A numerical calculation of flow in a curved tube model of the left main coronary artery.

The flow pattern in the left main coronary artery has been calculated using an idealized geometry and by numerically solving the full Navier-Stokes equations for a Newtonian fluid. Two different forms for the entrance velocity profile were used, one a time-varying, flat profile and the other a time-varying, less flat velocity profile. The results obtained demonstrate the presence of secondary motions for conditions simulating flow in the left main coronary artery, with maximum secondary flow velocities being on the order of three to four percent of the maximum axial velocity. This secondary flow phenomenon has an important influence on the wall shear stress distribution, in spite of the fact that there is virtually no alteration in the axial velocity profile. The maximum ratio of the outer wall shear stress to that on the inner wall is 1.4 at a Reynolds number of Re = 270, and it increases with increasing Reynolds number, reaching a value of 1.7 at Re = 810. Although there are significant differences in the results in the immediate vicinity of the inlet for the two different forms of the entrance velocity profile used, this difference does not persist far into the tube. Independent of the choice of the entrance velocity profile, it appears that there will be significant secondary flow effects on the wall shear stress.