In vitro velocity measurements in the near vicinity of the Bjork-Shiley aortic prosthesis using a laser-Doppler anemometer

In this study,in vitro velocity measurements in the near vicinity of a Björk-Shiley aortic valve, one of the more commonly used aortic valve prostheses, were made using a laser-Doppler anemometer. The velocity measurements identified a zone of stagnation, about 20 mm wide, immediately downstream from the fully open disc. The measurements also showed that the flow through the valve was divided into two unequal regions, namely, the major and minor outflow regions. Because of the low flow in the minor outflow region, the shear stresses along the perimeter of the valve in that region were considerably lower than the shear stresses along the sewing ring of the major outflow region. Pathologic studies of nine recovered Björk-Shiley aortic valves indicated varying amounts of thrombus formation on the outflow face of the disc and excess growth of endothelial tissue along the perimeter of the minor outflow region. If the large stagnation zone and the relatively low shear in the minor outflow region which were observed in thein vitro measurements also existin vivo, they could lead to the clinically observed thrombus formation and tissue overgrowth, respectively.