Epicardial Coronary Blood Flow Including the Presence of Stenoses and Aorto-Coronary Bypasses—II: Experimental Comparison and Parametric Investigations

[+] Author and Article Information
T. F. Wiesner

Mobay Corporation, Baytown, TX 77251

M. J. Levesque, R. M. Nerem

Biomechanics Laboratory and School of Mechanical Engineering, Georgia Institute of Technology, Atlanta, GA 30332-0405

E. Rooz

Israel Aircraft Industry, Ben Gurion Airport, Israel

J Biomech Eng 110(2), 144-149 (May 01, 1988) (6 pages) doi:10.1115/1.3108419 History: Received October 17, 1987; Revised March 23, 1988; Online June 12, 2009


This article is the second in a series which presents a computer model of the left coronary arteries. The first article discussed the geometry, the governing equations, and the numerical method employed. This paper details an acute canine experiment used to validate the approach as well as the systematic investigation of several important parameters governing the left coronary circulation. These parameters include peripheral resistance, wall properties, and altered geometric properties through various stenosis/bypass configurations. With appropriate selection of parameters, the model reproduces an in vivo waveform very closely. The model also predicts many clinical phenomena, such as the “critical” value of stenosis, the dramatic reduction in flow through a stenosis when bypassed, and the restorative effect of the bypass upon flow to the distal bed. The model also is used to show that the autonomic state of the animal profoundly affects the influence of various factors, e.g., the critical value of a stenosis is much higher under resting conditions than under hyperemic conditions.

Copyright © 1988 by ASME
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