PMID- 27561388 OWN - NLM STAT- MEDLINE DCOM- 20180705 LR - 20231111 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 6 DP - 2016 Aug 26 TI - The influence of the aortic valve angle on the hemodynamic features of the thoracic aorta. PG - 32316 LID - 10.1038/srep32316 [doi] LID - 32316 AB - Since the first observation of a helical flow pattern in aortic blood flow, the existence of helical blood flow has been found to be associated with various pathological conditions such as bicuspid aortic valve, aortic stenosis, and aortic dilatation. However, an understanding of the development of helical blood flow and its clinical implications are still lacking. In our present study, we hypothesized that the direction and angle of aortic inflow can influence helical flow patterns and related hemodynamic features in the thoracic aorta. Therefore, we investigated the hemodynamic features in the thoracic aorta and various aortic inflow angles using patient-specific vascular phantoms that were generated using a 3D printer and time-resolved, 3D, phase-contrast magnetic resonance imaging (PC-MRI). The results show that the rotational direction and strength of helical blood flow in the thoracic aorta largely vary according to the inflow direction of the aorta, and a higher helical velocity results in higher wall shear stress distributions. In addition, right-handed rotational flow conditions with higher rotational velocities imply a larger total kinetic energy than left-handed rotational flow conditions with lower rotational velocities. FAU - Ha, Hojin AU - Ha H AD - POSTECH Biotech Center, Pohang University of Science and Technology, San 31, Hyoja-dong, Pohang 790-784, South Korea. FAU - Kim, Guk Bae AU - Kim GB AD - Asan Institute of Life Science, Asan Medical Center, University of Ulsan College of Medicine, 388-1 Poongnap-dong, Songpa-gu, Seoul 138-736, South Korea. FAU - Kweon, Jihoon AU - Kweon J AD - Department of Cardiology, University of Ulsan College of Medicine, Asan Medical Center, 388-1 Poongnap-dong, Songpa-gu, Seoul 138-736, South Korea. FAU - Lee, Sang Joon AU - Lee SJ AD - POSTECH Biotech Center, Pohang University of Science and Technology, San 31, Hyoja-dong, Pohang 790-784, South Korea. AD - Department of Mechanical Engineering, Pohang University of Science and Technology (POSTECH), San 31, Hyoja-dong, Pohang 790-784, South Korea. FAU - Kim, Young-Hak AU - Kim YH AD - Department of Cardiology, University of Ulsan College of Medicine, Asan Medical Center, 388-1 Poongnap-dong, Songpa-gu, Seoul 138-736, South Korea. FAU - Kim, Namkug AU - Kim N AD - Department of Convergence Medicine, University of Ulsan College of Medicine, Asan Medical Center, 388-1 Poongnap-dong, Songpa-gu, Seoul 138-736, South Korea. AD - Department of Radiology, University of Ulsan College of Medicine, Asan Medical Center, 388-1 Poongnap-dong, Songpa-gu, Seoul 138-736, South Korea. FAU - Yang, Dong Hyun AU - Yang DH AD - Department of Radiology, University of Ulsan College of Medicine, Asan Medical Center, 388-1 Poongnap-dong, Songpa-gu, Seoul 138-736, South Korea. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20160826 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 SB - IM MH - Algorithms MH - Aorta, Thoracic/diagnostic imaging/*physiopathology MH - Aortic Valve/*abnormalities/diagnostic imaging/physiopathology MH - Aortic Valve Stenosis/diagnostic imaging/physiopathology MH - Bicuspid Aortic Valve Disease MH - Blood Flow Velocity MH - Heart Valve Diseases/diagnostic imaging/*physiopathology MH - *Hemodynamics MH - Humans MH - Imaging, Three-Dimensional/methods MH - Magnetic Resonance Imaging/methods MH - Stress, Mechanical PMC - PMC4999809 EDAT- 2016/08/27 06:00 MHDA- 2018/07/06 06:00 PMCR- 2016/08/26 CRDT- 2016/08/27 06:00 PHST- 2016/02/14 00:00 [received] PHST- 2016/08/02 00:00 [accepted] PHST- 2016/08/27 06:00 [entrez] PHST- 2016/08/27 06:00 [pubmed] PHST- 2018/07/06 06:00 [medline] PHST- 2016/08/26 00:00 [pmc-release] AID - srep32316 [pii] AID - 10.1038/srep32316 [doi] PST - epublish SO - Sci Rep. 2016 Aug 26;6:32316. doi: 10.1038/srep32316.