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Sensitivity and downstream influence of the impinging leading-edge vortex instability in a bileaflet mechanical heart valve

Published online by Cambridge University Press:  17 February 2022

Hadi Zolfaghari*
Affiliation:
Department of Applied Mathematics and Theoretical Physics, Centre for Mathematical Sciences, University of Cambridge, Cambridge CB3 0WA, UK
Rich R. Kerswell
Affiliation:
Department of Applied Mathematics and Theoretical Physics, Centre for Mathematical Sciences, University of Cambridge, Cambridge CB3 0WA, UK
Dominik Obrist
Affiliation:
ARTORG Center for Biomedical Engineering Research, University of Bern, 3010 Bern, Switzerland
Peter J. Schmid
Affiliation:
Department of Mathematics, Imperial College London, London SW7 2AZ, UK
*
†Email address for correspondence: hz382@cam.ac.uk

Abstract

Bileaflet mechanical heart valves (BMHV) create unphysiological turbulent flow. Such turbulent flow involves multiple instability mechanisms interacting with one another in a confined geometry. For instance, an impinging leading-edge vortex (ILEV) instability creates disturbances at the leading edge of the valve leaflets, while potentially promoting turbulence downstream of the BMHV (Zolfaghari and Obrist, Phys. Rev. Fluids, vol. 4, 2019). In this article, we use adjoint-based methods to study the structural sensitivity of the ILEV instability in the BMHV, and to quantify the role of this instability in the maximum disturbance energy growth in the wake of the BMHV. We first present a direct numerical simulation to show the effect of the ILEV instability on the turbulent flow in the wake of the valve. Second, we perform a modal linear stability analysis on a two-dimensional subdomain attached to the leading edge of one leaflet. We investigate the sensitivity of the global modes associated with this flow using their adjoints, and then show a passive control scenario using a local feedback source. This results in a partial improvement in the flow oscillations downstream of the leaflets. We finally present a non-modal approach to identify the optimal initial conditions for achieving maximum energy growth at arbitrary locations. We show that, for sufficiently large times, the optimal initial condition for highest energy growth in the wake points at the leading edge, which includes the ILEV instability. Our study illustrates that an improved leading-edge shape can effectively reduce turbulence in the wake of the BMHV.

Information

Type
JFM Papers
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press
Figure 0

Figure 1.(a) Leading-edge view of a Regent mechanical valve (https://www.structuralheartsolutions.com). The valve leaflets are hinged within a metal frame housing, which is sutured to the aortic root. (b) Leaflet kinematics of BMHV: (–) numerical fluid–structure interaction simulation of Borazjani et al. (2008) and ($\circ$) experimental investigation of Dasi et al. (2007). The shaded area in blue shows the interval in which the valve is fully open, while the shaded area in grey shows the valve opening phase.

Figure 1

Figure 2.(a) A 3-D model of the BHMV in the aortic root. The 2-D cross-sections of leaflets in their plane of symmetry are shown in (1) open and (2) closed positions. (b, bottom) The cross-section of the root model at $x=0$ is shown. The three grey solid points indicate the centres of the spherical cavities representing the sinuses of the Valsalva. These cavities are positioned on the centres of the sides of an equilateral triangle, to which the aortic root cross-section is circumscribed ($r_s={r_r\sqrt {3}}/{2}$). (b, top) The geometry of the leaflet in the spanwise direction. The spanwise profile of the leading edge of the leaflet is modelled as a semicircle whose centre is located on the domain's axis of symmetry and on the leading edge (grey cross mark), and has a radius of $l_l$. All geometrical parameters of the model except those related to the cavities are given in table 1.

Figure 2

Table 1.Geometrical parameters of the 3-D model.

Figure 3

Figure 3.Acceleration part of the waveform used in the DNS. The horizontal dashed line marks the peak flow rate, corresponding to a mean flow velocity $\mathscr {U}_{in}=2\mathscr {U}_0$.

Figure 4

Figure 4.Evolution of the streamwise velocity for the subset of flow field corresponding to the $z=0$ plane. This plane cuts through the leaflets at their axis of symmetry. Snapshots, from left to right, are taken at $t=60,\ 96$ and $132\,{\rm ms}$ through the acceleration waveform (cf. figure 3). Dark red and dark blue regions show maximum and minimum velocities. Observed flow instabilities include, (i) laminar Burgers-like structures straining in the wake, (ii) 3-D instability in the cavities, (iii) stable Falkner–Skan-type boundary layers with favourable pressure gradients on the outer side of the valve leaflets, (iv) unstable ILEV on the inner sides of the leaflets and (v) nonlinear breakdown in the wake due to an interaction of the instabilities induced by the ILEV with the Burgers vortices in the wake.

Figure 5

Figure 5.Iso-surfaces of $\lambda _2=-0.01$ coloured by the streamwise velocity, for a cuboid subset of the flow field encompassing one leaflet in the central orifice area ($2r_h\le r\le 0$). Light yellow and light blue regions show maximum and minimum streamwise velocities, respectively. The red dashed line shows the leading edge, and the green dashed line shows the trailing edge. Four zones of flow instability are marked in the streamwise direction. LS denotes the laminar separation zone, which corresponds to a shear layer that is inherently uniform in the spanwise direction. PR shows the narrow extent over which primary rolls appear as a result of a primary ILEV instability. SI marks the approximate interval where primary rolls undergo a secondary instability and become rapidly three-dimensional. TWB shows the turbulent wake breakdown area, where ILEV instabilities interact with leaflet wake structures, causing a turbulent wake.

Figure 6

Figure 6.Small spanwise variations in velocity profiles inside the laminar extent of ILEV. Streamwise (black) and cross-stream (blue) velocity profiles are shown for three different spanwise locations $z=0\,{\rm mm}, z=-4.5\,{\rm mm}$ and $z=-9\,{\rm mm}$ at $t=72\,{\rm ms}$.

Figure 7

Figure 7.Effect of ILEV instability on the wake turbulence: streamwise velocity on the $r=0$ plane (left panels, which correspond to the dotted line on the right panels) and $x=0$ plane (right panels, which correspond to the dashed line on the left panels) at $t=84\,{\rm ms}$ are shown for the original BMHV design (top) and for the modified leaflet design (bottom). Significantly less wake oscillations are seen for the control case. The cross-sections in the right panels show no oscillatory flow in the central orifice for the control case.

Figure 8

Figure 8.The local subdomain used for the global stability analysis. The grey lines show the background grid $\tilde {\mathcal {G}}$. The true spatial resolution is three times higher than the finer grid patches illustrated near the leaflet boundary. The shaded subdomain represents the grid subset $\mathcal {W}$, for which the global matrices are formed. The grid points near the boundary (labelled as $\partial _{wall}$) are treated by the sharp-interface immersed boundary method. The local coordinate system ($\xi,\eta$) used for the global instability analysis is also given. The origin of the streamwise axis $\xi$ is located at the leaflet's leading edge. The cross-stream axis $\eta$ extends from the centreline ($\eta =0$) to the leaflet surface ($\eta =\eta ^*(\xi )$) at each streamwise location $\xi$ (see red dashed line).

Figure 9

Algorithm 1Two-dimensional global instability solver with immersedboundaries

Figure 10

Figure 9.Global modes (a) A and (b) B, visualised by the real part of the streamwise velocity component. Dashed lines mark the extent of the local absolute instability. Approximate separation streamlines for the mean flow are drawn as solid black lines. Dark red and dark blue colours indicate the colour map extrema.

Figure 11

Figure 10.Adjoint global modes (a) A and (b) B, visualised by the streamwise velocity component. Dashed lines mark the extent of the local absolute instability. Approximate separation streamlines for the mean flow are drawn as solid black lines. Dark red and dark blue colours indicate the colour map extrema. Larger magnitudes correspond to higher sensitivities of the global modes to the underlying flow.

Figure 12

Figure 11.Components of the sensitivity tensor $\boldsymbol{\mathsf{S}}$ for mode A. Yellow areas denote the maximum, blue areas denote the minimum sensitivity. The domain between the dashed white lines is locally absolutely unstable.

Figure 13

Figure 12.Components of the sensitivity tensor $\boldsymbol{\mathsf{S}}$ for mode B. Yellow areas denote the maximum, blue areas denote the minimum sensitivity. The domain between the dashed white lines is locally absolutely unstable (wave-maker region).

Figure 14

Figure 13.Instantaneous vorticity for (a) baseline ILEV flow and (b) ILEV flow with local feedback control corresponding to mode B.

Figure 15

Figure 14.Effect of passive control based on momentum feedback on normalised enstrophy $\boldsymbol {E}_S(\pmb {\omega })$ at ((a), in central orifice) 5.76 mm and ((b), in the wake) 12.96 mm downstream of the leading edge. The integration area $S$ was a circle of radius 3.6 mm and centred on $r=0$ mm.

Figure 16

Figure 15.Time-averaged (a) streamwise and (b) cross-stream velocity components around the ILEV in the BMHV.

Figure 17

Figure 16.Growth (left axis) and residual (right axis) for the mid-leaflet mask and for $T=0.01$.

Figure 18

Figure 17.Streamwise component of (a,c,e) optimal initial and (b,d,f) final states are demonstrated for a mid-leaflet mask. From top to bottom, cases with $T=0.01$, $T=0.05$ and $T=0.1$ are shown, respectively. The domain within the circle identifies the mask $\varOmega _v$. Dark blue and light yellow areas signify minimum negative and maximum positive velocity disturbances, respectively.

Figure 19

Figure 18.Streamwise component of the (a,c,e,g) optimal initial and (b,d,f,h) final states are demonstrated for a trailing-edge mask. From top to bottom, cases with $T=0.01$, $T=0.05$, $T=0.1$ and $T=0.2$ are shown, respectively. The domain within the circle identifies the mask $\varOmega _v$. Dark blue and light yellow areas signify minimum negative and maximum positive velocity disturbances, respectively.

Figure 20

Figure 19.Initial (a) and final (b) states for a wake mask and a terminal time $T=0.4$. The domain within the circle identifies the mask $\varOmega _v$. Dark blue and light yellow areas indicate the minimum negative and maximum positive velocity disturbances, respectively.

Figure 21

Figure 20.Independence of the structure of mode A ($\tilde {\beta }=0.00181\mathrm {i}$) from the location of outflow boundary. From top to bottom, the modes are calculated for domain longitudinal extents of $L_0$ (original case), $1.25L_0$ and $1.5L_0$.

Figure 22

Figure 21.Independence of the structure of mode B ($\tilde {\beta }= 0.00175\mathrm {i}$) from the location of outflow boundary. From top to bottom, the modes are calculated for domain longitudinal extents of $L_0$ (original case), $1.25L_0$ and $1.5L_0$.

Figure 23

Figure 22.Growth (a) and residual (b) for the adjoint looping simulation for plane channel flow at $Re=3000$ and $\alpha =1$. The calculated value for the maximum growth based on eigenfunctions is shown on the panel a as $G_{max}$.

Figure 24

Figure 23.Optimal initial conditions for the maximum energy growth for disturbances with $\alpha =1$ at time $T=15$ in plane channel flow at $Re=3000$. Colours are magnified tenfold for ${\tilde {v}}^\prime (\boldsymbol{\mathsf{x}},0)$ for visualisation clarity.