Effect of Position and Flow Waveform on the Fluid Mechanics of a Stenosed Human Right Coronary Artery

K. Chandran, S. Ramaswamy, Yonggen Lai, A. Wahle, M. Sonka
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Abstract

Complete occlusion in any of the coronary vessels leads to a myocardial infarction. The role of fluid mechanical forces in atheroma development has been widely accepted because of preferential plaque growth at certain locations of the vessel geometry, such as a bifurcation or regions of high degrees of curvature. Areas of low and/or oscillatory shear stress have been correlated with atheroma development [1]. In order to determine the relationship between fluid mechanical stresses and development of lesions in the coronary vessels, it is important to analyze the fluid mechanics in actual three-dimensional geometries, incorporating the time-dependent translation and geometric alterations of these vessels [2,3].
位置和血流波形对狭窄的人右冠状动脉流体力学的影响
任何冠状血管完全闭塞都会导致心肌梗塞。流体力学力在动脉粥样硬化发展中的作用已被广泛接受,因为斑块优先生长在血管几何形状的某些位置,如分叉或高曲率区域。低剪应力和/或振荡剪应力区域与动脉粥样硬化的发生有关。为了确定流体力学应力与冠状血管病变发展之间的关系,分析实际三维几何中的流体力学非常重要,包括这些血管的随时间变化的平移和几何变化[2,3]。
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