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Patient-specific assessment of hemodynamics by computational fluid dynamics and gene expression profiling in patients with bicuspid aortopathy.

Research Project

Project/Area Number 26462117
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Cardiovascular surgery
Research InstitutionJichi Medical University

Principal Investigator

KAWAHITO KOJI  自治医科大学, 医学部, 教授 (90281740)

Co-Investigator(Kenkyū-buntansha) 木村 直行  自治医科大学, 医学部, 准教授 (20382898)
中村 匡徳  名古屋工業大学, 工学(系)研究科(研究院), 教授 (20448046)
Co-Investigator(Renkei-kenkyūsha) NAKAE Susumu  東京大学, 医科学研究所システム疾患モデル研究センター, 准教授 (60450409)
Research Collaborator Matsumoto Kenji  国立成育医療研究センター, 研究所免疫アレルギー/感染研究部, 部長 (60181765)
Futamura Kyoko  国立成育医療研究センター, 研究所免疫アレルギー/感染研究部, 研究員 (60596956)
Project Period (FY) 2014-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2016: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2015: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2014: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Keywords大動脈弁二尖弁 / 上行大動脈瘤 / 数値流体計算 / 壁剪断応力 / 網羅的遺伝子解析 / 先天性大動脈2尖弁 / 遺伝子解析 / 数値流体力学 / シェアストレス / 大動脈二尖弁 / 胸部大動脈瘤
Outline of Final Research Achievements

Hemodynamics related to eccentric blood flow may factor into the development of bicuspid aortic valve aortopathy. We investigated wall shear stress distribution by means of magnetic resonance imaging-based computational fluid dynamics in patients with a bicuspid aortic valve. Furthermore, we aimed to identify key molecules driving bicuspid aortic valve aortopathy through gene expression profiling achieved by microarray analysis and subsequent in vitro experiments. In bicuspid aortic valve, right handed abnormal aortic helical flow was seen in the ascending aorta and transverse arch. No such flow was seen in the patients with tricuspid aortic valves. The patients with bicuspid aortic valves were likely to have jet flow/wall impingement against the greater curvature of the proximal ascending aorta, resulting in remarkably increased wall shear stress around the impingement area.

Report

(5 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • 2014 Research-status Report
  • Research Products

    (3 results)

All 2017 2016

All Journal Article (2 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 2 results,  Acknowledgement Compliant: 1 results) Presentation (1 results) (of which Int'l Joint Research: 1 results)

  • [Journal Article] Patient-specific assessment of hemodynamics by computational fluid dynamics in patients with bicuspid aortopathy.2017

    • Author(s)
      Kimura N, Nakamura M, Komiya K, Nishi S, Yamaguchi A, Tanaka O, Misawa Y, Adachi H, Kawahito K.
    • Journal Title

      J Thorac Cardiovasc Surg

      Volume: 153 Issue: 4 Pages: S52-S62.e3

    • DOI

      10.1016/j.jtcvs.2016.12.033

    • Related Report
      2017 Annual Research Report 2016 Research-status Report
    • Peer Reviewed / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] Blood flow competition after aortic valve bypass: an evaluation using computational fluid dynamics2017

    • Author(s)
      Kawahito Koji、Kimura Naoyuki、Komiya Kenji、Nakamura Masanori、Misawa Yoshio
    • Journal Title

      Interact Cardiovasc Thorac Surg

      Volume: 24 Pages: ivw428-ivw428

    • DOI

      10.1093/icvts/ivw428

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Presentation] Patient-specific evaluation of hemodynamics in bicuspid aortopathy by means of magnetic resonance imaging based computational fluid dynamics simulation.2016

    • Author(s)
      5.Kimura N, Kawahito K, Komiya K, Numata N, Yamaguchi A, Misawa Y, Nakamura M, Adachi H.
    • Organizer
      AATS Aortic Symposium 2016
    • Place of Presentation
      New York
    • Year and Date
      2016-05-12
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research

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Published: 2014-04-04   Modified: 2019-03-29  

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