FSI simulation of patient-specific aortic dissection and its bypass grafting / 医用生物力学

ABSTRACT

Objective To investigate the effects of different bypass grafting for treating DeBakey Ⅲ aortic dissection. Methods The patient-specific models of DeBakey Ⅲ aortic dissection based on CT images were reconstructed by using Mimics software, and two bridge models of bypassing between ascending aorta and abdominal aorta (AA), and between left subclavian artery and abdominal aorta (LA) were established by computer-aided method, respectively. Then numerical simulations were performed by using fluid-structure interaction (FSI) method to compare hemodynamic differences of these two models. Results After bypass surgery, the mass flow, mean and maximum velocities of the through lumen models were reduced to different degrees. Meanwhile, both the maximum blood pressures and displacements of the vessel walls of AA models were decreased, but those of LA models were increased. In contrast, all the above-mentioned hemodynamic parameters of the blind lumen models were decreased, especially for AA models. Conclusions The AA bypassing is a better treatment for DeBakey Ⅲ aortic dissection of through lumen and blind lumen. The therapeutic effects can be easily explained through simulation results, to ensure the scientific validity and clinical utility of bypassing.