Computational Fluid Dynamics of a Fatal Ruptured Anterior Communicating Artery Aneurysm

Author:

Švihlová Helena12,Sejkorová Alena3,Radovnický Tomáš3,Adámek Daniel4,Hron Jaroslav2,Dragomir-Daescu Dan5,Málek Josef2,Sameš Martin3,Hejčl Aleš31

Affiliation:

1. International Clinical Research Center, Fakultni Nemocnice Brno, Brno, Czech Republic

2. Charles University, Faculty of Mathematics and Physics, Mathematical Institute, Prague, Czech Republic

3. Department of Neurosurgery of the J.E. Purkyně University, Masaryk Hospital, Ústí nad Labem, Czech Republic

4. Department of Radiology, Masaryk Hospital, Usti nad Labem, Czech Republic

5. Department of Physiology and Biomedical Engineering, Associate Professor of Biomedical Engineering, Mayo Clinic College of Medicine, Rochester, Minnesota

Abstract

AbstractComputational fluid dynamics (CFD) has been studied as a tool for the stratification of aneurysm rupture risk. We performed CFD analysis in a patient operated on for a ruptured anterior communicating artery aneurysm. The point of rupture was identified during surgery. The aneurysm and blood vessels were segmented from computed tomography angiography to prepare a model for simulations. We found that the streamlines showed a concentrated inflow jet directed straight at the rupture point, and high wall shear stress was found at the point of rupture in the aneurysm sac. Thus specific local hemodynamics may be indicative of the aneurysm rupture site.

Publisher

Georg Thieme Verlag KG

Subject

Neurology (clinical),Surgery

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