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Research
doi:10.1186/1475-925X-6-22
Abstract
Background: The aortic aneurysm is a dilatation of the aortic wall which occurs in the saccular
and fusiform types. The aortic aneurysms can rupture, if left untreated. The renal stenosis occurs
when the flow of blood from the arteries leading to the kidneys is constricted by atherosclerotic
plaque. This narrowing may lead to the renal failure. Previous works have shown that, modelling is
a useful tool for understanding of cardiovascular system functioning and pathophysiology of the
system. The present study is concerned with the modelling of aortic aneurysms and renal artery
stenosis using the cardiovascular electronic system.
Methods: The geometrical models of the aortic aneurysms and renal artery stenosis, with different
rates, were constructed based on the original anatomical data. The pressure drop of each section
due to the aneurysms or stenosis was computed by means of computational fluid dynamics method.
The compliance of each section with the aneurysms or stenosis is also calculated using the
mathematical method. An electrical system representing the cardiovascular circulation was used to
study the effects of these pressure drops and the compliance variations on this system.
Results: The results showed the decreasing of pressure along the aorta and renal arteries lengths,
due to the aneurysms and stenosis, at the peak systole. The mathematical method demonstrated
that compliances of the aorta sections and renal increased with the expansion rate of the
aneurysms and stenosis. The results of the modelling, such as electrical pressure graphs, exhibited
the features of the pathologies such as hypertension and were compared with the relevant
experimental data.
Conclusion: We conclude from the study that the aortic aneurysms as well as renal artery
stenosis may be the most important determinant of the arteries rupture and failure. Furthermore,
these pathologies play important rules in increase of the cardiovascular pulse pressure which leads
to the hypertension.
Background
The aortic aneurysm is a disease, which is defined as focal
or diffuse dilatation of the aorta. Most of the aorta aneu-
rysms are fusiform (concentric radial dilatation) but infrequently may be saccular (eccentric radial dilatation). The
abdominal aorta aneurysm is the most common form of
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Methods
The electronic cardiovascular system review
The lumped parameter model of the cardiovascular system including the block diagram and the specifications of
each element is presented in Figure 1 and Table 1. The
equivalent model of the system including the pulsatile
heart and the arterial tree is illustrated in Figure 2 in terms
of its electrical circuit analog, in which voltage(volt) is
A
11
B
8
10
7
9
6
34
35
12
13
14
33
32
31
23
30
24
25
28
15
26
27
29
19
18
17
22
21
20
16
ments
The
Figure
block
1 diagram and specifications of the system's eleThe block diagram and specifications of the system's
elements. The block diagram of the cardiovascular system.
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ITEM
1
2
3
4
5
6
7
8
9
10
11
A
B
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
C
D
E
F
G
DESCRIPTION
R(k)
L(H)
C(F)
Left Atrium
Left Ventricle
Ascending Aorta
Aortic Arch 1
Aortic Arch 2
Right Subclavin II
Right Carotid
Right int Carotid
Right ext Carotid
Left Subclavin II
Left Carotid
Left int Carotid
Left ext Carotid
Thoracic Aorta 1
Thoracic Aorta 2
Abdominal Aorta 1
Abdominal Aorta 2
Abdominal Aorta 3
Left Common Iliac
Left External Iliac
Left Femoral
Right Common Iliac
Right External Iliac
Right Femoral
Hepatic
Oastric
Splenic
Left Renal
Right Renal
Superior Mesenteric
Inferior Mesenteric
Arterioles
Capillaries
Vein 1
Vein 2
Right Atrium
Right Ventricle
Pulmonary Artery 1
Pulmonary Artery 2
Pulmonary Artery 3
Pulmonary Vein 1
Pulmonary Vein 2
0.5
0.5
7.6
0.011
0.0265
14.118
8.14
159.8
160.7
14.118
9.89
159.8
160.72
0.046
0.446
0.419
0.882
0.1218
2.867
12.23
87.74
2.867
12.23
87.74
25.11
60.28
9.817
6.24
6.24
1.468
68
72
48
9
1
0.5
0.5
1
4
8
3
1
0.1
0.1
0.133
0.144
0.245
18.61
9.3
40.4
40.6
18.61
10.93
40.4
40.6
0.374
1.642
0.749
2.439
0.2661
3.135
10.1
47.533
3.135
10.1
47.533
9.815
15.77
5.996
3.4072
3.4072
2.244
14.058
1
1
0.1
0.1
0.1
0.1
0.1
101
25
0.918
0.262
0.489
0.489
0.167
0.01277
0.0137
0.489
0.197
0.01277
0.0137
0.556
0.376
0.1933
0.353
0.0254
0.0557
0.0524
0.0906
0.0577
0.0524
0.0906
0.0168
0.0108
0.0285
0.0125
0.0125
0.0829
0.00561
1.4
71
210
450
216.45
150
1
1
3
27
10
r(x) = ax2 + bx + c
The geometry of the fusiform aneurysm is assumed by
r(x) = a sin .x + b
(2)
(3)
(4)
U=
of pulsatile waveforms and properties of the systemic circulation.
(1)
.R2
(5)
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Right.Ext.Carotid
1
159.8k
Left Carotid
40.4uH
Left.Ext.Carotid
1
40.6uH
9.89k 10.93uH
0.01277u
2
160.72k
0.197u
Left
Subclavin II
0.0137u
0.489u
14.118k 18.61uH
Right.Int.Carotid
1
Right
Carotid
159.8k 40.4uH
1
0.01277u
1
0.0137u
160.7k 40.6uH
Right.Ext.Carotid
8.14k 9.3uH
0.167u
Right
Subclavin II
1
Pulmonary
Artery 1
0.489u
14.11k 18.61uH
Left Atrium
Mitral
Valve
D264
1
1k
2
0.1uH
4k
8k
3k
1k
1u
3u
27u
10u
Pulmonary Vein2
0.1uH
0.5k
2 3
0.1uH
Ascending Aorta
101u
1
Dbreak
Dbreak
0.11k 0.114uH
7.6
2.6259u
25u
Left
Ventricle
Thoracic Aorta 2
Aortic Arch I
0.133uH
D265
0.5k 0.1uH
10u
Thoracic Aorta 1
Aortic Arch II
Aortic Valve
0.0265k 0.245uH
0.918u
Cadjustor
0.046k 0.374uH
0.446k 1.642uH
0.489u
0.55u
0.376u
0.262u
Abdominal Aorta 1
50u
D263
Dbreak
0.419k
2
Radjustor V4
D266
Dbreak
Pulmonary
Valve
Hepatic
1.506k
0.749uH
7Vdc
D3065
R10000
QSCH-5545/-55C
0.9k
D28
D1N4148
D24
VOFF = 0
VAMPL = 20
FREQ = 1
216.45u
0.1uH
D25
D1N4148
V5
V7
VOFF = 0
VAMPL = 30
FREQ = 2
VOFF = 0
VAMPL = 240
FREQ = 1
V2
V3
1
Left
Renal
Left
Femoral
Vein2
Vein 1
Capillaries Arterioles
2
0.1uH
450u
1
1k
9k
2
1uH
71u
6.24k
2.244uH
1.468k
2.439uH
1
48k
1uH
0.0906u
72k
1
1.4u
Right
Femoral
2
3.4072uH
6.24k
0.0125u
Inferior Mesenteric
1
2
47.533uH
0.0906u
2
10.1uH
10.1uH
0.0524u
Right Ext.
Iliac
1
2
0.0524u
2
3.135uH
0.0577u
68k
0.0254u
1 0.1218k
2
2.867k
0.353uH
14.058uH
0.00561u
47.533uH
210u
0.5k
2
3.4072uH
0.882k
0.0125u
Abdominal Aorta 2
2
1
Right
Renal
Right
Atrium
9.817k
Superior Mesenteric
8Vdc
v10
0.0285u
1 2 .2 3 k
0.5k
Tricuspid valve
D5
VOFF = 0
VAMPL = 6
FREQ = 2
V6
60.28k
5.996uH
Abdominal Aorta3
0.2661uH
1
1 2 .2 3 k
VOFF = 0
VAMPL = 7
FREQ = 2
0.1933u
0.0108u
V1
8 7 .7 4 k
D1N4148
Splentic
1
VOFF = 0
VAMPL = 40
FREQ = 3
2
15.77uH
8 7 .7 4 k
0.1uH
D261
Dbreak
0 .0 8 2 9 u
20
Right
Ventricle
HP ea ac re t M a k e r f o r L e f t
PH ae ca er t M a k e r f o r R i g h t
20u
25.11k
0.0168u
D262
Dbreak
145u
2
9.815uH
Gastric
2
3.135uH
2.867k
0.0577u
Right Common
Iliac
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r(x) = ax2 + bx + c
(6)
(7)
(8)
The parameter (V) is according to (m/s) unit and the frequency of the equation is 1 Hz. The pressure difference
between the inside and the outside of the renal artery with
different stenosis rates was computed and recorded using
the same method which was described above in section A.
Figure
The
geometrical
3
model of the aortic aneurysms
The geometrical model of the aortic aneurysms. The
geometry of aortic saccular aneurysm(above) and the geometry of fusiform aneurysm(under). Both aneurysms are located
in the center of the artery.
C=
3 .R3.Z
2Eh
(9)
dC =
3 .(ax 2 + bx + c)3 dx
2Eh
(10)
Csaccular aneurysm =
X1 3 .(ax 2
X 0
+ bx + c)3 dx
2Eh
(11)
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Figure
The
geometrical
4
model of the renal stenosis
The geometrical model of the renal stenosis. The geometry of renal stenosis which is located in the centre.
CFusiform aneurysm =
X1 3 .(a sin .x
X 0
+ b)3 dx
2Eh
(12)
(13)
Again, the compliance of the unobstructed parts was calculated using equation (9). The compliance of the renal
stenosis is determined with the same mathematical
method and given by
Crenal stenosis =
X1 3 .(ax 2
X 0
+ bx + c)3 dx
2Eh
(14)
(15)
Results
1) The aorta artery aneurysms
Table 2 shows the results of the modeling including the
pressure drops, at peak systole, and the compliances of
different aorta sections with the aneurysms. The pressure
wave form at the inlet of the abdominal III aorta, with
90% expansion rate of the saccular aneurysm, is presented
in Figure 5. We see the pressure rises above zero (97.6 Pa)
at the peak systole and reaches a minimum value (-110
Pa) at the max reverse flow. A negative pressure shows the
decelerative phase of the aortic flow. The pressure contour
of this section is also presented in Figure 6. The pressure
decreases along the artery length at the peak systole. The
similar pressure contour is presented for thoracic I aorta
with 50% expansion rate of the fusiform aneurysm in Figure 7. We studied the effects of the aorta aneurysms on the
electronic circuit of the cardiovascular system as well. Figure 8 presents the diastole/systole pressure graph of the
abdominal I aorta with 20% expansion rate of the saccular
aneurysm. The pressure waveform varies between 55
mmHg (volt) to 155 representing diastolic and systolic
pressure values. This figure also shows the variation of the
pressure during the cardiac cycle for the abdominal II
aorta with 40% expansion rate of the fusiform aneurysm.
2) The renal artery stenosis
Table 3 shows the results of the modeling including the
pressure drops, at peak systole, and the compliances of the
renal artery with different rate of the stenosis. Figure 9
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Table 2: The results of modelling for the aortic aneurysms. The values of pressure drops (obtained by CFD), compliances (obtained by
the mathematics) and final Diastolic/Systolic pressures of different sections of the aorta with the aneurysms (obtained by electrical
system). Please note that the values are approximate.
Abdominal I
(Dia = 12.2 mm,
L = 63 mm)
Psystole (pa)
(fusiform)
Caneurysm(ml/kpa)
(fusiform)
Psystole (pa)
(saccular)
Caneurysm(ml/kpa)
(saccular)
20% Aneurysm
40% Aneurysm
50% Aneurysm
70% Aneurysm
90% Aneurysm
70.34
69.9
69
65
59.5
0.212
0.302
0.36
0.504
0.692
84.3
79
76.4
74.6
74.1
0.1985
0.2038
0.22836
0.28677
0.3587
Abdominal II
(Dia = 11.7 mm,
L = 116 mm)
Psystole (pa)
(fusiform)
Caneurysm(ml/kpa)
(fusiform)
Psystole (pa)
(saccular)
Caneurysm(ml/kpa)
(saccular)
20% Aneurysm
40% Aneurysm
50% Aneurysm
70% Aneurysm
90% Aneurysm
83.4
75.73
74.8
62.4
61.5
0.4785
0.805
1.0
1.385
2.55
87.9
85
84.2
83
82.1
0.4454
0.5678
0.6438
0.745
1.0625
Abdominal III
(Dia = 10.4 mm,
L = 10 mm)
Psystole (pa)
(fusiform)
Caneurysm(ml/kpa)
(fusiform)
Psystole (pa)
(saccular)
Caneurysm(ml/kpa)
(saccular)
20% Aneurysm
40% Aneurysm
50% Aneurysm
70% Aneurysm
90% Aneurysm
70.4
69.6
69.1
64
58.37
0.225
0.3099
0.362
0.489
0.65
114
110
105
100.8
97.6
0.03184
0.0406
0.04603
0.0592
0.07605
Thoracic I
(Dia = 20 mm,
L = 52 mm)
Psystole (pa)
(fusiform)
Caneurysm(ml/kpa)
(fusiform)
Psystole (pa)
(saccular)
Caneurysm(ml/kpa)
(saccular)
20% Aneurysm
40% Aneurysm
50% Aneurysm
70% Aneurysm
90% Aneurysm
26.2
23.4
21.9
21.5
20.66
0.61475
0.846
0.9915
1.347
1.7984
Thoracic II
(Dia = 13.5 mm,
L = 104 mm)
Psystole (pa)
(fusiform)
Caneurysm(ml/kpa)
(fusiform)
Psystole (pa)
(saccular)
Caneurysm(ml/kpa)
(saccular)
20% Aneurysm
40% Aneurysm
50% Aneurysm
70% Aneurysm
90% Aneurysm
63.7
51.05
50.75
44.05
42.2
0.505
0.918
1.15
1.775
2.6259
Diastol/Systole
Pressure(mmHg)
(fusiform)
Diastol/Systole
Pressure(mmHg)
(Saccular)
55150
55.2149.7
56149.2
56.8148.7
58148
55155
55.3154
55.2153
56.1152.1
56.8151
Diastol/Systole
Pressure(mmHg)
(fusiform)
Diastol/Systole
Pressure(mmHg)
(Saccular)
58158
60155
62152
64148
70147
57156
59155
60154
61.5152
63150
Diastol/Systole
Pressure(mmHg)
(fusiform)
Diastol/Systole
Pressure(mmHg)
(Saccular)
55151
54150
53.8149.7
52148
55146
55163
56161
57160
59159.2
60158.3
Diastol/Systole
Pressure(mmHg)
(fusiform)
Diastol/Systole
Pressure(mmHg)
(Saccular)
53135
54133
56132.5
56.5132
59130
Diastol/Systole
Pressure(mmHg)
(fusiform)
Diastol/Systole
Pressure
(Saccular)
57149
61147
61.8146.5
66143.5
68142
Discussion
We have modeled the aorta aneurysms and the renal stenosis by means of the computational fluid dynamics and
mathematical methods. The results were shown for differ-
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rysmpressure
The
Figure
5
graph of the abdominal III aorta with 90% aneuThe pressure graph of the abdominal III aorta with
90% aneurysm. The inlet pressure waive form of abdominal
III aorta with 90% expansion rate of saccular aneurysm
obtained by CFD method.
ent pressure graphs in the cardiovascular electronic system. The aortic aneurysm and the renal stenosis cause
hypertension which is defined as increasing of blood
pulse pressure.
1) The aorta artery aneurysms
The aorta aneurysm expansion rate is a function not only
of initial size, but also of blood pressure. This indicates
that increasing pulse pressure is associated with the aneurysm expansion rate [5]. Our resulting pressure drops in
the present study agree with the results in Schurink's paper
[3]. Our results, Table 2, show that pulse pressure
increases with the rate of both aortic aneurysms including
saccular and fusiform. Furthermore, clinical investiga-
aneurysm
The
Figure
pressure
6
contour of the abdominal III aorta with 90%
The pressure contour of the abdominal III aorta with
90% aneurysm. The pressure contour of abdominal III
aorta with 90% saccular aneurysm obtained by CFD method.
The pressure(pascal) decreases along the artery length.
rysmpressure
The
Figure
7
contour of the thoracic I aorta with 50% aneuThe pressure contour of the thoracic I aorta with
50% aneurysm. The pressure contour of abdominal III
aorta with 90% fusiform aneurysm obtained by CFD method.
The contour shows the variations of the pressure(pascal)
along the artery.
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Figure
The
20%
40%
electrcal
fusiform
saccular
8
aneurysm(above)
aneurysm(under)
pressure graphs ofand
theabdominal
abdominalII Iaorta
aortawith
with
The electrcal pressure graphs of the abdominal I
aorta with 20% saccular aneurysm(above) and
abdominal II aorta with 40% fusiform aneurysm(under). The pressure waive forms of the abdominal I
aorta with the 20% saccular aneurysm(above) which obtained
from the electrical circuit as well as abdominal II aorta with
the 40% fusiform aneurysm(under).
Figure
The
and
90%
pressure
9stenosis
contours
(under)
of the renal artery with 50% (above)
The pressure contours of the renal artery with 50%
(above) and 90% stenosis (under). The pressure contour
of the renal artery with 50%(above) and 90%(under) narrowing rate of stenosis obtained by CFD method. The high pressure (pascal) regions along the artery sections are at the inlet
to the middle portion.
Conclusion
In summary, our results indicate that expansion rate of the
aortic aneurysms as well as the narrowing rate of the renal
stenosis both are directly associated with hypertension,
supporting the clinical importance of blood pressure control. We hereby stress that our model is an ideal and general model of the cardiovascular system. This electrical
model proves useful for studying the pathogeneses of the
cardiovascular system as discussed above.
Table 3: The results of modelling for the renal stenosis. The values of pressure drops (obtained by CFD), compliances (obtained by the
mathematics) and final Diastolic/Systolic pressures of the renal with stenosis (obtained by electrical system). Please note that the
values are approximate.
P(Pa) Stenosis
C(ml/Kpa) Stenosis
Diastol/Systole Pressure(mmHg)
7.46
17.1
75
3790
0.01512
0.0236
0.116
0.136
82121
85127
97148
145210
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17.
18.
19.
20.
Kaya A, Heijmen HR, Overtoom TT, Vos JA, Morshuis WJ, Schepens
MA: Thoracic stent grafting for acute aortic pathology. The
Annals of thoracic surgery 2006, 82(2):560-565.
Alkhunaizi A, Chapman A: Renal artery stenosis and unilateral
focal and segmental glomerulosclerosis. Am J Kidney Dis 1997,
29:936-941.
Gao F, Watanabe M, Matsuzawa T: Stress analysis in a layered
aortic arch model under pulsatile blood flow. Biomedical engineering online journal 2006, 5:25.
Pralhad RN, Schultz DH: Modeling of arterial stenosis and its
applications to blood diseases. Journal of mathematical biosciences
2004, 190(2):203-230.
stenosis
The
Figure
electrcal
10 pressure graph of the renal artery with the 50%
The electrcal pressure graph of the renal artery with
the 50% stenosis. The pressure waive form of the renal
artery with the 50% narrowing rate of stenosis which
obtained from the electrical circuit.
References
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
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