Comparison of the Hemodynamic Parameters of Sequential Parallel and Cross Configurations of Coronary Artery in the Rest State

Numerical simulation of blood flow in Configurations is the aim of this study. In order to predict the best configuration in a patient with double stenosis 65 and 50 percent is examined at rest. The computational domain was created from CT. In this study, blood is assumed homogeneous, non- Newtonian and pulsatile. To consider non-Newtonian effects the Carreau model is used and, a Seven– element lumped model is used in outlet coronary artery and a Three-element Windkessel model is used in outlet aorta. Results of the Comparison between configurations indicate that is TAWSS minimum is less than the critical value 0.4 in the junction in parallel with the host vessel, In bed and the surrounding junction, furthermore OSI maximum is more than critical value 0.1, Because of sharp curvature of graft branch on the vascular graft. The parallel sequential is more prone than cross with respect to fat accumulation and diseases such as intima hyperplasia. The results of this study indicate by doing bypass surgery, sequential parallel and cross can be improve critical values of shear stress in the area of stenosis and it reduced the risk of rupture of plaque fat and moves the heap toward downstream vessels.