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生物人工心脏瓣膜的流动特性。

Flow characteristics of bioprosthetic heart valves.

作者信息

Rashtian M Y, Stevenson D M, Allen D T, Yoganathan A P, Harrison E C, Edmiston W A, Rahimtoola S H

机构信息

Department of Chemical Engineering, University of California, Los Angeles 90033.

出版信息

Chest. 1990 Aug;98(2):365-75. doi: 10.1378/chest.98.2.365.

DOI:10.1378/chest.98.2.365
PMID:2376169
Abstract

A review of the in vivo and in vitro fluid dynamic performance of three bioprosthetic heart valves is presented. Data on Hancock porcine valves (standard models 242 aortic and 342 mitral and modified orifice model 250 aortic), Carpentier-Edwards porcine valves (model 2625 aortic and 6625 mitral), and the Ionescu-Shiley pericardial valve are reviewed. These valves were chosen because of their past or present popularity in clinical use and because of the variation in fluid dynamic performance reported by different investigators. The flow parameters that are reported include in vivo and in vitro mean pressure drop, cardiac output or cardiac index, regurgitant volume, effective orifice area, and performance index. These data provide a framework for differentiation of normal and abnormal bioprosthetic valve function.

摘要

本文综述了三种生物人工心脏瓣膜的体内和体外流体动力学性能。回顾了汉考克猪瓣膜(标准型号242主动脉瓣和342二尖瓣以及改良孔口型号250主动脉瓣)、卡朋蒂埃 - 爱德华兹猪瓣膜(型号2625主动脉瓣和6625二尖瓣)以及伊奥内斯库 - 希利心包瓣膜的数据。选择这些瓣膜是因为它们过去或现在在临床使用中很受欢迎,以及不同研究者报告的流体动力学性能存在差异。所报告的血流参数包括体内和体外平均压力降、心输出量或心指数、反流体积、有效孔口面积和性能指数。这些数据为区分正常和异常生物人工瓣膜功能提供了一个框架。

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1
Flow characteristics of bioprosthetic heart valves.生物人工心脏瓣膜的流动特性。
Chest. 1990 Aug;98(2):365-75. doi: 10.1378/chest.98.2.365.
2
Rest and exercise hemodynamics following aortic valve replacement. A comparison between 19 and 21 mm Ionescu-Shiley pericardial and Carpentier-Edwards porcine valves.主动脉瓣置换术后的休息及运动血流动力学。19毫米和21毫米的伊奥内斯库-希利心包瓣膜与卡彭蒂埃-爱德华兹猪瓣膜的比较。
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Non-invasive assessment by Doppler ultrasound of 155 patients with bioprosthetic valves: a comparison of the Wessex porcine, low profile Ionescu-Shiley, and Hancock pericardial bioprostheses.采用多普勒超声对155例生物瓣患者进行无创评估:Wessex猪生物瓣、低剖面Ionescu-Shiley生物瓣和Hancock心包生物瓣的比较
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引用本文的文献

1
Fluid-Structure Interaction Models of Bioprosthetic Heart Valve Dynamics in an Experimental Pulse Duplicator.在实验性脉冲复制器中生物心脏瓣膜动力学的流固耦合模型。
Ann Biomed Eng. 2020 May;48(5):1475-1490. doi: 10.1007/s10439-020-02466-4. Epub 2020 Feb 7.
2
Factors affecting survival after mitral valve replacement in patients with prosthesis-patient mismatch.人工瓣膜不匹配对二尖瓣置换术后患者生存的影响因素。
Ann Thorac Surg. 2010 Oct;90(4):1202-10; discussion 1210-1. doi: 10.1016/j.athoracsur.2010.05.018.
3
Doppler sonographic evaluation of mechanical and bioprosthetic mitral valve prostheses during exercise with a rate corrected pressure half time.
运动期间使用心率校正压力半衰期对机械二尖瓣和生物二尖瓣人工瓣膜进行多普勒超声评估。
Br Heart J. 1992 Jun;67(6):466-9. doi: 10.1136/hrt.67.6.466.