Table 4.
Authors | Year of publication | No. of cases | Imaging data | modelling and simulation methods | CFD parameter | Key findings |
Malvindi et al. [3] | 2017 | 1 | CTA | CFD | WSS | An abnormal helical flow pattern inside the aneurysm and an increased wall stress on the right postero-lateral wall of the ascending aorta. These values were largely higher than the theoretical cut-off for aortic wall dissection and confirmed during the operation for dissection repair. |
FSI | ||||||
Chi et al. [65] | 2017 | 7 | CTA | CFD | WSS | Dilation of the ascending aorta and alterations in the branching angles may be the key determinants of a high WSS that leads to type A dissection. Greater tortuosity of the aortic arch leads to stronger helical flow through the distal aortic arch, which may be related to tears in this region. |
Xiao et al. [67] | 2018 | 20 | CTA | CFD | WSS | The blood flow velocity and aortic branch vessels faster, the rate of organ mal-perfusion is lower. The aorta and branch vascular wall shear stress increases, the rate of adverse postoperative organ perfusion is lower. |
Ma et al. [66] | 2021 | 20 | CTA | FEM | MWP | The uneven distribution of WSS and VS play an important role in the rupture of AD. Eddy viscosity (EV) demonstrates powerful predictive value in the rupture of aortic dissection. |
MWSS | ||||||
MVS | ||||||
MEV | ||||||
MAWP | ||||||
MAVS |
CTA, computed tomography angiography; FEM, finite element method; WSS, wall shear stress; FSI, fluid-structure interaction; MWP, mean wall pressure; MWSS, mean wall shear stress; MVS, mean vortex strength; MEV, mean eddy viscosity; MAWP, maximum wall pressure; MAVS maximum vortex strength; TAAD, type A aortic dissection; CFD, computational fluid dynamics; VS, vortex strength; AD, aortic dissection.