Evidence map›Paper›PMID 42182727›Full record

ReviewJournal of thoracic disease2026

Narrative review of fluid dynamics in the left ventricle: from the perspective of aortic regurgitation.

Yuichiro Kitada, Jack Nickles, Gift Owolabi, Jonathan Kochav, Muhammad Umair, Adham Elmously, Hideyuki Hayashi, Koichi Akiyama, Keiichi Itatani, Giovanni Ferrari and 1 more

Abstract readReview
In one paragraph

Review in Journal of thoracic disease, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Yuichiro KitadaDivision of Cardiothoracic and Vascular Surgery, Department of Surgery, New York Presbyterian Hospital/Columbia University Irving Medical Center, New York, NY, USA.
Jack NicklesDivision of Cardiothoracic and Vascular Surgery, Department of Surgery, New York Presbyterian Hospital/Columbia University Irving Medical Center, New York, NY, USA.
Gift OwolabiDivision of Cardiothoracic and Vascular Surgery, Department of Surgery, New York Presbyterian Hospital/Columbia University Irving Medical Center, New York, NY, USA.
Jonathan KochavDivision of Cardiology, Department of Medicine, New York Presbyterian Hospital/Columbia University Irving Medical Center, New York, NY, USA.
Muhammad UmairDepartment of Radiology, New York Presbyterian Hospital/Columbia University Irving Medical Center, New York, NY, USA.
Adham ElmouslyDivision of Cardiothoracic and Vascular Surgery, Department of Surgery, New York Presbyterian Hospital/Columbia University Irving Medical Center, New York, NY, USA.
Hideyuki HayashiDepartment of Cardiovascular Medicine, Kobe City Medical Center General Hospital, Kobe, Japan.
Koichi AkiyamaDepartment of Anesthesiology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Keiichi ItataniDepartment of Cardiovascular Surgery, Juntendo University, Faculty of Medicine, Tokyo, Japan.
Giovanni FerrariDivision of Cardiothoracic and Vascular Surgery, Department of Surgery, New York Presbyterian Hospital/Columbia University Irving Medical Center, New York, NY, USA.
Hiroo TakayamaDivision of Cardiothoracic and Vascular Surgery, Department of Surgery, New York Presbyterian Hospital/Columbia University Irving Medical Center, New York, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Objective: From a fluid dynamics perspective, understanding intraventricular blood flow is essential for clarifying the mechanisms, progression, and potential therapeutic targets of various cardiac diseases. Recent advancements in imaging techniques have enabled the visualization of left ventricle (LV) blood flow, particularly the vortex formed during diastole. However, the inherently complex and dynamic nature of LV fluid motion makes the quantitative assessment of vortex function highly challenging. The impact of aortic regurgitation (AR) on LV fluid dynamics is equally critical for understanding the progression of cardiac dysfunction, yet its exact influence remains largely unclear. This manuscript is a narrative review of this novel perspective of AR in the context of fluid dynamics. Methods: Articles from PubMed database and Google Scholar regarding LV blood flow and vortex assessment were reviewed. For the initial research, articles between 2010 and 2025 were prioritized, including original articles, case reports, and reviews. Following the initial search, additional articles were considered based on manual searches of references from the retrieved literature. Key Content and Findings: AR jets have several interactions with LV blood flow depending on its direction, and the eccentric jet can be oriented in several directions based on the relationship to the mitral inflow location. Conclusions: Various orientations of eccentric AR jet are possible and LV blood flow trajectory is modulated by the direction of AR jets. A reproducible classification of AR jet direction, combined with the quantification of vortex alterations according to jet direction, represents a vital step in elucidating the specific roles of these vortices in cardiac function.

Indexed as

aortic regurgitation (AR)diastolic vortexfluid dynamicsLeft ventricle (LV)

Identifiers

PMID42182727
PMCPMC13190063

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Registered trials

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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.