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Computational study on the evolution of an intraventricular vortical flow during early diastole for the interpretation of color M-mode Doppler echocardiograms

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Abstract

A computational fluid dynamics study of intraventricular flow during early diastole was carried out using a 3D model of the human left ventricle (LV). It was found that a vortical flow formed under the aortic orifice and then grew in size and extended laterally along the ventricular wall towards the posterior side. With further expansion of the LV, it developed into an annular vortex asymmetrically enlarged on the side of the aortic orifice, narrowing the passage of blood inflow and thus causing a shift of the high-velocity portion of inflow towards the apex. This appeared as an elongation of the aliasing area when the velocity of the inflow was expressed as a spatiotemporal map in the same manner as a color M-mode Doppler (CMD) echocardiogram. Based on these findings, it was concluded that the shape of the aliasing area in a CMD echocardiogram shows the change in the velocity of blood inflow affected by the development of an annular vortex formed in the LV.

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Acknowledgement

This work is supported by a Research Grant for Cardiovascular Diseases (12C-12) from the Ministry of Health and Welfare of Japan and a Grant from the Ministry of Education, Culture, Sports, Science and Technology of Japan, Grant-in-Aid for Scientific Research (B), No. 13480284, 2001.

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Authors and Affiliations

  1. Department of Mechatronics and Precision Engineering, Graduate School of Engineering, Tohoku University, Aoba 01, Sendai 980-8579, Japan

    M. Nakamura & S. Wada

  2. Research Institute for Electronic Science, Hokkaido University, North 12, West 6, North District, Sapporo 060-0812, Japan

    M. Nakamura & T. Karino

  3. College of Medical Technology, Hokkaido University, North 12, West 5, North District, Sapporo 060-0812, Japan

    T. Mikami

  4. Graduate School of Medicine, Hokkaido University, North 15, West 7, North District, Sapporo 060-8638, Japan

    A. Kitabatake

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  1. M. Nakamura
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  2. S. Wada
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  4. A. Kitabatake
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Correspondence to M. Nakamura.

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Nakamura, M., Wada, S., Mikami, T. et al. Computational study on the evolution of an intraventricular vortical flow during early diastole for the interpretation of color M-mode Doppler echocardiograms. Biomech Model Mechanobiol 2, 59–72 (2003). https://doi.org/10.1007/s10237-003-0028-1

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