Stefania Fortini

Fluid dynamics of aortic root dilation in Marfan syndrome

Aortic root dilation and propensity to dissection are typical manifestations of the Marfan Syndrome (MS), a genetic defect leading to the degeneration of the elastic fibres. Dilation affects the structure of the flow and, in turn, altered flow may play a role in vessel dilation, generation of aneurysms, and dissection. The aim of the present work is the investigation in-vitro of the fluid dynamic modifications occurring as a consequence of the morphological changes typically induced in the aortic root by MS. A mock-loop reproducing the left ventricle outflow tract and the aortic root was used to measure time resolved velocity maps on a longitudinal symmetry plane of the aortic root. Two dilated model aortas, designed to resemble morphological characteristics typically observed in MS patients, have been compared to a reference, healthy geometry. The aortic model was designed to quantitatively reproduce the change of aortic distensibility caused by MS. Results demonstrate that vorticity released from the valve leaflets, and possibly accumulating in the root, plays a fundamental role in redirecting the systolic jet issued from the aortic valve. The altered systolic flow also determines a different residual flow during the diastole.

TURBOGEN: Computer-controlled vertically oscillating grid system for small-scale turbulence studies on plankton

In recent years, there has been a renewed interest in the impact of turbulence on aquatic organisms. In response to this interest, a novel instrument has been constructed, TURBOGEN, that generates turbulence in water volumes up to 13 l. TURBOGEN is fully computer controlled, thus, allowing for a high level of reproducibility and for variations of the intensity and characteristics of turbulence during the experiment. The calibration tests, carried out by particle image velocimetry, showed TURBOGEN to be successful in generating isotropic turbulence at the typical relatively low levels of the marine environment. TURBOGEN and its sizing have been devised with the long-term scope of analyzing in detail the molecular responses of plankton to different mixing regimes, which is of great importance in both environmental and biotechnological processes.

Turbulence investigation in a laboratory model of the ascending aorta

This study aims to investigate turbulence inside a model of the human ascending aorta as a function of the main flow control parameters. For this purpose, we performed a two-dimensional in vitro investigation of the pulsatile flow inside a laboratory model of a healthy aorta by varying both the Reynolds and Womersley numbers. Our findings indicate that the velocity fluctuations become significant particularly during the deceleration phase of the flow, reach the maximum near the systolic peak and then decay during the rest of the diastole phase. Higher levels of turbulence were recovered for increasing Stroke Volumes, in particular maxima of Turbulent Kinetic Energy occurred in the bulk region while higher values of Reynolds shear stresses were found in correspondence of the sinus of Valsalva.

Flow field evolution in a laboratory model of the left ventricle

An experimental apparatus simulating the velocity field downstream of an artificial heart valve in a model of the left ventricle was developed. In particular, the cardiac cycle was reproduced by a linear motor such that both healthy and unhealthy conditions could be reproduced. In this study, a one-way, hydraulic valve has been inserted in a mitralic orifice and a strong, uniform-velocity jet which enters the ventricle is generated. This condition is very similar to the inflow generated by the natural valve. To measure the velocity field the working fluid was seeded with tracer particles and the test section, the middle plane of the ventricle model, was lit by a laser light sheet. A long time image sequence of the flow field was acquired by a high-speed camera. The Feature Tracking image analysis technique was used to quantify particle displacements and as a result a Lagrangian description of the fluid trajectories were obtained. The evolution of particle trajectories and the velocity fields during the whole cardiac cycle is presented here. The Eulerian velocity field were also evaluated to characterize the flow. Finally, the viscous shear stresses were analyzed, in order to compute the quantities that are considered to be the main cause of the blood cells damage.Graphical Abstract

From medical imaging to computer simulation of fractional flow reserve in four coronary artery trees

We present the results of a computational study of coronary trees obtained from CT acquisition at resolution of 0.35mm x 0.35mm x 0.4mm and presenting significant stenotic plaques. We analyze the cardiovascular implications of stenotic plaques for a sizeable number of patients and show that the standard clinical criterion for surgical or percutaneous intervention, based on the Fractional Flow Reserve (FFR), is well reproduced by simulations in a range of inflow conditions that can be finely controlled. The relevance of the present study is related to the reproducibility of FFR data by simulating the coronary trees at global level via high performance simulation methods together with an independent assessment based on in vitro hemodynamics. The data show that controlling the flow Reynolds number is a viable procedure to account for FFR as heart-cycle time averages and maximal hyperemia, as measured in vivo. The reproducibility of the clinical data with simulation offers a systematic approach to measuring the functional implications of stenotic plaques.