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兔主动脉弓和胸降主动脉的血流。

Blood flow in the rabbit aortic arch and descending thoracic aorta.

机构信息

Department of Aeronautics, Imperial College London, South Kensington, UK.

出版信息

J R Soc Interface. 2011 Dec 7;8(65):1708-19. doi: 10.1098/rsif.2011.0116. Epub 2011 May 18.

Abstract

The distribution of atherosclerotic lesions within the rabbit vasculature, particularly within the descending thoracic aorta, has been mapped in numerous studies. The patchy nature of such lesions has been attributed to local variation in the pattern of blood flow. However, there have been few attempts to model and characterize the flow. In this study, a high-order continuous Galerkin finite-element method was used to simulate blood flow within a realistic representation of the rabbit aortic arch and descending thoracic aorta. The geometry, which was obtained from computed tomography of a resin corrosion cast, included all vessels originating from the aortic arch (followed to at least their second generation) and five pairs of intercostal arteries originating from the proximal descending thoracic aorta. The simulations showed that small geometrical undulations associated with the ductus arteriosus scar cause significant deviations in wall shear stress (WSS). This finding highlights the importance of geometrical accuracy when analysing WSS or related metrics. It was also observed that two Dean-type vortices form in the aortic arch and propagate down the descending thoracic aorta (along with an associated skewed axial velocity profile). This leads to the occurrence of axial streaks in WSS, similar in nature to the axial streaks of lipid deposition found in the descending aorta of cholesterol-fed rabbits. Finally, it was observed that WSS patterns within the vicinity of intercostal branch ostia depend not only on local flow features caused by the branches themselves, but also on larger-scale flow features within the descending aorta, which vary between branches at different locations. This result implies that disease and WSS patterns in the vicinity of intercostal ostia are best compared on a branch-by-branch basis.

摘要

兔血管(尤其是降主动脉)内动脉粥样硬化病变的分布已在许多研究中进行了描绘。这种病变的斑片状性质归因于血流模式的局部变化。然而,很少有尝试对其进行建模和表征。在这项研究中,采用高阶连续 Galerkin 有限元方法对真实兔主动脉弓和降主动脉的血流进行了模拟。该几何形状是通过对树脂腐蚀铸件的计算机断层扫描获得的,包括源自主动脉弓的所有血管(至少追踪到第二代)和源自降主动脉近端的五对肋间动脉。模拟表明,与动脉导管疤痕相关的微小几何波动会导致壁切应力(WSS)显著偏离。这一发现强调了在分析 WSS 或相关指标时,几何精度的重要性。还观察到,两个 Dean 型涡流在主动脉弓中形成并沿降主动脉传播(伴随着相关的倾斜轴向速度分布)。这导致 WSS 中出现轴向条纹,其性质与胆固醇喂养的兔降主动脉中发现的脂质沉积的轴向条纹相似。最后,观察到肋间分支口附近的 WSS 模式不仅取决于分支本身引起的局部流动特征,还取决于降主动脉内的大尺度流动特征,这些特征在不同位置的分支之间有所不同。这一结果表明,肋间支口附近的疾病和 WSS 模式最好在逐个分支的基础上进行比较。

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