Wang Zhengdao, Zhang Xiandong, Li Yumeng, Yang Hui, Xue Haihong, Wei Yikun, Qian Yuehong
State-Province Joint Engineering Lab of Fluid Transmission System Technology, Faculty of Mechanical Engineering and Automation, Zhejiang Sci-Tech University, Hangzhou 310018, China.
Department of Pediatric, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200092, China.
Entropy (Basel). 2022 Jan 27;24(2):187. doi: 10.3390/e24020187.
In this paper, the lattice Boltzmann method was used to simulate the cardiac flow in children with aseptal defect. The inner wall model of the heart was reconstructed from 210 computed tomography scans. By simulating and comparing the cardiac flow field, the pressure field, the blood oxygen content, and the distribution of entropy generation before and after an operation, the effects of septal defect on pulmonary hypertension(PH), cyanosis, and heart load were analyzed in detail. It is found that the atrial septal defect(ASD) of the child we analyzed had a great influence on the blood oxygen content in the pulmonary artery, which leads to lower efficiency of oxygen binding in the lungs and increases the burden on the heart. At the same time, it also significantly enhanced the entropy generation rate of the cardiac flow, which also leads to a higher heart load. However, the main cause of PH is not ASD, but ventricular septal defect (VSD). Meanwhile, it significantly reduced the blood oxygen content in the brachiocephalic trunk, but rarely affects the blood oxygen contents in the downstream left common carotid artery, left subclavian artery, and descending aorta are not significantly affected by VSD. It causes severe cyanosis on the face and lips.
在本文中,采用格子玻尔兹曼方法模拟了患有房间隔缺损儿童的心脏血流。心脏内壁模型由210例计算机断层扫描重建而成。通过模拟和比较手术前后的心脏流场、压力场、血氧含量和熵产生分布,详细分析了房间隔缺损对肺动脉高压(PH)、紫绀和心脏负荷的影响。研究发现,我们分析的儿童房间隔缺损(ASD)对肺动脉中的血氧含量有很大影响,这导致肺部氧结合效率降低,并增加心脏负担。同时,它还显著提高了心脏血流的熵产生率,这也导致更高的心脏负荷。然而,PH的主要原因不是ASD,而是室间隔缺损(VSD)。同时,它显著降低了头臂干中的血氧含量,但很少影响下游左颈总动脉、左锁骨下动脉中的血氧含量,降主动脉受VSD影响不显著。它会导致面部和嘴唇出现严重紫绀。