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Am J Physiol Heart Circ Physiol 289: H439-H446, 2005. First published March 25, 2005; doi:10.1152/ajpheart.00730.2004
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Analysis of blood flow in the entire coronary arterial tree

N. Mittal,1 Y. Zhou,2 C. Linares,1 S. Ung,1 B. Kaimovitz,1 S. Molloi,3 and G. S. Kassab1

1Department of Biomedical Engineering, University of California, Irvine; 2Department of Environmental Health, Cedars-Sinai Medical Center, Los Angeles; and 3Department of Radiological Sciences, University of California, Irvine, California

Submitted 21 July 2004 ; accepted in final form 17 February 2005

A hemodynamic analysis of coronary blood flow must be based on the measured branching pattern and vascular geometry of the coronary vasculature. We recently developed a computer reconstruction of the entire coronary arterial tree of the porcine heart based on previously measured morphometric data. In the present study, we carried out an analysis of blood flow distribution through a network of millions of vessels that includes the entire coronary arterial tree down to the first capillary branch. The pressure and flow are computed throughout the coronary arterial tree based on conservation of mass and momentum and appropriate pressure boundary conditions. We found a power law relationship between the diameter and flow of each vessel branch. The exponent is ~2.2, which deviates from Murray’s prediction of 3.0. Furthermore, we found the total arterial equivalent resistance to be 0.93, 0.77, and 1.28 mmHg·ml–1·s–1·g–1 for the right coronary artery, left anterior descending coronary artery, and left circumflex artery, respectively. The significance of the present study is that it yields a predictive model that incorporates some of the factors controlling coronary blood flow. The model of normal hearts will serve as a physiological reference state. Pathological states can then be studied in relation to changes in model parameters that alter coronary perfusion.

vascular reconstruction; coronary morphometry; flow simulation; flow resistance; transit time



Address for reprint requests and other correspondence: G. S. Kassab, Dept. of Biomedical Engineering, Univ. of California, Irvine, 204 Rockwell Engineering Center, Irvine, CA 92697-2715 (E-mail: gkassab{at}uci.edu)




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