The characteristics of mechanical bileaflet valves, the leaflets of which open at the outside first, differ significantly
from those of natural valves, whose leaflets open at the center first, and this fact affects the flow field down-stream of
the valves. The direction of jet-type flows, which is influenced by this difference in valve features, and the existence of
the sinus of Valsalva both affect the flow field inside the aorta in different ways, depending on the valve design. There
may also be an influence on the coronary circulation, the entrance to which resides inside the sinus of Valsalva. A dynamic
particle image velocimetry (PIV) study was conducted to analyze the influence of the design of prosthetic heart valves on
the aortic flow field. Three contemporary bileaflet prostheses, the St. Jude Medical (SJM) valve, the On-X valve (with straight
leaflets), and the MIRA valve (with curved leaflets), were tested inside a simulated aorta under pulsatile flow conditions.
A dynamic PIV system was employed to analyze the aortic flow field resulting from the different valve designs. The two newer
valves, the On-X and the MIRA valves, open more quickly than the SJM valve and provide a wider opening area when the valve
is fully open. The SJM valve’s outer orifices deflect the flow during the accelerating flow phase, whereas the newer designs
deflect the flow less. The flow through the central orifice of the SJM valve has a lower velocity compared to the newer designs;
the newer designs tend to have a strong flow through all orifices. The On-X valve generates a simple jet-type flow, whereas
the MIRA valve (with circumferentially curved leaflets) generates a strong but three-dimensionally diffuse flow, resulting
in a more complex flow field downstream of the aortic valve. The clinically more adapted 180° orientation seems to provide
a less diffuse flow than the 90° orientation does. The small differences in leaflet design in the bileaflet valves generate
noticeable differences in the aortic flow; the newer valves show strong flows through all orifices.
Key words Prosthetic heart valve - Dynamic PIV - Flow visualization - Biofluid mechanics - Medical equipment
Presented at the Joint Congress of the 45th Annual Meeting of the Japanese Society for Artificial Organs and the Second Meeting
of the International Federation for Artificial Organs