Medical and Biological Engineering and Computing

, Volume 38, Issue 5, pp 558–561 | Cite as

A new dual activation simulator of the left heart that reproduces physiological and pathological conditions

  • F. Mouret
  • V. Garitey
  • T. Gandelheid
  • J. Fuseri
  • R. Rieu
Article

Abstract

Heart valve replacements are often associated with cardiac pathologies, but valvular prostheses are still tested in vitro under the same physiological conditions as for a healthy young man. Therefore a new mock circulatory system of the left heart, the dual activation simulator (DAS), has been built. The DAS allows atrial and ventricular dynamics to be controlled with pumps that activate anatomically shaped silicon models of the cavities. The mitral flow is a two-peak waveform. The E/A ratio can be changed, and the A-wave can be suppressed to simulate, for instance, atrial fibrillation. The cardiac rhythm and the mean flow-rate can be changed at will. The ability of the DAS to reproduce physiological flow is assessed by computation of the aortic input impedance and by harmonic analysis of left ventricular and atrial pressures. It allows the behaviour of valve prostheses to be studied in various conditions of concern to clinicians and can be a useful tool for engineers to improve valve prostheses or validate diagnostic tools such as 3D colour Doppler. The DAS and its capacities are described.

Keywords

Hydrodynamic simulation Pulse duplicator Cardiovascular system Atrial fibrillation Fourier analysis 

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References

  1. Almassi, G. H., Showalter, T., Nicolosi, A. C., Aggarwal, A., Moritz, T. E., Henderson, W. G., Tarazi, R., Shroyer, A. L., Sethi, G. K., Grover, F. L., andHammermeister, K. E. (1997): ‘Atrial fibrillation after cardiac surgery—A major morbid event’,Ann. Surg.,224, pp. 501–511Google Scholar
  2. American Heart Association (1999): ‘Heart and stroke statistical update’.Google Scholar
  3. Cornhill, J. F. (1977): ‘An aortic-left ventricular pulse duplicator used in testing prosthetic aortic heart valves’,J. Thorac. Cardiovasc. Surg.,73, pp. 550–558Google Scholar
  4. Edmunds, L. H., McKinlay, S., Anderson, J. M., Callahan, T. H., Chesebro, J. H., Geiser, E. A., Makanani, D. M., McIntire, L. V., Meeker, W. Q., Naughton, G. K., Panza, J. A., Schoen, F. J., andDidisheim, P. (1997): ‘Directions for improvement of substitute heart valves: National Heart, Lung and Blood Institute's working group report on heart valves’,J. Biomed. Mat. Res.,38, pp. 263–266Google Scholar
  5. ISO Standard 5840 (1996(E)): ‘Cardiovascular implants—Cardiac valve prostheses’Google Scholar
  6. Issartier, P., Siouffi, M., andPelissier, R. (1978): ‘Simulation of blood flow by a hydrodynamic generator’,Med. Prog. Technol.,6, pp. 39–40Google Scholar
  7. Lee, T. M., Chou, N. K., Su, S. F., Lin, Y. J., Chen, M. F., Liau, C. S., Lee, Y. T., andChu, S. H. (1996): ‘Left atrial spontaneous echo contrast in asymptomatic patients with a mechanical valve prosthesis’,Ann. Thorac. Surg.,62, pp. 1790–1795Google Scholar
  8. McDonald, D. A. (1974): ‘Blood flow in arteries, 2nd Edn. (Williams & Wilkins, Baltimore)Google Scholar
  9. Nichols, W. W., Conti, C. R., Walker, W. E., andMilnor, W. R. (1977): ‘Input impedance of the systemic circulation in man’,Circ. Res.,40, pp. 451–458Google Scholar
  10. Nichols, W. W., Pepine, C. J., Geiser, E. A., andConti, C. R. (1980): ‘Vascular load defined by the aortic input impedance spectrum’,Federation Proc.,39, pp. 196–201Google Scholar
  11. Nishimura, R. A., andAppleton, C. P. (1996): ‘Diastology’: Beyond E and A. J.Am. Coll. Cardiol.,27, pp. 372–374Google Scholar
  12. Ohta, Y., Okamoto, K., Sonderegger, M., Dohi, T., Matsumoto, H., andHoriuchi, T. (1997): ‘Nonsymetric leaflet motion of St Jude medical mitral valves simulated with a computer-controlled hydraulic mock circulator’,Artif. Organs,21, pp. 335–339Google Scholar
  13. Patel, D. J., Mason, D. T., Ross, J. Jr, andBraunwald, E. (1965): ‘Harmonic analysis of pressure pulses obtained from the heart and great vessels of man’,Am. Heart J.,69, pp. 785–794CrossRefGoogle Scholar
  14. Schichl, K., Affeld, K., andDreysse, S. (1998): ‘Test procedure for artificial mitral valves’,Int. J. Artif. Organs,21, pp. 37–42Google Scholar
  15. Yoganathan, A. P., Ellis, J. T., Healy, T. M., andChatzimavroudis, G. P. (1998): ‘Fluid dynamic studies for the year 2000’,J. Heart Valve Dis.,7, pp. 130–139Google Scholar

Copyright information

© IFMBE 2000

Authors and Affiliations

  • F. Mouret
    • 1
  • V. Garitey
    • 1
  • T. Gandelheid
    • 1
  • J. Fuseri
    • 1
  • R. Rieu
    • 1
  1. 1.Cardiovascular Biomechanics LaboratoryEcole Superieure de Mecanique de Marseille, IRPHE, CNRSMarseillesFrance

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