G. Dubini et al., A NUMERICAL FLUID MECHANICAL STUDY OF REPAIRED CONGENITAL HEART-DEFECTS - APPLICATION TO THE TOTAL CAVOPULMONARY CONNECTION, Journal of biomechanics, 29(1), 1996, pp. 111-121
A computational fluid dynamics study based on the application of the f
inite element method has been performed to investigate the local hemod
ynamics of the total cavopulmonary connection. This operation is used
to treat congenital malformations of the right heart and consists of a
by-pass of the right ventricle. In this paper the adopted methodology
is presented, together with some of the preliminary results. A three-
dimensional parametric model of the connection and a lumped-parameter
mechanical model of the pulmonary circulation have been developed The
three-dimensional model has been used to simulate the local fluid dyna
mics for different designs of the connection, allowing a quantitative
evaluation of the dissipated energy in each of the examined configurat
ions. The pulmonary afterload of the three-dimensional model has been
reproduced by coupling it with the pulmonary mechanical model. The res
ults show that, from a comparative point of view, the energetic losses
can be greatly reduced if a proper hydraulic design of the connection
is adopted, which also allows control of the Mood how distribution in
to the lungs.