Numerical study of the effect of stenosis on the hemodynamic parameters in branch of LAD coronary using 0D/3D coupling method

Numerical study of the effect of stenosis on the hemodynamic parameters in branch of LAD coronary using 0D/3D coupling ˜یÏå [English]
Stenosis in coronary artery and the other cardiac diseases such as Atherosclerosis is major cause of death in the world. Numerical simulation of blood flow can help medical evaluation to curve arteries have been stenosis. The purpose of this paper is to find the effect of arteries stenosis on the hemodynamic parameters by simulation of blood flow in LAD branch of coronary artery. The computational domain has been determined from CT images of human heart. In this study, blood is assumed to be homogeneous, Newtonian and the blood flow assumed to be pulsatile. In order to more realistic modeling of flow and pressure, Seven–element lumped model has been used in coronary artery outlet, in order words the 0D and 3D models are coupled together. The results indicate that the calculated flow wave is the minimum in systolic phase and maximum in diastolic phase in coronary artery, in contrast with Aorta. On the other hand, by increasing the stenosis percent from 30 to 60 percent, no significant drop of flow has been observed in the state of rest, and it has been validated with experimental results. The results indicate that with increasing stenosis, time average wall shear stress in the stenosis region increases, while it decreases before and after the stenosis, also the investigation of oscillating shear index indicates that in the state of 60% of stenosis and in the main downstream branch, it has the maximum value, that is indicative of the presence of turbulent flow in this region.