Abstract:
:Synthetic grafts are often satisfactory employed in cardiac and vascular surgery, including expanded poly(ethylene terephthalate) or expanded poly(tetrafluoroethylene). However, accumulating evidences suggest the emergence of worrisome issues concerning the long-term fate of prosthetic grafts as large vessel replacement. Disadvantages related to the use of synthetic grafts can be traced in their inability of mimicking the elasto-mechanical characteristics of the native vascular tissue, local suture overstress leading to several prosthesis-related complications and retrograde deleterious effects on valve competence, cardiac function and perfusion. Motivated by this, in the present work it is analyzed - by means of both elemental biomechanical paradigms and more accurate in silico Finite Element simulations - the physical interaction among aorta, autograft and widely adopted synthetic (Dacron) prostheses utilized in transposition of pulmonary artery, highlighting the crucial role played by somehow unexpected stress fields kindled in the vessel walls and around suture regions, which could be traced as prodromal to the triggering of anomalous remodelling processes and alterations of needed surgical outcomes. Theoretical results are finally compared with histological and surgical data related to a significant experimental animal campaign conducted by performing pulmonary artery transpositions in 30 two-month old growing lambs, followed up during growth for six months. The in vivo observations demonstrate the effectiveness of the proposed biomechanical hypothesis and open the way for possible engineering-guided strategies to support and optimize surgical procedures.
journal_name
J Mech Behav Biomed Materauthors
Nappi F,Carotenuto AR,Cutolo A,Fouret P,Acar C,Chachques JC,Fraldi Mdoi
10.1016/j.jmbbm.2016.06.023subject
Has Abstractpub_date
2016-10-01 00:00:00pages
287-302eissn
1751-6161issn
1878-0180pii
S1751-6161(16)30199-0journal_volume
63pub_type
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journal_title:Journal of the mechanical behavior of biomedical materials
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journal_title:Journal of the mechanical behavior of biomedical materials
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journal_title:Journal of the mechanical behavior of biomedical materials
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journal_title:Journal of the mechanical behavior of biomedical materials
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journal_title:Journal of the mechanical behavior of biomedical materials
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journal_title:Journal of the mechanical behavior of biomedical materials
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journal_title:Journal of the mechanical behavior of biomedical materials
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journal_title:Journal of the mechanical behavior of biomedical materials
pub_type: 杂志文章
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journal_title:Journal of the mechanical behavior of biomedical materials
pub_type: 杂志文章,收录出版
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journal_title:Journal of the mechanical behavior of biomedical materials
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journal_title:Journal of the mechanical behavior of biomedical materials
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journal_title:Journal of the mechanical behavior of biomedical materials
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journal_title:Journal of the mechanical behavior of biomedical materials
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journal_title:Journal of the mechanical behavior of biomedical materials
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pub_type: 杂志文章,评审
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