricular outflow tract reconstruction.

OBJECTIVE: This study reviewed the application of curved and bileaflet designs to pulmonary expanded polytetrafluoroethylene conduits with diameters of 10 to 16 mm and characterized this conduit on in vitro experiment, including particle image velocimetry. METHODS: All patients who received this conduit between 2010 and 2022 were evaluated. Three 16-mm conduits were tested in a circulatory simulator at different cardiac outputs (1.5-3.6 L/minute) and bending angles (130°-150°). RESULTS: Fifty consecutive patients were included. The median operative body weight was 8.4 kg (range, 2.6-12 kg); 10-, 12-, 14-, and 16-mm conduits were used in 1, 4, 6, and 39 patients, respectively. In 34 patients, the conduit was implanted in a heterotopic position. The overall survival rate was 89% at 8 years with 3 nonvalve-related deaths. There were 10 conduit replacements; 5 16-mm conduits (after 8 years) and 1 12-mm conduit (after 6 years) due to conduit stenosis, and the remaining 4 for reasons other than conduit failure. Freedom from conduit replacement was 89% and 82% at 5 and 8 years, respectively. Linear mixed-effects models with echocardiographic data implied that 16-mm conduits were durable with a peak velocity <3.5 m/second and without moderate/severe regurgitation until the patient's weight reached 25 kg. In experiments, peak transvalvular pressure gradients were 11.5 to 25.5 mm Hg, regurgitant fractions were 8.0% to 14.4%, and peak Reynolds shear stress in midsystolic phase was 29 to 318 Pa. CONCLUSIONS: Our conduits with curved and bileaflet designs have acceptable clinical durability and proven hydrodynamic profiles, which eliminate valve regurgitation and serve as a reliable bridge to subsequent conduit replacement.

Gravitational effects on carbon nano-materials synthesized by arc in water.

The "arc-in-liquid" method is a simple and inexpensive technique for the synthesis of carbon nanotubes and related nano-materials. In this paper, we report on the synthesis of carbon nanotubes by means of the arc-in-water method under microgravity and normal gravity conditions. The heat of convection and two-phase flow caused by the arc plasma are suppressed under microgravity, so the heat and fluid flow are stabilized under such conditions and a single huge bubble is generated around the electrodes. From the images captured during the experiment of the arc-in-liquid method, it can be observed that the bubble contained a layer of water vapor at the gas-liquid interface under microgravity conditions, and this layer blocked the carbon vapor reaching the liquid phase. Owing to this unique phenomenon, it was determined that the synthesis of carbon nanotubes by the arc-in-water method is strongly affected by gravity.

A microgravity experiment of the on-orbit fluid transfer technique using swirl flow.

The cryogenic fluid transfer technique will prove useful for flexible and low-cost space activities by prolonging the life cycle of satellites, orbital transfer vehicles, and orbital telescopes that employ cryogenic fluids, such as reactants, coolants, and propellants. Although NASA has conducted extensive research on this technique to date, a complicated mechanism is required to control the pressure in the receiver tank and avoid a large liquid loss by vaporization. We have proposed a novel fluid transfer method by using swirl flow combined with vapor condensation facilitated by spray cooling. This technique enables gas-liquid separation in microgravity and effectively facilitates vapor condensation without any special device like a mixer. In addition, since the incoming liquid flows along the tank wall, the tank wall would be cooled effectively, thereby minimizing the liquid loss due to vaporization. In this paper, the influence of the number of inlet points, fluid velocity at the inlet, fluid type, and boiling condition on swirl flow under microgravity conditions is investigated experimentally. The results indicated that the new fluid transfer technique using the swirl flow proposed by us is effective for cryogenic fluids that generally exhibit low surface tension and good wettability. In addition, it is possible to apply this technique to the real system because the swirl flow conditions are determined by the Froude number, which is dimensionless. Thus, the fundamental technique of fluid transfer by using the swirl flow under microgravity conditions was established.