In Vitro Characterization of Lagrangian Fluid Transport Downstream of a Dysfunctional Bileaflet Mechanical Aortic Valve

This experimental study aims to explore the Lagrangian nature of fluid transport downstream of a bileaflet mechanical aortic valve under different malfunction scenarios that might be encountered clinically. Time-resolved planar particle image velocimetry measurements are performed to extract instantaneous velocity fields downstream of the bileaflet mechanical valve implanted in an elastic aortic model. The results show an increase in particle residence time with the severity of malfunction. This is attributed to the expansion of the recirculation regions downstream of the valve. The time-evolution of Lagrangian coherent structures over one cardiac cycle (using finite-time Lyapunov exponent fields) shows the effect of valve dysfunction on the material transport and its barriers inside the aorta. The unbalanced flow through the dysfunctional leaflets leads to a significant redistribution of the LCS, thus the fluid transport along the ascending aorta. Moreover, a new technique for the evaluation of the highest accumulated shear stresses is applied along the Lagrangian trajectory of particles being released from the extracted Lagrangian coherent structures where the highest stretching occurs. Finally, the induced non-laminar flow behavior by the valve dysfunction is analyzed using the time-frequency spectra of velocity signals at selected points in the ascending aorta.