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Numerical prediction of thrombosis risk in left atrium under atrial fibrillation

Yan Wang, Yonghui Qiao, Yankai Mao, Chenyang Jiang, Jianren Fan, Kun Luo, Yan Wang, Yonghui Qiao, Yankai Mao, Chenyang Jiang, Jianren Fan, Kun Luo

2020Mathematical Biosciences & Engineering40 citationsDOIOpen Access PDF

Abstract

The remodeling of the left atrial morphology and function caused by atrial fibrillation (AF) can exacerbate thrombosis in the left atrium (LA) even spike up the risk of stroke within AF patients. This study explored the effect of the AF on hemodynamic and thrombosis in LA. We reconstructed the patient-specific anatomical shape of the LA and considered the non-Newtonian property of the blood. The thrombus model was applied in the LA models to simulate thrombosis. Our results indicate that AF can aggravate thrombosis which mainly occurs in the left atrial appendage (LAA). Thrombosis first forms on the LAA wall then expands toward the internal LAA. The proposed computational model also shows the potential application of numerical analyses to help assess the risk of thrombosis in AF patients.

Topics & Concepts

ThrombosisAtrial fibrillationCardiologyThrombusInternal medicineMedicineLeft atriumHemodynamicsStroke (engine)EngineeringMechanical engineeringAtrial Fibrillation Management and OutcomesCardiac Valve Diseases and TreatmentsCardiovascular Function and Risk Factors