ArticleCardiovascular engineering and technology2015
Human Cardiac Function Simulator for the Optimal Design of a Novel Annuloplasty Ring with a Sub-valvular Element for Correction of Ischemic Mitral Regurgitation.
Article in Cardiovascular engineering and technology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.
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Who cites it
31 citing papers in PubMed.
- Medical digital twins: enabling precision medicine and medical artificial intelligence.The Lancet. Digital health · 2025Review
- Shape of the mitral annulus in normal individuals and dilated cardiomyopathies: computational modeling insights into leaflet stress distribution.Frontiers in physiology · 2025Article
- Simulating cardiac fluid dynamics in the human heart.PNAS nexus · 2024Article
- Simulated Effects of Acute Left Ventricular Myocardial Infarction on Mitral Regurgitation in an Ovine Model.Journal of biomechanical engineering · 2024Article
- The role of computational methods in cardiovascular medicine: a narrative review.Translational pediatrics · 2024Review
- Bridging the gap between mechanistic biological models and machine learning surrogates.PLoS computational biology · 2023Review
- Computational analysis of ventricular mechanics in hypertrophic cardiomyopathy patients.Scientific reports · 2023Article
- A Computationally Efficient Approach to Simulate Heart Rate Effects Using a Whole Human Heart Model.Bioengineering (Basel, Switzerland) · 2022Article
- Numerical biomechanics modelling of indirect mitral annuloplasty treatments for functional mitral regurgitation.Royal Society open science · 2022Article
- Patient-Specific Analysis of Ascending Thoracic Aortic Aneurysm with the Living Heart Human Model.Bioengineering (Basel, Switzerland) · 2021Article
- Establishing the Biofidelity of a Multiphysics Finite Element Model of the Human Heart.Cardiovascular engineering and technology · 2021Article
- Precision medicine in human heart modeling : Perspectives, challenges, and opportunities.Biomechanics and modeling in mechanobiology · 2021Review
- Application of physics-based flow models in cardiovascular medicine: Current practices and challenges.Biophysics reviews · 2021Review
- Structural Responses of Integrated Parametric Aortic Valve in an Electro-Mechanical Full Heart Model.Annals of biomedical engineering · 2021Article
- Application of feed forward and recurrent neural networks in simulation of left ventricular mechanics.Scientific reports · 2020Article
- Tricuspid Annuloplasty Rings: A Quantitative Comparison of Size, Nonplanar Shape, and Stiffness.The Annals of thoracic surgery · 2020Article
- A partition of unity approach to fluid mechanics and fluid-structure interaction.Computer methods in applied mechanics and engineering · 2020Article
- Effect of myofibre architecture on ventricular pump function by using a neonatal porcine heart model: from DT-MRI to rule-based methods.Royal Society open science · 2020Article
- Prediction of Left Ventricular Mechanics Using Machine Learning.Frontiers in physics · 2019Article
- Interaction of the Mechano-Electrical Feedback With Passive Mechanical Models on a 3D Rat Left Ventricle: A Computational Study.Frontiers in physiology · 2019Article
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Authors and funding
13 authors.
Funding
Abstract
Ischemic mitral regurgitation is associated with substantial risk of death. We sought to: (1) detail significant recent improvements to the Dassault Systèmes human cardiac function simulator (HCFS); (2) use the HCFS to simulate normal cardiac function as well as pathologic function in the setting of posterior left ventricular (LV) papillary muscle infarction; and (3) debut our novel device for correction of ischemic mitral regurgitation. We synthesized two recent studies of human myocardial mechanics. The first study presented the robust and integrative finite element HCFS. Its primary limitation was its poor diastolic performance with an LV ejection fraction below 20% caused by overly stiff ex vivo porcine tissue parameters. The second study derived improved diastolic myocardial material parameters using in vivo MRI data from five normal human subjects. We combined these models to simulate ischemic mitral regurgitation by computationally infarcting an LV region including the posterior papillary muscle. Contact between our novel device and the mitral valve apparatus was simulated using Dassault Systèmes SIMULIA software. Incorporating improved cardiac geometry and diastolic myocardial material properties in the HCFS resulted in a realistic LV ejection fraction of 55%. Simulating infarction of posterior papillary muscle caused regurgitant mitral valve mechanics. Implementation of our novel device corrected valve dysfunction. Improvements in the current study to the HCFS permit increasingly accurate study of myocardial mechanics. The first application of this simulator to abnormal human cardiac function suggests that our novel annuloplasty ring with a sub-valvular element will correct ischemic mitral regurgitation.
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