Evidence map›Paper›PMID 25947879›Full record

ArticleBiomechanics and modeling in mechanobiology2015

On the effects of leaflet microstructure and constitutive model on the closing behavior of the mitral valve.

Chung-Hao Lee, Jean-Pierre Rabbah, Ajit P Yoganathan, Robert C Gorman, Joseph H Gorman, Michael S Sacks

Abstract read
In one paragraph

Article in Biomechanics and modeling in mechanobiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
5.9field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 68 citations in OpenAlex.

  1. Article
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  5. Leaflet remodeling reduces tricuspid valve function in a computational model.Journal of the mechanical behavior of biomedical materials · 2024
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  10. The effects of leaflet material properties on the simulated function of regurgitant mitral valves.Journal of the mechanical behavior of biomedical materials · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Chung-Hao LeeCenter for Cardiovascular Simulation, Institute for Computational Engineering and Sciences (ICES), The University of Texas at Austin, 201 East 24th Street, 1 University Station C0200, POB 5.236, Austin, TX, 78712, USA.
Jean-Pierre RabbahCardiovascular Fluid Mechanics Laboratory, Department of Biomedical Engineering, Georgia Institute of Technology, 387 Technology Circle NW, Atlanta, GA, 30318, USA.
Ajit P YoganathanCardiovascular Fluid Mechanics Laboratory, Department of Biomedical Engineering, Georgia Institute of Technology, 387 Technology Circle NW, Atlanta, GA, 30318, USA.
Robert C GormanGorman Cardiovascular Research Group, University of Pennsylvania, 3400 Civic Center Blvd, Philadelphia, PA, 19104, USA.
Joseph H GormanGorman Cardiovascular Research Group, University of Pennsylvania, 3400 Civic Center Blvd, Philadelphia, PA, 19104, USA.
Michael S SacksW. A. "Tex" Moncrief, Jr. Simulation-Based Engineering Science Chair I, Department of Biomedical Engineering, Center for Cardiovascular Simulation, Institute for Computational Engineering and Sciences (ICES), The University of Texas at Austin, 201 East 24th Street, 1 University Station C0200, POB 5.236, Austin, TX, 78712, USA. msacks@ices.utexas.edu.
Georgia Institute of Technology · USThe University of Texas at Austin · USUniversity of Pennsylvania · US

Funding

Surgery to Prevent Post Infarction Ventricular RemodelingR01HL063954 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI GORMAN, ROBERT C · 2001 to 2018
$9.8M
Quantitative Methods for Optimizing IMR RepairR01HL073021 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI GORMAN, ROBERT C, SACKS, MICHAEL S · 2004 to 2022
$7.6M
Remodeling potential of the mitral valve following surgical repairR01HL119297 · NHLBI · UNIVERSITY OF TEXAS AT AUSTIN · PI GORMAN, JOSEPH H, SACKS, MICHAEL S · 2013 to 2017
$6.6M
Echocardiography to Predict Recurrent IMR After Surgical Mitral Valve ReplacementR01HL103723 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI GORMAN, ROBERT C, HUNG, JUDY W · 2011 to 2020
$5.3M
NHLBI NIH HHS HL103723NHLBI NIH HHS HL63954NHLBI NIH HHS HL73021NHLBI NIH HHS R01 HL063954NHLBI NIH HHS R01 HL073021NHLBI NIH HHS R01 HL103723NHLBI NIH HHS R01 HL119297
6 · The paper itself

Abstract

Recent long-term studies showed an unsatisfactory recurrence rate of severe mitral regurgitation 3-5 years after surgical repair, suggesting that excessive tissue stresses and the resulting strain-induced tissue failure are potential etiological factors controlling the success of surgical repair for treating mitral valve (MV) diseases. We hypothesized that restoring normal MV tissue stresses in MV repair techniques would ultimately lead to improved repair durability through the restoration of MV normal homeostatic state. Therefore, we developed a micro- and macro- anatomically accurate MV finite element model by incorporating actual fiber microstructural architecture and a realistic structure-based constitutive model. We investigated MV closing behaviors, with extensive in vitro data used for validating the proposed model. Comparative and parametric studies were conducted to identify essential model fidelity and information for achieving desirable accuracy. More importantly, for the first time, the interrelationship between the local fiber ensemble behavior and the organ-level MV closing behavior was investigated using a computational simulation. These novel results indicated not only the appropriate parameter ranges, but also the importance of the microstructural tuning (i.e., straightening and re-orientation) of the collagen/elastin fiber networks at the macroscopic tissue level for facilitating the proper coaptation and natural functioning of the MV apparatus under physiological loading at the organ level. The proposed computational model would serve as a logical first step toward our long-term modeling goal-facilitating simulation-guided design of optimal surgical repair strategies for treating diseased MVs with significantly enhanced durability.

Indexed as

Models, AnatomicModels, CardiovascularAnimalsBlood Flow VelocityBlood PressureCompressive StrengthComputer SimulationElastic ModulusHumansMitral ValveSheepStress, MechanicalTensile StrengthAffine fiber kinematicsImage-based FE simulationIn vitro validationsMapped fiber microstructural architectureSimplified structural constitutive model

Identifiers

PMID25947879
PMCPMC4881393
OpenAlexW288934311

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.