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Finite Element analysis for Edge-to-Edge Technique to Treat Post-Mitral Valve Repair Systolic Anterior Motion

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Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Systolic anterior motion of the mitral valve is an uncommon complication of mitral valve repair, which requires immediate supplementary surgical action. Edge-to-edge suture is considered as an effective technique to treat post-mitral valve repair systolic anterior motion by clinical researches. However, the fundamentals and quantitative analysis are vacant to validate the effectiveness of the additional edge-to-edge surgery to repair systolic anterior motion. In the present work, finite element models were developed to simulate a specific clinical surgery for patients with posterior leaflet prolapse, so as to analyze the edge-to-edge technique quantificationally. The simulated surgery procedure concluded several actions such as quadrangular resection, mitral annuloplasty and edge-to-edge suture. And the simulated results were compared with echocardiography and measurement data of the patients under the mitral valve surgery, which shows good agreement. The leaflets model with additional edge-to-edge suture has a shorter mismatch length than that of the model merely under quadrangular resection and mitral annuloplasty actions at systole, which assures a better coaptation status. The stress on the leaflets after edge-to-edge suture is lessened as well.
Rocznik
Strony
3--12
Opis fizyczny
Bibliogr. 25 poz., rys., tab., wykr.
Twórcy
autor
  • Applied Mathematics School, Xiamen University of Technology, Xiamen, People’s Republic of China
  • Cognitive Science Department, Xiamen University, Xiamen, People’s Republic of China,
autor
  • Software School, Xiamen University, Xiamen, People’s Republic of China
autor
  • Computer Science Department, Xiamen University, Xiamen, People’s Republic of China
autor
  • Computer Science Department, Xiamen University, Xiamen, People’s Republic of China
Bibliografia
  • [1] Carpentier-Edwards Physio Annuloplasty Ring. Available: http://www.edwards.com/prod; ucts/rings/pages/physio.aspx
  • [2] ALFIERI O., MAISANO F., BONIS M.D. et al., The double-orifice technique in mitral valve repair: a simple solution for complex problems, J. Thorac. Cardiov. Sur., 2001, 122, 674–681.
  • [3] AVANZINI A., A Computational Procedure for Prediction of Structure Effects of Edge-to-Edge Repair on Mitral Valve, J. Biomech. Eng., 2008, 130, 031015-1-031015-10.
  • [4] AVANZINI A., DONZELLA G., LIBRETTI L., Functional and structural effects of percutaneous edge-to-edge double-orifice repair under cardiac cycle in comparison with suture repair, P. I. Mech. Eng. H, 2011, 225, 959–971.
  • [5] BARBER J.E., KASPER F.K., RATLIFF N.B. et al., Mechanical properties of myxomatous mitral valves, J. Thorac. Cardiov. Sur., 2001, 122.
  • [6] BARBER J.E., RATLIFF N.B., COSGROVE D.M. et al., Myxomatous mitral valve chordae. I: Mechanical properties, J. Heart Valve Dis, 2001, 10, 320–324.
  • [7] DOMINIK J., ZACEK P., Heart Valve Surgery: An Illustrated Guide, Springer, 2010.
  • [8] FENG M., Research on Electronic Modeling and Simulation of Mitral Insufficiency, Xiamen University, 2013.
  • [9] GROSSI E.A., STEINBERG B.M., LEBOUTILLIER M.R. et al., Decreasing incidence of systolic anterior motion after mitral valve reconstruction, Circulation, 1994, 90, II195–197.
  • [10] Hayek E., Gring C.N., Griffin B.P., Mitral Valve Prolapse, The Lancet, 2005, 365, 507–518.
  • [11] JEBARA V.A., MIHAILEANU S., ACAR C. et al., Left ventricular outflow tract obstruction after mitral valve repair. Results of the sliding leaflet technique, Circulation, 1993, 88, II30–34.
  • [12] KAPLAN S.R., BASHEIN G., SHEEHAN F.H. et al., Threedimensional echocardiographic assessment of annular shape changes in the normal and regurgitant mitral valve, Am. Heart J., 1999, 139, 378–387.
  • [13] KUNZELMAN K., REIMINK M.S., VERRIER E.D. et al., Replacement of mitral valve posterior chordae tendineae with expanded polytetrafluoroethylene suture: a finite element study, J. Cardiac. Surg., 1996, 11, 136–145.
  • [14] KUNZELMAN K.S., REIMINK M.S., R.P. C., Flexible versus rigid ring annuloplasty for mitral valve annular dilation: a finite element model, J. Heart Valve Dis, 1998, 7, 108–116.
  • [15] LAU K., DÍAZ-ZUCCARINI V., SCAMBLER P. et al., Fluidstructure interaction study of the edge-to-edge repair technique on the mitral valve, J. Biomech., 2011, 2409–2417.
  • [16] LEE K.S., STEWART W.J., SAVAGE R.M. et al., Systolic anterior motion of mitral valve after the posterior leaflet sliding advancement procedure, Ann. Thorac. Surg., 1994, 57, 1338–1340.
  • [17] MANSI T., VOIGT I., GEORGESCU B. et al., An integrated framework for finite-element modeling of mitral valve biomechanics from medical images: Application to MitralClip intervention planning, Med. Image Anal., 2012, 16, 1330–1346.
  • [18] PAN F.D., DONZELLA G., FUCCI C. et al., Structural effects of an innovative surgical technique to repair heart valve defects, J. Biomech., 2005, 38, 2460–2471.
  • [19] ROBERTO M., AL A.N., MAURO L. et al., Edge-to-Edge Technique to Treat Post-Mitral Valve Repair Systolic Anterior Motion and Left Ventricular Outflow Tract Obstruction, Ann. Thorac. Surg., 2005, 76, 471–474.
  • [20] SILBIGER J.J., Anatomy, mechanics, and pathophysiology of the mitral annulus, Am. Heart J., 2012, 164, 163–176.
  • [21] STEVANELLA M., MAFFESSANTI F., CONTI C.A. et al., Mitral Valve Patient-Specific Finite Element Modeling from Cardiac MR: Application to an Annuloplasty Procedure, Cardiovasc. Engineering Technol., 2011, 2, 66–76.
  • [22] TIMEK T.A., NIELSEN S.L., LAI D.T. et al., Mitral annular size predicts Alfieri stitch tension in mitral edge-to-edge repair, J. Heart Valve Dis., 2004, 13, 165–173.
  • [23] VOTTA E., MAISANO F., BOLLING S.F. et al., The Geoform Disease-Specific Annuloplasty System: A Finite Element Study, Ann. Thorac. Surg., 2007, 84, 92–101.
  • [24] VOTTA E., MAISANO F., SONCINI M. et al., 3-D computational analysis of the stress distribution on the leaflets after edgeto-edge repair of mitral regurgitation, J. Heart Valve Dis., 2002, 11, 810–822.
  • [25] ZHONG Q., ZENG W., HUANG X. et al., Constitutive modeling and finite element analysis of myxomatous mitral leaflet tissue, J. Mech. Med. Biol., 2014, 14.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-13f1d7e3-ca9b-417c-8ac4-318bb452b3b6
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