Mechanical Concepts Applied in Congenital Heart Disease and Cardiac Surgery
All biological processes are governed by principles of physics that dictate the pathophysiology and even the treatment of congenital heart diseases. In this review, basic concepts such as flow, pressure, resistance, and velocity are introduced, followed by more complex laws that describe the relatio...
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Veröffentlicht in: | The Annals of thoracic surgery 2017-06, Vol.103 (6), p.2005-2014 |
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container_end_page | 2014 |
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container_issue | 6 |
container_start_page | 2005 |
container_title | The Annals of thoracic surgery |
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creator | Gerrah, Rabin, MD Haller, Stephen J., BS George, Isaac, MD |
description | All biological processes are governed by principles of physics that dictate the pathophysiology and even the treatment of congenital heart diseases. In this review, basic concepts such as flow, pressure, resistance, and velocity are introduced, followed by more complex laws that describe the relationship between these variables and the disease processes. Finally, physical phenomena such as turbulence, steal and runoff phenomenon, and energy loss are discussed. By application of these principles, one can accurately quantify modifications undertaken to treat diseases, for example, the size of a patch that augments a vessel and the angle of an anastomosis to allow a certain flow. |
doi_str_mv | 10.1016/j.athoracsur.2017.01.068 |
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In this review, basic concepts such as flow, pressure, resistance, and velocity are introduced, followed by more complex laws that describe the relationship between these variables and the disease processes. Finally, physical phenomena such as turbulence, steal and runoff phenomenon, and energy loss are discussed. By application of these principles, one can accurately quantify modifications undertaken to treat diseases, for example, the size of a patch that augments a vessel and the angle of an anastomosis to allow a certain flow.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/j.athoracsur.2017.01.068</identifier><identifier>PMID: 28457478</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Cardiac Surgical Procedures ; Cardiothoracic Surgery ; Cardiovascular Physiological Phenomena ; Elasticity ; Heart Defects, Congenital - physiopathology ; Heart Defects, Congenital - surgery ; Hemodynamics - physiology ; Humans ; Surgery</subject><ispartof>The Annals of thoracic surgery, 2017-06, Vol.103 (6), p.2005-2014</ispartof><rights>The Society of Thoracic Surgeons</rights><rights>2017 The Society of Thoracic Surgeons</rights><rights>Copyright © 2017 The Society of Thoracic Surgeons. 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In this review, basic concepts such as flow, pressure, resistance, and velocity are introduced, followed by more complex laws that describe the relationship between these variables and the disease processes. Finally, physical phenomena such as turbulence, steal and runoff phenomenon, and energy loss are discussed. By application of these principles, one can accurately quantify modifications undertaken to treat diseases, for example, the size of a patch that augments a vessel and the angle of an anastomosis to allow a certain flow.</description><subject>Cardiac Surgical Procedures</subject><subject>Cardiothoracic Surgery</subject><subject>Cardiovascular Physiological Phenomena</subject><subject>Elasticity</subject><subject>Heart Defects, Congenital - physiopathology</subject><subject>Heart Defects, Congenital - surgery</subject><subject>Hemodynamics - physiology</subject><subject>Humans</subject><subject>Surgery</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU1P3DAQhq2qVVm2_QtVjlwSxs6HnUslWFpAUHFYerZm7Vnwkk1SO0Haf4_DLlTqqaeRZ96Z8TwvYwmHjAOvTjcZDo-dRxNGnwngMgOeQaU-sBkvS5FWoqw_shkA5GlRy_KIHYewiU8Ry5_ZkVBFKQupZuzmF5lHbJ3BJll0raF-CMlZ3zeObOLaKfdArRti-YrQD8mFC4SBEmxtskBvHZpkOfoH8rsv7NMam0BfD3HOfv_8cb-4Sm_vLq8XZ7epKWQ9pPGDEqnG1aqqOQgEVSEVIAolK4klgEXIgStaG6CSY2HyHK01AhQSlet8zk72c3vf_RkpDHrrgqGmwZa6MWiu6ryuVKF4lKq91PguBE9r3Xu3Rb_THPSEUm_0X5R6QqmB64gytn47bBlXW7LvjW_souB8L6B467Mjr4NxFBFa58kM2nbuf7Z8_2eIadyrHU-0o7DpRt9GlprrIDTo5WTp5CiXEZGMh74Axw2exg</recordid><startdate>20170601</startdate><enddate>20170601</enddate><creator>Gerrah, Rabin, MD</creator><creator>Haller, Stephen J., BS</creator><creator>George, Isaac, MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170601</creationdate><title>Mechanical Concepts Applied in Congenital Heart Disease and Cardiac Surgery</title><author>Gerrah, Rabin, MD ; Haller, Stephen J., BS ; George, Isaac, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c479t-5527ae9abb69102a086ae40248767a500da03018efc0e51a4c33addc208aee5f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Cardiac Surgical Procedures</topic><topic>Cardiothoracic Surgery</topic><topic>Cardiovascular Physiological Phenomena</topic><topic>Elasticity</topic><topic>Heart Defects, Congenital - physiopathology</topic><topic>Heart Defects, Congenital - surgery</topic><topic>Hemodynamics - physiology</topic><topic>Humans</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gerrah, Rabin, MD</creatorcontrib><creatorcontrib>Haller, Stephen J., BS</creatorcontrib><creatorcontrib>George, Isaac, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gerrah, Rabin, MD</au><au>Haller, Stephen J., BS</au><au>George, Isaac, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mechanical Concepts Applied in Congenital Heart Disease and Cardiac Surgery</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>2017-06-01</date><risdate>2017</risdate><volume>103</volume><issue>6</issue><spage>2005</spage><epage>2014</epage><pages>2005-2014</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><abstract>All biological processes are governed by principles of physics that dictate the pathophysiology and even the treatment of congenital heart diseases. 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source | MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
subjects | Cardiac Surgical Procedures Cardiothoracic Surgery Cardiovascular Physiological Phenomena Elasticity Heart Defects, Congenital - physiopathology Heart Defects, Congenital - surgery Hemodynamics - physiology Humans Surgery |
title | Mechanical Concepts Applied in Congenital Heart Disease and Cardiac Surgery |
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