Abstract

Currently, Computational Solid Mechanics (CSM) and Computational Fluid Dynamics (CFD) simulations are not enough to correctly estimate the different physical characteristics found in the human cardiovascular system. As an alternative to individual simulations, Fluid Structure Interaction (FSI) simulations can yield more accurate physical quantities. In this study a comparison between rigid-wall CFD of a thoracic aorta affected by an aneurysm and the FSI of the Descending Thoracic Aortic Aneurysm (DTAA) itself was performed. The 18-year-old patient-specific geometry of the aorta and its branches was based on the National Institutes of Health public database. A patient-specific pulsatile blood flow waveform and a pressure three-element Windkessel model were set for boundary conditions. Parameters such as wall pressure, velocity distribution, Wall Shear Stress (WSS), Time-averaged Wall Shear Stress (TAWSS), Oscillatory Shear Index (OSI), wall displacement and Von Mises Stress (VMS) were investigated. The research shown that blood flow in the aorta is strongly affected by the onset of the aneurysm, which causes recirculation and uneven flow within the aneurysmal bulge. The results highlight that rigid-wall CFD, which cannot capture wall deformation and aneurysm compliance, leads to an overestimation of velocity, WSS, and TAWSS by 15, 21, and 32% respectively, compared to FSI during the systolic peak; furthermore, a key novelty is represented by the slight underestimation of pressure during the systolic peak, an aspect not previously detailed in the DTAA literature.

IPC Classification

Keywords