The Influence of Mitral Valve Asymmetry for an Improved Choice of Valve Repair or Replacement

Abstract

The study of valve asymmetry represents an important avenue for modern cardiac surgery. The correct choice of leaflet reconstruction may indicate a new path in the quality and long-term survival of patients. A systematic investigation was performed with a total of 25 numerical simulations using a healthy ventricle and an ideal valve with varying degrees of valve asymmetry. An overall assessment is made in terms of vorticity, kinetic energy, dissipated energy, and hemodynamic forces. The results indicate that the optimal asymmetry to consider for a valve repair or prosthetic design is between 0.2 and 0.4 with an optimal point of about 0.3. Out of this range, the heart is subjected to an excessive workload, which can only worsen the patient’s state of health.