Open AccessHemodynamics of the total cavopulmonary connection: anin vitrostudy
Author(s) -
Sang Hyun Kim,
Young Hwan Park,
Bum Ku Cho
Publication year - 1997
Publication title -
yonsei medical journal/yonsei medical journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.702
H-Index - 63
eISSN - 1976-2437
pISSN - 0513-5796
DOI - 10.3349/ymj.1997.38.1.33
Subject(s) - anastomosis , superior vena cava , inferior vena cava , pulmonary artery , right pulmonary artery , offset (computer science) , hemodynamics , vortex , flow visualization , left pulmonary artery , main pulmonary artery , medicine , anatomy , flow (mathematics) , physics , cardiology , mechanics , surgery , computer science , programming language
To understand the local fluid dynamics for different designs of Fontan operation, five models were made of Pyrex glass to facilitate in vitro study. Models I, II and III had the same position as the center of the anastomosis of the IVC (inferior vena cava) with that of the SVC (superior vena cava), but Models IV and V had 10 mm offset between them. As well, the anastomotic junction angles were different (Models I and IV: 90 degrees, Models II and V: 70 degrees, Model III: 45 degrees). These models were then connected to a flow loop for flow visualization study. In Model I, no dominant vortex was seen in the central region of the junction, but a large unstable vortex was created in Models II and III. In Models IV and V, a significant stagnation region was created in the middle of the offset region. It also showed that the flow distribution from the IVC and SVC to the LPA (left pulmonary artery) and RPA (right pulmonary artery) depends more on the offset of the junction than on the anastomotic junction angle. Generally, as the total flow rates increased, the pressures in the models increased.