Mitigation of sliding motion of a cask-canister by fluid-structure interaction in an annular region - 59208

International Nuclear Information System (INIS)

Ito, Tomohiro; Fujiwara, Yoshihiro; Shintani, Atsuhiko; Nakagaw, Chihiro; Furuta, Kazuhisa

2012-01-01

The cask-canister system is a coaxial circular cylindrical structure in which several spent fuels are installed. This system is a free-standing structure thus, it is very important to reduce sliding motion for very large seismic excitations. In this study, we propose a mitigation method for sliding motion. Water is installed in an annular region between a cask and a canister. The equations of motion are derived taking fluid-structure interaction into consideration for nonlinear sliding motion analyses. Based on these equations, mitigation effects of sliding motions are studied analytically. Furthermore, a fundamental test model of a cask-canister system is fabricated and shaking table tests are conducted. From the analytical and test results, sliding motion mitigation effects are investigated. In this paper, the sliding motion of the cask-canister system subjected to a horizontal base excitation is studied and the effectiveness of water filled in the annular region between the cask and the canister is evaluated. This water brings inertia force coupling effect which is proportional to acceleration of the cask and the canister. Therefore, due to this fluid coupling, the cask and canister system couples through 3 types of forces, i.e., spring force, damping force and inertia force of the liquid. Equations of motion for the sliding motion are derived based on the fluid-structure coupling effects formulated by Fritz. Based on these equations of motion, nonlinear sliding motion of the cask-canister system is analyzed and the sliding suppression effects are investigated numerically. Furthermore, a fundamental test model of a cask-canister system is fabricated and the shaking table tests are conducted. From these analytical and test results, the sliding motion suppression effects due to fluid-structure coupling effects are investigated. As a result, it is confirmed that the inertia coupling effects due to water filled in the annular region are relatively large, and the

Are objective measures of tricuspid annular motion and velocity used as frequently as recommended by current guidelines? A pilot study

Directory of Open Access Journals (Sweden)

Angel López-Candales

2018-03-01

Full Text Available In this retrospective study 420 echocardiograms from a single center were reviewed showing that TAPSE was acquired in 66% while TA TDI s’ signals were recorded in 98% of all echocardiograms. Based on these results greater efforts are required to standardize acquisition and reporting of objective measurements of RV function. Keywords: Echocardiography, Right ventricular dysfunction, TAPSE, Tricuspid annulus, M-mode, Tissue doppler imaging

Measurement of Quasi-periodic Oscillating Flow Motion in Simulated Dual-cooled Annular Fuel Bundle

International Nuclear Information System (INIS)

Lee, Chi Young; Shin, Chang Hwan; Park, Ju Yong; Oh, Dong Seok; Chun, Tae Hyun; In, Wang Kee

2012-01-01

In order to increase a significant amount of reactor power in OPR1000, KAERI (Korea Atomic Energy Research Institute) has been developing a dual-cooled annular fuel. The dual-cooled annular fuel is simultaneously cooled by the water flow through the inner and the outer channels. KAERI proposed the 12x12 dual-cooled annular fuel array which was designed to be structurally compatible with the 16x16 cylindrical solid fuel array by maintaining the same array size and the guide tubes in the same locations, as shown in Fig. 1. In such a case, due to larger outer diameter of dual-cooled annular fuel than conventional solid fuel, a P/D (Pitch-to-Diameter ratio) of dual cooled annular fuel assembly becomes smaller than that of cylindrical solid fuel. A change in P/D of fuel bundle can cause a difference in the flow mixing phenomena between the dual-cooled annular and conventional cylindrical solid fuel assemblies. In this study, the rod bundle flow motion appearing in a small P/D case is investigated preliminarily using PIV (Particle Image Velocimetry) for dual-cooled annular fuel application

Large animal model of acute right ventricular failure with functional tricuspid regurgitation.

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Malinowski, Marcin; Proudfoot, Alistair G; Eberhart, Lenora; Schubert, Hans; Wodarek, Jeremy; Langholz, David; Rausch, Manuel K; Timek, Tomasz A

2018-08-01

Functional tricuspid regurgitation (FTR) commonly arises secondary to conditions affecting the left heart and is associated with right ventricular dysfunction and tricuspid annular dilatation. We set out to establish an animal model of acute RV failure (RVF) with FTR resembling the clinical features. Ten adult sheep had pressure sensors placed in the LV, RV, and right atrium while sonomicrometry crystals were implanted around tricuspid annulus and on the RV. Animals were studied open-chest to assess for RV function and FTR after: (1) volume infusion, (2) pulmonary artery constriction, (3) 5 min posterior descending artery occlusion, and (4) combination of all interventions. Hemodynamic, echocardiographic, and sonomicrometry data were collected at baseline and after every intervention. RV dimensions, RV strain, and annular area, perimeter, and size were calculated from crystal coordinates. The model was validated in six additional sheep studied only before and after combined interventions. Neither volume infusion, pulmonary hypertension, nor ischemia were associated with RVF or clinically significant TR when applied separately but combined resulted in RVF and greater than moderate FTR. In the validation group, maximal RV volume increased (62 ± 14 vs 70 ± 16 ml, p = 0.006), contractility decreased (20 ± 6 vs 12 ± 2%, p = 0.02), and strain increased. FTR increased from 0.4 ± 0.5 to 2.5 ± 0.8 (p < 0.001) and annular area from 652 ± 87 mm 2 to 739 ± 87 mm 2 (p = 0.005). The developed ovine model of acute RVF was associated with significant annular and RV enlargement and FTR. This novel and clinically pertinent research platform offers insight into the acute RVF pathophysiology and can be utilized to evaluate treatment interventions. Copyright © 2018 Elsevier B.V. All rights reserved.

The role of annular dimension and annuloplasty in tricuspid aortic valve repair.

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de Kerchove, Laurent; Mastrobuoni, Stefano; Boodhwani, Munir; Astarci, Parla; Rubay, Jean; Poncelet, Alain; Vanoverschelde, Jean-Louis; Noirhomme, Philippe; El Khoury, Gebrine

2016-02-01

Valve sparing reimplantation can improve the durability of bicuspid aortic valve repair compared with subcommissural annuloplasty, especially in patients with a large basal ring. This study analyses the effect of basal ring size and annuloplasty on valve repair in the setting of a tricuspid aortic valve. From 1995 to 2013, 382 patients underwent elective tricuspid aortic valve repair. We included only those undergoing subcommissural annuloplasty, valve sparing reimplantation or no annuloplasty and in whom intraoperative transoesophageal echocardiography images were available for retrospective pre- and post-repair basal ring measurements (n = 323, subcommissural annuloplasty: 146, valve sparing reimplantation: 154, no annuloplasty: 23). In a subgroup of patients with available echocardiographic images, basal ring was retrospectively measured at the latest follow-up or prior to reoperation. subcommissural annuloplasty and valve sparing reimplantation were compared after matching for degree of aortic regurgitation and root size. All three groups differed significantly for most of preoperative characteristics. Hospital mortality was 0.9%. The median follow-up was 4.7 years. At 8 years, overall survival was 80 ± 5%. Freedom from reoperation and freedom from aortic regurgitation >1+ were 92 ± 5% and 71 ± 8%, respectively. In multivariate analysis, predictors of aortic regurgitation >1+ were left ventricular end-diastolic diameter (P = 0.003), cusp repair (P = 0.006), body surface area (P = 0.01) and subcommissural annuloplasty (P = 0.05). In subcommissural annuloplasty, freedom from aortic regurgitation >1+ was lower for patients with basal ring ≥28 mm compared with patients with basal ring 1+ was independent of basal ring size (P = 0.38). In matched comparison between subcommissural annuloplasty and valve sparing reimplantation, freedom from aortic regurgitation >1+ was not significantly different (P = 0.06), but in patients with basal ring ≥28 mm, valve sparing

Tricuspid Annular Plane Systolic Excursion and Its Association with Mortality in Critically Ill Patients.

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Gajanana, Deepakraj; Seetha Rammohan, Harish; Alli, Oluseun; Romero-Corral, Abel; Purushottam, Bhaskar; Ponamgi, Shiva; Figueredo, Vincent M; Pressman, Gregg S

2015-08-01

Transient left ventricular dysfunction can occur under conditions of extreme emotional or physiological stress. There is little data on right ventricular function in such situations. One hundred twenty patients admitted to an ICU with a noncardiac illness were studied. Those with documented coronary disease, ejection fraction <40%, sepsis, or intracranial hemorrhage were excluded. Echocardiograms were performed within 24 hours of admission. Tricuspid annular plane systolic excursion (TAPSE) was measured to assess right ventricular systolic function. Plasma catecholamines (norepinephrine, epinephrine, dopamine) were measured on admission. Clinical and demographic data were collected, along with data on ICU length of stay (LOS), hospital LOS, and in-hospital and long-term mortality. TAPSE was tested for correlation with adverse outcomes and length of stay. Mean TAPSE for the group was 2.05 ± 0.66 cm. Based on area under the ROC curve analysis, TAPSE <2.4 cm was the best cutoff for predicting in-hospital and long-term mortality. There were 13 in-hospital deaths, 12 in the group with TAPSE <2.4 cm and one among those with TAPSE ≥2.4 cm. On multivariate analysis, TAPSE <2.4 cm was a significant predictor of in-hospital mortality (χ(2)  = 4.6, P = 0.03). When tested against hospital LOS, an inverse correlation was found (P = 0.04). No association was found between TAPSE and catecholamine levels. Right ventricular systolic function, as assessed by TAPSE, has important prognostic value in critically ill patients. Mean values were lower in patients who died in-hospital versus those who survived to discharge. In addition, patients with TAPSE <2.4 cm had a longer hospital length of stay. © 2015, Wiley Periodicals, Inc.

Diseases of the Tricuspid Valve

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... stenosis. Tricuspid Regurgitation Tricuspid regurgitation is also called tricuspid insufficiency or tricuspid incompetence. It means there is a ... require valve surgery. Tags: heart valves , tricuspid incompetence , ... tricuspid regurgitation , tricuspid stenosis , valve disease Related Links ...

Recurrent Tricuspid Insufficiency

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Kara, Ibrahim; Koksal, Cengiz; Cakalagaoglu, Canturk; Sahin, Muslum; Yanartas, Mehmet; Ay, Yasin; Demir, Serdar

2013-01-01

This study compares the medium-term results of De Vega, modified De Vega, and ring annuloplasty techniques for the correction of tricuspid insufficiency and investigates the risk factors for recurrent grades 3 and 4 tricuspid insufficiency after repair. In our clinic, 93 patients with functional tricuspid insufficiency underwent surgical tricuspid repair from May 2007 through October 2010. The study was retrospective, and all the data pertaining to the patients were retrieved from hospital records. Functional capacity, recurrent tricuspid insufficiency, and risk factors aggravating the insufficiency were analyzed for each patient. In the medium term (25.4 ± 10.3 mo), the rates of grades 3 and 4 tricuspid insufficiency in the De Vega, modified De Vega, and ring annuloplasty groups were 31%, 23.1%, and 6.1%, respectively. Logistic regression analysis revealed that chronic obstructive pulmonary disease, left ventricular dysfunction (ejection fraction, tricuspid insufficiency. Medium-term survival was 90.6% for the De Vega group, 96.3% for the modified De Vega group, and 97.1% for the ring annuloplasty group. Ring annuloplasty provided the best relief from recurrent tricuspid insufficiency when compared with DeVega annuloplasty. Modified De Vega annuloplasty might be a suitable alternative to ring annuloplasty when rings are not available. PMID:23466680

Functional Tricuspid Regurgitation Caused by Chronic Atrial Fibrillation: A Real-Time 3-Dimensional Transesophageal Echocardiography Study.

Science.gov (United States)

Utsunomiya, Hiroto; Itabashi, Yuji; Mihara, Hirotsugu; Berdejo, Javier; Kobayashi, Sayuki; Siegel, Robert J; Shiota, Takahiro

2017-01-01

Functional tricuspid regurgitation (TR) with a structurally normal tricuspid valve (TV) may occur secondary to chronic atrial fibrillation (AF). However, the clinical and echocardiographic differences according to functional TR subtypes are unclear. Therefore, characterization of functional TR because of chronic AF (AF-TR) remains undetermined. To investigate the prevalence of AF-TR, 437 patients with moderate to severe TR underwent 3-dimensional (3D) transesophageal echocardiography. TR severity was determined by the averaged vena contracta width on apical and parasternal inflow views. The prevalence of AF-TR was 9.2%, whereas that of functional TR because of left-sided heart disease was 45.3%. Clinical features of AF-TR included advanced age, female sex, greater right atrial than left atrial enlargement and lower systolic pulmonary artery pressure compared with left-sided heart disease-TR with sinus rhythm (all P<0.05). In 3D TV assessment, patients with AF-TR had a larger TV annular area with weaker annular contraction (both P<0.001) but a smaller tethering angle (P<0.001) despite a similar leaflet coaptation status compared with patients with left-sided heart disease-TR with sinus rhythm. On multivariable analysis, only the TV annular area in midsystole (coefficient, 0.059; 95% confidence interval, 0.041-0.078 per 100 mm 2 ; P<0.001) was associated with TR severity in AF-TR. The annular area was more closely correlated with the right atrial volume than right ventricular end-systolic volume in AF-TR (P<0.001). AF-TR is not rare and is associated with advanced age and right atrial enlargement. TV deformations and their association with right heart remodeling differ between AF-TR and left-sided heart disease-TR. Our results suggest that in patients with TR secondary to AF, TV annuloplasty should be effective because this entity has annular dilatation without leaflet deformation. © 2017 American Heart Association, Inc.

Sloshing of water in annular pressure-suppression pool of boiling water reactors under earthquake ground motions

International Nuclear Information System (INIS)

Aslam, M.; Godden, W.G.; Scalise, D.T.

1979-10-01

This report presents an analytical investigation of the sloshing response of water in annular-circular as well as simple-circular tanks under horizontal earthquake ground motions, and the results are verified with tests. This study was motivated because of the use of annular tanks for pressure-suppression pools in Boiling Water Reactors. Such a pressure-suppression pool would typically have 80 ft and 120 ft inside and outside diameters and a water depth of 20 ft. The analysis was based upon potential flow theory and a computer program was written to obtain time-history plots of sloshing displacements of water and the dynamic pressures. Tests were carried out on 1/80th and 1/15th scale models under sinusoidal as well as simulated earthquake ground motions. Tests and analytical results regarding the natural frequencies, surface water displacements, and dynamic pressures were compared and a good agreement was found for relatively small displacements. The computer program gave satisfactory results as long as the maximum water surface displacements were less than 30 in., which is roughly the value obtained under full intensity of El Centro earthquake

Minimally Invasive Implantation of HeartWare Assist Device and Simultaneous Tricuspid Valve Reconstruction Through Partial Upper Sternotomy.

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Hillebrand, Julia; Hoffmeier, Andreas; Djie Tiong Tjan, Tonny; Sindermann, Juergen R; Schmidt, Christoph; Martens, Sven; Scherer, Mirela

2017-05-01

Left ventricular assist device (LVAD) implantation is a well-established therapy to support patients with end-stage heart failure. However, the operative procedure is associated with severe trauma. Third generation LVADs like the HeartWare assist device (HeartWare, Inc., Framingham, MA, USA) are characterized by enhanced technology despite smaller size. These devices offer new minimally invasive surgical options. Tricuspid regurgitation requiring valve repair is frequent in patients with the need for mechanical circulatory support as it is strongly associated with ischemic and nonischemic cardiomyopathy. We report on HeartWare LVAD implantation and simultaneous tricuspid valve reconstruction through minimally invasive access by partial upper sternotomy to the fifth left intercostal space. Four male patients (mean age 51.72 ± 11.95 years) suffering from chronic heart failure due to dilative (three patients) and ischemic (one patient) cardiomyopathy and also exhibiting concomitant tricuspid valve insufficiency due to annular dilation underwent VAD implantation and tricuspid valve annuloplasty. Extracorporeal circulation was established via the ascending aorta, superior vena cava, and right atrium. In all four cases the LVAD implantation and tricuspid valve repair via partial median sternotomy was successful. During the operative procedure, no conversion to full sternotomy was necessary. One patient needed postoperative re-exploration because of pericardial effusion. No postoperative focal neurologic injury was observed. New generation VADs are advantageous because of the possibility of minimally invasive implantation procedure which can therefore minimize surgical trauma. Concomitant tricuspid valve reconstruction can also be performed simultaneously through partial upper sternotomy. Nevertheless, minimally invasive LVAD implantation is a challenging operative technique. © 2016 International Center for Artificial Organs and Transplantation and Wiley Periodicals

Large animal model of functional tricuspid regurgitation in pacing induced end-stage heart failure.

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Malinowski, Marcin; Proudfoot, Alistair G; Langholz, David; Eberhart, Lenora; Brown, Michael; Schubert, Hans; Wodarek, Jeremy; Timek, Tomasz A

2017-06-01

Functional tricuspid regurgitation (FTR) is common in patients with advanced heart failure and frequently complicates left ventricular assist device implantation yet remains poorly understood. We set out to establish large animal model of FTR that could serve as a research platform to investigate the pathogenesis of FTR associated with end-stage heart failure. : Through right thoracotomy, ten adult sheep underwent implantation of pacemaker with epicardial LV lead, five sonomicrometry crystals on the right ventricle, and left and right ventricular telemetry pressure sensors during a beating heart off-pump procedure. After 5 ± 1 days of recovery, baseline haemodynamic, echocardiographic and sonomicrometry data were collected. Animals were paced thereafter at a rate of 220-240 beats/min until the development of heart failure and concomitant tricuspid regurgitation. : Three animals died during early recovery period and one during the pacing phase. Six surviving animals were paced for a mean of 14 ± 5 days. Cardiac function was significantly depressed compared to baseline, with LV ejection fraction falling from 69 ± 2% to 22 ± 4% ( P  tricuspid annulus (from 29.5 ± 1.6 to 36.5 ± 4.5 mm; P  = 0.01) and right ventricle (from 21.9 ± 0.2 to 30.3 ± 0.6 mm; P  = 0.03). Sonomicrometry derived contractility of RV free wall was depressed and at least moderate tricuspid insufficiency developed in all animals. : Biventricular dysfunction, tricuspid annular dilatation and significant FTR were observed in our model of ovine tachycardia induced cardiomyopathy. This animal model reflects the clinical situation of end-stage heart failure patients presenting for mechanical support. © The Author 2017. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

Combined Tricuspid Valvuloplasty and Superior Cavopulmonary Anastomosis for Repair of Traumatic Tricuspid Valve Injury

OpenAIRE

Dimas, V. Vivian; Grifka, Ronald G.; Fraser, Charles D.

2004-01-01

Chronic tricuspid valve insufficiency secondary to blunt chest trauma is rare in the pediatric population, with fewer than 10 cases reported. Surgical repair has focused on the tricuspid valve. We present 2 cases of traumatic tricuspid valve insufficiency in pediatric patients after blunt chest trauma in whom tricuspid valve repair was performed along with superior cavopulmonary anastomosis. To our knowledge, this is the 1st report of the use of this combination of surgical procedures for rep...

[Usefulness of tricuspid annular displacement (TAD) to identify right ventricular dysfunction in normotensive patients with acute pulmonary embolism].

Science.gov (United States)

Hugues, T; Yaici, K; Latcu, D-G; Rinaldi, J-P; Zarqane, N; Saoudi, N; Gibelin, P

2011-02-01

Echocardiographic criteria of right ventricular dysfunction (RVD) in acute pulmonary embolism (PE) differ among published studies. Assessment of RV systolic function remains difficult because of the RV's complex shape. We aimed to evaluate RV systolic function with TAD in patients (pts) with acute PE. TAD (QLAB, Philips Medical Imaging) was based on a tissue-tracking algorithm that is ultrasound beam angle independent for automated detection of tricuspid annular displacement. Prospective and observational study. All adults' pts who were diagnosed with PE from December 2008 to December 2009 at Princess Grace Hospital, Monaco were eligible for this study after exclusion of history of heart failure. We evaluated 36 consecutive pts with PE (18 male, mean age 62.7 years), which underwent echocardiography, plasma BNP titration during the first day after admission, and a second echocardiography obtained within 48 hours before discharge. TAD value were significantly lower in pts with abnormal RV function by echocardiogram (15.9 ± 0.3 vs. 12.7 ± 0.2 ; P = 0.026). Pts with a normal BNP (TAD (16.4 ± 0.2 vs. 11.2 ± 0.3 mm ; P TAD were significantly improved. There was no difference between TAD among pts with echocardiographic RVD at baseline vs. pts without RVD (14.9 ± 3.7 vs. 16.1 ± 2.9 mm ; P = 0.3). Four pts who deteriorated during short-term observation had substantially lower TAD values than those with uncomplicated courses (7.7 ± 0.4mm vs. 14.6 ± 0.2 mm ; P = 0.001). In conclusion, impaired TAD was associated with decreased RV systolic function in pts with acute PE. To identify the clinical meaning of decreased TAD, larger trials with longer follow-up periods are needed. Copyright © 2010 Elsevier Masson SAS. All rights reserved.

Management of tricuspid valve regurgitation: Position statement of the European Society of Cardiology Working Groups of Cardiovascular Surgery and Valvular Heart Disease.

Science.gov (United States)

Antunes, Manuel J; Rodríguez-Palomares, José; Prendergast, Bernard; De Bonis, Michele; Rosenhek, Raphael; Al-Attar, Nawwar; Barili, Fabio; Casselman, Filip; Folliguet, Thierry; Iung, Bernard; Lancellotti, Patrizio; Muneretto, Claudio; Obadia, Jean-François; Pierard, Luc; Suwalski, Piotr; Zamorano, Pepe

2017-12-01

Tricuspid regurgitation (TR) is a very frequent manifestation of valvular heart disease. It may be due to the primary involvement of the valve or secondary to pulmonary hypertension or to the left-sided heart valve disease (most commonly rheumatic and involving the mitral valve). The pathophysiology of secondary TR is complex and is intrinsically connected to the anatomy and function of the right ventricle. A systematic multimodality approach to diagnosis and assessment (based not only on the severity of the TR but also on the assessment of annular size, RV function and degree of pulmonary hypertension) is, therefore, essential. Once considered non-important, treatment of secondary TR is currently viewed as an essential concomitant procedure at the time of mitral (and, less frequently, aortic valve) surgery. Although the indications for surgical management of severe TR are now generally accepted (Class I), controversy persists concerning the role of intervention for moderate TR. However, there is a trend for intervention in this setting, especially at the time of surgery for left-sided heart valve disease and/or in patients with significant tricuspid annular dilatation (Class IIa). Currently, surgery remains the best approach for the interventional treatment of TR. Percutaneous tricuspid valve intervention (both repair and replacement) is still in its infancy but may become a reliable option in future, especially for high-risk patients with isolated primary TR or with secondary TR related to advanced left-sided heart valve disease. © The Author 2017. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

[Tricuspid valve insufficiency: what should be done?].

Science.gov (United States)

von Segesser, L K; Stauffer, J C; Delabays, A; Chassot, P G

1998-12-01

Tricuspid regurgitation is relatively common. Due to the progress made in echocardiography, its diagnosis is in general made readily and in reliable fashion. Basically one has to distinguish between functional tricuspid valve regurgitation due to volume and/or pressure overload of the right ventricle with intact valve structures versus tricuspid valve regurgitation due to pathologic valve structures. The clear identification of the regurgitation mechanism is of prime importance for the treatment. Functional tricuspid valve regurgitation can often be improved by medical treatment of heart failure, and eventually a tricuspid valve plasty can solve the problem. However, the presence of pathologic tricuspid valve structures makes in general more specific plastic surgical procedures and even prosthetic valve replacements necessary. A typical example for a structural tricuspid valve regurgitation is the case of a traumatic papillary muscle rupture. Due to the sudden onset, this pathology is not well tolerated and requires in general surgical reinsertion of the papillary muscle. In contrast, tricuspid valve regurgitation resulting from chronic pulmonary embolism with pulmonary artery hypertension, can be improved by pulmonary artery thrombendarteriectomy and even completely cured with an additional tricuspid annuloplasty. However, tricuspid regurgitations due to terminal heart failure are not be addressed with surgery directed to tricuspid valve repair or replacement. Heart transplantation, dynamic cardiomyoplasty or mechanical circulatory support should be evaluated instead.

All you need to know about the tricuspid valve: Tricuspid valve imaging and tricuspid regurgitation analysis.

Science.gov (United States)

Huttin, Olivier; Voilliot, Damien; Mandry, Damien; Venner, Clément; Juillière, Yves; Selton-Suty, Christine

2016-01-01

The acknowledgment of tricuspid regurgitation (TR) as a stand-alone and progressive entity, worsening the prognosis of patients whatever its aetiology, has led to renewed interest in the tricuspid-right ventricular complex. The tricuspid valve (TV) is a complex, dynamic and changing structure. As the TV is not easy to analyse, three-dimensional imaging, cardiac magnetic resonance imaging and computed tomography scans may add to two-dimensional transthoracic and transoesophageal echocardiographic data in the analysis of TR. Not only the severity of TR, but also its mechanisms, the mode of leaflet coaptation, the degree of tricuspid annulus enlargement and tenting, and the haemodynamic consequences for right atrial and right ventricular morphology and function have to be taken into account. TR is functional and is a satellite of left-sided heart disease and/or elevated pulmonary artery pressure most of the time; a particular form is characterized by TR worsening after left-sided valve surgery, which has been shown to impair patient prognosis. A better description of TV anatomy and function by multimodality imaging should help with the appropriate selection of patients who will benefit from either surgical TV repair/replacement or a percutaneous procedure for TR, especially among patients who are to undergo or have undergone primary left-sided valvular surgery. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

Initial clinical experience with a novel biodegradable ring in patients with functional tricuspid insufficiency: Kalangos Biodegradable Tricuspid Ring.

Science.gov (United States)

Burma, O; Ustunsoy, H; Davutoglu, V; Celkan, M A; Kazaz, H; Pektok, E

2007-08-01

Tricuspid annuloplasty procedures have been widely performed in clinics for many years. The Kalangos Biodegradable Tricuspid Ring (Kalangos Biodegradable Tricuspid Ring, Bioring SA, Lonay, Switzerland) is a novel prosthesis for the treatment of tricuspid insufficiency. The aim of this study was to evaluate the clinical and echocardiographic results of this novel prosthesis for functional tricuspid insufficiency. Between October 2005 and May 2006, 15 patients with the diagnosis of moderate or severe functional tricuspid insufficiency were treated by implantation of a Kalangos Biodegradable Tricuspid Ring. All patients were evaluated clinically and by echocardiography preoperatively, and control tests were performed at the end of the 1st and 6th month following surgery. Moderate and severe insufficiency was documented in 11 and 4 patients, respectively, in the preoperative tests. 1 and 6 months after surgery, 4 patients had trace and 1 patient had mild tricuspid insufficiency, while 10 patients had none. At the 1st and 6th month follow-up, systolic pulmonary arterial pressure, right atrial dimension and right ventricular diastolic diameter were found to be significantly lower than the preoperative values ( P tricuspid valve area had decreased significantly at the end of the 1st month; however, no significant difference was found between the 1st and 6th month tests ( P > 0.05). Three-quarters of the annuloplasty ring had degraded at 6 months. No complications related to the prosthesis or the procedure occurred within this period. Kalangos Biodegradable Ring is a promising prosthesis in patients with functional tricuspid insufficiency, with encouraging initial results.

A New Technique for Reconstruction of the Tricuspid Valve Ring in Congenital Tricuspid Insufficiency

OpenAIRE

Montero, C. G.; Tellez, G.; Simarro, E.; Juffé, A.; Amau, J. G.; Gurgos, R.; Figuera, D.; Cortina, A.

1983-01-01

A 50-year-old man was treated for a dysplasia-type congenital tricuspid insufficiency. The tricuspid valve ring was repaired with a perforated Teflon patch graft and the valve was replaced. The patient was discharged in good condition and is well after 18 months of follow-up.

Annular dynamics of memo3D annuloplasty ring evaluated by 3D transesophageal echocardiography.

Science.gov (United States)

Nishi, Hiroyuki; Toda, Koichi; Miyagawa, Shigeru; Yoshikawa, Yasushi; Fukushima, Satsuki; Yoshioka, Daisuke; Sawa, Yoshiki

2018-04-01

We assessed the mitral annular motion after mitral valve repair with the Sorin Memo 3D® (Sorin Group Italia S.r.L., Saluggia, Italy), which is a unique complete semirigid annuloplasty ring intended to restore the systolic profile of the mitral annulus while adapting to the physiologic dynamism of the annulus, using transesophageal real-time three-dimensional echocardiography. 17 patients (12 male; mean age 60.4 ± 14.9 years) who underwent mitral annuloplasty using the Memo 3D ring were investigated. Mitral annular motion was assessed using QLAB®version8 allowing for a full evaluation of the mitral annulus dynamics. The mitral annular dimensions were measured throughout the cardiac cycle using 4D MV assessment2® while saddle shape was assessed through sequential measurements by RealView®. Saddle shape configuration of the mitral annulus and posterior and anterior leaflet motion could be observed during systole and diastole. The mitral annular area changed during the cardiac cycle by 5.7 ± 1.8%.The circumference length and diameter also changed throughout the cardiac cycle. The annular height was significantly higher in mid-systole than in mid-diastole (p 3D ring maintained a physiological saddle-shape configuration throughout the cardiac cycle. Real-time three-dimensional echocardiography analysis confirmed the motion and flexibility of the Memo 3D ring upon implantation.

Tricuspid Regurgitation Associated With Ischemic Mitral Regurgitation: Characterization, Evolution After Mitral Surgery, and Value of Tricuspid Repair.

Science.gov (United States)

Navia, José L; Elgharably, Haytham; Javadikasgari, Hoda; Ibrahim, Ahmed; Koprivanac, Marijan; Lowry, Ashley M; Blackstone, Eugene H; Klein, Allan L; Gillinov, A Marc; Roselli, Eric E; Svensson, Lars G

2017-08-01

Tricuspid regurgitation (TR) often accompanies ischemic mitral regurgitation and is generally assumed to be a secondary consequence of altered hemodynamics of the left-sided regurgitation. We hypothesized that it may also be a direct consequence of right-sided ischemic disease. Therefore, our objectives were to (1) characterize the nature of this TR and (2) describe its time course after mitral valve surgery for ischemic mitral regurgitation, with or without concomitant tricuspid valve repair. From 2001 to 2011, 568 patients with ischemic mitral regurgitation underwent mitral valve surgery. They had varying degrees of TR and altered right-side heart morphology and function; 131 had concomitant tricuspid valve repair. Postoperatively, 1,395 echocardiograms were available to assess residual and recurrent TR. Greater severity of preoperative TR was accompanied by larger tricuspid valve diameter, greater leaflet tethering, worse right ventricular function, and higher right ventricular pressure (all p [trend] ≤ 0.002). Without tricuspid valve repair, 31% of patients with no preoperative TR had moderate or greater TR by 5 years, as did 62% with moderate TR. With tricuspid valve repair, 25% with moderate preoperative TR remained in that grade at 5 years, but 11% had severe TR. Tricuspid regurgitation accompanying ischemic mitral regurgitation is associated with right-side heart remodeling and dysfunction often mirroring that occurring in the left side of the heart-ischemic TR. Tricuspid valve repair is effective initially, but as with mitral valve repair, TR progressively returns. Therefore, when the severity of TR and right-sided remodeling reaches the point of irreversibility, it may be an indication to eliminate the TR by replacing the tricuspid valve. Copyright © 2017 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Magneto-elastic dynamics and bifurcation of rotating annular plate*

International Nuclear Information System (INIS)

Hu Yu-Da; Piao Jiang-Min; Li Wen-Qiang

2017-01-01

In this paper, magneto-elastic dynamic behavior, bifurcation, and chaos of a rotating annular thin plate with various boundary conditions are investigated. Based on the thin plate theory and the Maxwell equations, the magneto-elastic dynamic equations of rotating annular plate are derived by means of Hamilton’s principle. Bessel function as a mode shape function and the Galerkin method are used to achieve the transverse vibration differential equation of the rotating annular plate with different boundary conditions. By numerical analysis, the bifurcation diagrams with magnetic induction, amplitude and frequency of transverse excitation force as the control parameters are respectively plotted under different boundary conditions such as clamped supported sides, simply supported sides, and clamped-one-side combined with simply-anotherside. Poincaré maps, time history charts, power spectrum charts, and phase diagrams are obtained under certain conditions, and the influence of the bifurcation parameters on the bifurcation and chaos of the system is discussed. The results show that the motion of the system is a complicated and repeated process from multi-periodic motion to quasi-period motion to chaotic motion, which is accompanied by intermittent chaos, when the bifurcation parameters change. If the amplitude of transverse excitation force is bigger or magnetic induction intensity is smaller or boundary constraints level is lower, the system can be more prone to chaos. (paper)

Transcatheter Therapies for Treating Tricuspid Regurgitation.

Science.gov (United States)

Rodés-Cabau, Josep; Hahn, Rebecca T; Latib, Azeem; Laule, Michael; Lauten, Alexander; Maisano, Francesco; Schofer, Joachim; Campelo-Parada, Francisco; Puri, Rishi; Vahanian, Alec

2016-04-19

Tricuspid valve (TV) disease has been relatively neglected, despite the known association between severe tricuspid regurgitation (TR) and mortality. Few patients undergo isolated tricuspid surgery, which remains associated with high in-hospital mortality rates, particularly in patients with prior left-sided valve surgery. Patients with severe TR are often managed medically for years before TV repair or replacement. Current guidelines recommend TV repair in the presence of a dilated tricuspid annulus at the time of a left-sided valve surgical intervention, even if regurgitation is mild. This proposed algorithm aims to prevent the inevitable progression to severe TR and the need for a second surgical intervention. Recently, novel transcatheter treatment options were developed for treating patients with severe TR and right heart failure with prohibitive surgical risk. Here we describe currently available transcatheter treatment options for severe TR implanted at different levels: the junction between vena cavae and right atrium; the tricuspid annulus; or between TV leaflets, improving coaptation. Copyright © 2016 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

Tricuspid Valve Repair for the Poor Right Ventricle: Tricuspid Valve Repair in Patients with Mild-to-Moderate Tricuspid Regurgitation Undergoing Mitral Valve Repair Improves In-Hospital Outcome.

Science.gov (United States)

Zientara, Alicja; Genoni, Michele; Graves, Kirk; Odavic, Dragan; Löblein, Helen; Häussler, Achim; Dzemali, Omer

2017-12-01

Background  Tricuspid regurgitation (TR) in patients undergoing surgery for mitral valve (MV) increases morbidity and mortality, especially in case of a poor right ventricle. Does repair of mild-to-moderate insufficiency of the tricuspid valve (TV) in patients undergoing MV surgery lead to a benefit in early postoperative outcome? Methods  A total of 22 patients with mild-to-moderate TR underwent MV repair and concomitant TV repair with Tri-Ad (Medtronic ATS Medical Inc., Minneapolis, Minnesota, United States) and Edwards Cosgrove (Edwards Lifesciences Irvine, California, United States) rings. The severity of TR was assessed echocardiographically by using color-Doppler flow images. The tricuspid annular plane systolic excursion (TAPSE) was under 1.7 cm. Additional procedures included coronary artery bypass ( n  = 9) and maze procedure ( n  = 15). The following parameters were compared: postoperative and peak dose of noradrenaline (NA), pre/postoperative systolic pulmonary pressure (sPAP), extubation time, operation time, cross-clamp time, cardiopulmonary bypass (CPB) time, pre/postoperative ejection fraction (EF), intensive care unit (ICU)-stay, hospital stay, cell saver blood transfusion, intra/postoperative blood transfusion, and postoperative TR. Results  The mean age was 67 ± 14.8 years, 45% were male. Mean EF was 47 ± 16.2%, postoperative 52 ± 12.4%. sPAP was 46 ± 20.1 mm Hg preoperatively, sPAP was 40.6 ± 9.4 mm Hg postoperatively, NA postoperatively was 12 ± 10 μg/min, NA peak was 18 ± 11 μg/min, operation time was 275 ± 92 minutes, CPB was 145 ± 49 minutes, ICU stay was 2.4 ± 2.4 days, hospital stay was 10.8 ± 3.5 days, cell saver blood transfusion was 736 ± 346 mL, intraoperative transfusions were 2.5 ± 1.6. Two patients needed postoperative transfusions. A total of 19 patients were extubated at the 1st postoperative day, 2 patients at the 2nd day, and 1 at the 4th

Tricuspid valve dysplasia with severe tricuspid regurgitation: fetal pulmonary artery size predicts lung viability in the presence of small lung volumes.

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Nathan, A T; Marino, B S; Dominguez, T; Tabbutt, S; Nicolson, S; Donaghue, D D; Spray, T L; Rychik, J

2010-01-01

Congenital tricuspid valve disease (Ebstein's anomaly, tricuspid valve dysplasia) with severe tricuspid regurgitation and cardiomegaly is associated with poor prognosis. Fetal echocardiography can accurately measure right atrial enlargement, which is associated with a poor prognosis in the fetus with tricuspid valve disease. Fetal lung volumetric assessments have been used in an attempt to predict viability of fetuses using ultrasonogram and prenatal MRI. We describe a fetus with tricuspid dysplasia, severe tricuspid regurgitation, right atrial enlargement and markedly reduced lung volumes. The early gestational onset of cardiomegaly with bilateral lung compression raised the possibility of severe lung hypoplasia with decreased broncho-alveolar development. Use of fetal echocardiography with measurement of pulmonary artery size combined with prenatal MRI scanning of lung volumes resulted in an improved understanding of this anomaly and directed the management strategy towards a successful Fontan circulation. 2010 S. Karger AG, Basel.

Vanishing De Vega annuloplasty for functional tricuspid regurgitation.

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Duran, C M; Kumar, N; Prabhakar, G; Ge, Z; Bianchi, S; Gometza, B

1993-10-01

Annuloplasty is performed for significant functional tricuspid regurgitation even if it is presumed that in some cases the regurgitation will regress spontaneously after correction of the left-sided lesion. In an attempt to avoid the drawbacks of a permanent annuloplasty, we used a reabsorbable De Vega annuloplasty in a selected group of patients. Of 73 patients with functional tricuspid regurgitation operated on between May 1989 and May 1991, 25 with pulmonary arteriolar resistance below 400 dyne.sec.cm-5 underwent a De Vega annuloplasty with 2-0 polydioxanone suture. The diagnosis of significant functional tricuspid regurgitation (mean 2.74 +/- 1.05) was established by transthoracic color Doppler echocardiography in all patients. The degree of functional tricuspid regurgitation and pulmonary arteriolar resistance were measured with the patients anesthetized. In 16 patients the regurgitation remained severe (3+ to 4+) and in 9 it was moderate (2+). Twenty-three patients had mitral (12 repairs, 11 replacements) and 9 had aortic (4 repairs, 5 replacements) valve operations. The immediate postbypass residual functional tricuspid regurgitation was 0 to 1+ in 23 and 0 in 2. There was 1 (4%) operative death. The maximum follow-up period was 24 months (mean 13.9 months). There were 2 (8.3%) late deaths. Six patients underwent reoperation because of mitral dysfunction. Four of them who were reoperated on between 2 and 5 weeks after the initial procedure showed no recurrence of functional tricuspid regurgitation. The other 2, reoperated on at 5 and 10 months after the first operation, had recurrence of functional tricuspid regurgitation. Visual inspection of these two tricuspid valves showed a dilated anulus with otherwise normal valves. All surviving patients are in New York Heart Association functional class I or II without significant functional tricuspid regurgitation (mean 0.78 +/- 0.56). We concluded that functional tricuspid regurgitation in patients with low

The Double-Orifice Valve Technique to Treat Tricuspid Valve Incompetence.

Science.gov (United States)

Hetzer, Roland; Javier, Mariano; Delmo Walter, Eva Maria

2016-01-01

A straightforward tricuspid valve (TV) repair technique was used to treat either moderate or severe functional (normal valve with dilated annulus) or for primary/organic (Ebstein's anomaly, leaflet retraction/tethering and chordal malposition/tethering, with annular dilatation) TV incompetence, and its long-term outcome assessed. A double-orifice valve technique was employed in 91 patients (mean age 52.6 ± 23.2 years; median age 56 years; range: 0.6-82 years) with severe tricuspid regurgitation. Among the patients, three had post-transplant iatrogenic chordal rupture, five had infective endocarditis, 11 had mitral valve insufficiency, 23 had Ebstein's anomaly, and 47 had isolated severe TV incompetence. The basic principle was to reduce the distance between the coapting leaflets, wherein the most mobile leaflet could coapt to the opposite leaflet, by creating two orifices, ensuring valve competence. The TV repair was performed through a median sternotomy or right anterior thoracotomy in the fifth intercostal space under cardiopulmonary bypass. The degree and extent of creating a double-valve orifice was determined by considering the minimal body surface area (BSA)-related acceptable TV diameter. Repair was accomplished by passing pledgeted mattress sutures from the middle of the true anterior annulus to a spot on the opposite septal annulus, located approximately two-thirds of the length of the septal annulus to avoid injury to the bundle of His. The annular apposition divides the TV into a larger anterior and a smaller posterior orifices, enabling valve closure, on both sides. In adults, the diameter of the anterior valve orifice should be 23-25 mm, and the posterior orifice 15-18 mm; thus, the total valve orifice area is 5-6 cm2. In children, the total valve orifice should be a standard deviation of 1.7 mm for a BSA of 1.0m2. During a mean follow up of 8.7 ± 1.34 years (median 10 years; range: 1.5-25.9 years) there have been no reoperations for TV insufficiency

Tricuspid annular plane systolic excursion in the assessment of right ventricular function in children and adolescents after repair of tetralogy of Fallot.

Science.gov (United States)

Mercer-Rosa, Laura; Parnell, Aimee; Forfia, Paul R; Yang, Wei; Goldmuntz, Elizabeth; Kawut, Steven M

2013-11-01

Assessing right ventricular (RV) performance is essential for patients with tetralogy of Fallot (TOF). The aim of this study was to investigate the reliability and validity of tricuspid annular plane systolic excursion (TAPSE) against cardiac magnetic resonance imaging measures and cardiopulmonary exercise testing. A retrospective study was performed in 125 outpatients with repaired TOF with available protocol-driven echocardiography, cardiac magnetic resonance imaging, and exercise stress testing obtained as part of a cross-sectional study. TAPSE was measured on the two-dimensional apical four-chamber view on echocardiography by two readers. Multivariate linear regression was used to examine the association between TAPSE and measures of RV function and exercise capacity. The mean age was 12.6 ± 3.3 years, 41 patients (33%) were female, and 104 (83%) were white. TAPSE averaged 1.6 ± 0.37 cm, with an interreader intraclass correlation coefficient of 0.78 (n = 18). TAPSE was significantly associated with cardiac magnetic resonance-based RV stroke volume after adjustment for gender and body surface area (β = 13.8; 95% confidence interval, 2.25-25.30; P = .02). TAPSE was not associated with cardiac magnetic resonance-based RV ejection fraction (P = .77). On exercise testing, TAPSE was not associated with peak oxygen consumption, percentage of predicted oxygen consumption, oxygen pulse, or the ventilatory equivalent for carbon dioxide in patients with maximal exercise stress testing (n = 73 [58%]). TAPSE is reproducibly measured by echocardiography in patients with TOF. It is not associated with RV ejection fraction or exercise performance, and its association with RV stroke volume may be confounded by body size. On the basis of these results, TAPSE is not representative of global RV performance in patients with TOF. Copyright © 2013 American Society of Echocardiography. Published by Mosby, Inc. All rights reserved.

[Traumatic tricuspid insufficiency. Apropos of 2 cases].

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Ventre, F; Bertinchant, J P; Noblet, D; Frapier, J M; Carabasse, D; Nigond, J; Ledermann, B; Cohen, S; Joubert, P; Grolleau-Raoux, R

1995-06-01

The authors report two cases of tricuspid regurgitation by a ruptured anterior papillary muscle secondary to non-penetrating thoracic trauma. In the presence of suggestive clinical and electrocardiographic abnormalities (systolic murmur, right heart failure, right bundle branch block), echocardiography confirmed the tricuspid regurgitation, showed its mechanism and excluded any other intracardiac lesions. Tricuspid annuloplasty was performed in both cases because of the persistence of failure or degradation of the patient's clinical condition. Peroperative echocardiography was used to judge the quality of the surgical repair in both cases. Traumatic tricuspid regurgitation is a rare condition and the diagnosis is often delayed. Echocardiography is the investigation of choice and guides treatment which is essentially valvular repair in symptomatic patients.

[Traumatic tricuspid insufficiency].

Science.gov (United States)

Vayre, F; Richard, P; Ollivier, J P

1996-04-01

Traumatic tricuspid insufficiency is a rare condition. The diagnosis is difficult because of the slow progression of this pathology and the presence of more clinically acute lesions. Non-penetrating chest trauma is responsible for 90% of cases. Echocardiography is the investigation of choice for assessing the mechanism of the tricuspid regurgitation and for diagnosing associated lesions. It should be performed systematically in patients with multiple trauma. The surgical indications are difficult to determine and depend on the patients' symptoms and the type of anatomical lesions. It should be undertaken before right ventricular myocardial dysfunction. Several techniques may be used from valvuloplasty to valve replacement mainly with bioprostheses in symptomatic patients.

Intraoperative Assessment of Tricuspid Valve Function After Conservative Repair

OpenAIRE

Revuelta, J.M.; Gomez-Duran, C.; Garcia-Rinaldi, R.; Gallagher, M.W.

1982-01-01

It is desirable to repair coexistent tricuspid valve pathology at the time of mitral valve corrections. Conservative tricuspid repair may consist of commissurotomy, annuloplasty, or both. It is important that the repair be appropriate or tricuspid valve replacement may be necessary. A simple reproducible method of intraoperative testing for tricuspid valve insufficiency has been developed and used in 25 patients. Fifteen patients have been recatheterized, and the correlation between the intra...

Visualization of traumatic tricuspid insufficiency by three-dimensional echocardiography.

Science.gov (United States)

Nishimura, Kazuhisa; Okayama, Hideki; Inoue, Katsuji; Saito, Makoto; Nagai, Takayuki; Suzuki, Jun; Ogimoto, Akiyoshi; Ohtsuka, Tomoaki; Higaki, Jitsuo

2010-01-01

A 19-year-old male was admitted to the emergency room of our hospital after a motor vehicle accident. During his first physical examination, a holosystolic murmur was heard at the fourth left parasternal border. Transthoracic echocardiography showed severe tricuspid insufficiency, but the cause of tricuspid insufficiency was unclear. Therefore, three-dimensional echocardiography was performed and demonstrated flail anterior, posterior and septal leaflets of the tricuspid valve. The diagnosis was tricuspid insufficiency due to papillary muscle rupture secondary to chest blunt trauma. Surgical repair of the tricuspid valve was performed in this patient. After surgery, the signs and symptoms of right ventricular heart failure were relieved. In this case, three-dimensional echocardiography was very useful for the evaluation of spatial destruction of the tricuspid valve and papillary muscle. 2009 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved.

Tricuspid regurgitation

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... and dentist if you have a history of heart valve disease or congenital heart disease before treatment. Some people ... Regurgitation Tricuspid Regurgitation Ebstein's anomaly References Carabello BA. Valvular heart disease. In: Goldman L, Schafer AI, eds. Goldman's Cecil ...

Echocardiographic assessment of right ventricular function in routine practice: Which parameters are useful to predict one-year outcome in advanced heart failure patients with dilated cardiomyopathy?

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Kawata, Takayuki; Daimon, Masao; Kimura, Koichi; Nakao, Tomoko; Lee, Seitetsu L; Hirokawa, Megumi; Kato, Tomoko S; Watanabe, Masafumi; Yatomi, Yutaka; Komuro, Issei

2017-10-01

Right ventricular (RV) function has recently gained attention as a prognostic predictor of outcome even in patients who have left-sided heart failure. Since several conventional echocardiographic parameters of RV systolic function have been proposed, our aim was to determine if any of these parameters (tricuspid annular plane systolic excursion: TAPSE, tissue Doppler derived systolic tricuspid annular motion velocity: S', fractional area change: FAC) are associated with outcome in advanced heart failure patients with dilated cardiomyopathy (DCM). We retrospectively enrolled 68 DCM patients, who were New York Heart Association (NYHA) Class III or IV and had a left ventricular (LV) ejection fraction functional class IV, plasma brain natriuretic peptide concentration, intravenous inotrope use, left atrial volume index, and FAC were associated with outcome, whereas TAPSE and S' were not. Receiver-operating characteristic curve analysis showed that the optimal FAC cut-off value to identify patients with an event was rights reserved.

Intraoperative Assessment of Tricuspid Valve Function After Conservative Repair

Science.gov (United States)

Revuelta, J.M.; Gomez-Duran, C.; Garcia-Rinaldi, R.; Gallagher, M.W.

1982-01-01

It is desirable to repair coexistent tricuspid valve pathology at the time of mitral valve corrections. Conservative tricuspid repair may consist of commissurotomy, annuloplasty, or both. It is important that the repair be appropriate or tricuspid valve replacement may be necessary. A simple reproducible method of intraoperative testing for tricuspid valve insufficiency has been developed and used in 25 patients. Fifteen patients have been recatheterized, and the correlation between the intraoperative and postoperative findings has been consistent. PMID:15226931

Supra-annular structure assessment for self-expanding transcatheter heart valve size selection in patients with bicuspid aortic valve.

Science.gov (United States)

Liu, Xianbao; He, Yuxin; Zhu, Qifeng; Gao, Feng; He, Wei; Yu, Lei; Zhou, Qijing; Kong, Minjian; Wang, Jian'an

2018-04-01

To explore assessment of supra-annular structure for self-expanding transcatheter heart valve (THV) size selection in patients with bicuspid aortic stenosis (AS). Annulus-based device selection from CT measurement is the standard sizing strategy for tricuspid aortic valve before transcatheter aortic valve replacement (TAVR). Because of supra-annular deformity, device selection for bicuspid AS has not been systemically studied. Twelve patients with bicuspid AS who underwent TAVR with self-expanding THVs were included in this study. To assess supra-annular structure, sequential balloon aortic valvuloplasty was performed in every 2 mm increments until waist sign occurred with less than mild regurgitation. Procedural results and 30 day follow-up outcomes were analyzed. Seven patients (58.3%) with 18 mm; three patients (25%) with sequential 18 mm, 20 mm; and only two patients (16.7%) with sequential 18 mm, 20 mm, and 22 mm balloon sizing were performed, respectively. According to the results of supra-annular assessment, a smaller device size (91.7%) was selected in all but one patient compared with annulus based sizing strategy, and the outcomes were satisfactory with 100% procedural success. No mortality and 1 minor stroke were observed at 30 d follow-up. The percentage of NYHA III/IV decreased from 83.3% (9/12) to 16.7% (2/12). No new permanent pacemaker implantation and no moderate or severe paravalvular leakage were found. A supra-annular structure based sizing strategy is feasible for TAVR in patients with bicuspid AS. © 2018 The Authors Catheterization and Cardiovascular Interventions Published by Wiley Periodicals, Inc.

Fluid-structure interaction analysis of annular seals and rotor systems in multi-stage pumps

International Nuclear Information System (INIS)

Jiang, Qinglei; Zhai, Lulu; Wang, Leqin; Wu, Dazhuan

2013-01-01

Annular seals play an important role in determining the vibrational behavior of rotors in multi-stage pumps. To determine the critical speeds and unbalanced responses of rotor systems which consider annular seals, a fluid-structure interaction (FSI) method was developed, and the numerical method was verified by experiments conducted on a model rotor. In a typical FSI process, rotor systems are modeled based on a node-element method, and the motion equations are expressed in a type of matrix. To consider the influence of annular seals, dynamic coefficients of annular seals were introduced into the motion equations through matrix transformation. The test results of the model rotor showed good agreement with the calculated results. Based on the FSI method proposed here, the governing equations of annular seals were solved in two different ways. The results showed that the Childs method is more accurate in predicting a rotor's critical speed. The critical speeds of the model rotor were calculated at different clearance sizes and length/diameter ratios. Tilting coefficients of long seals were added to the dynamic coefficients to consider the influence of tilting. The critical speeds reached their maximum value when the L/D ratio was around 1.25, and tilting enhanced the rotor's stability when long annular seals were located in either end of the shaft.

Tricuspid insufficiency after laser lead extraction.

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Rodriguez, Yasser; Mesa, Julian; Arguelles, Eric; Carrillo, Roger G

2013-08-01

The use of laser lead extraction (LLE) to remove pacemaker and implantable cardiac defibrillator leads has become more prevalent in the past decade. Though the procedure is associated with a low rate of complications, LLE still poses some risks to patients. Some reports have suggested an increase in tricuspid insufficiency (TI) associated with LLE. We present a series of patients who underwent both LLE and complete evaluation for TI with echocardiographic techniques. From August 2008 to January 2010, 173 prospective, consecutive patients underwent LLE in a single center. All patients had transesophageal echocardiograms (TEE) during the extraction. Fifty-three patients had tricuspid valve function evaluated a day before the procedure with a transthoracic echocardiogram (TTE), during the procedure with a TEE and 2 days postoperatively with a TTE. All 173 patients experienced no change in tricuspid valve function during the procedure with TEE. Of the 53 patients who underwent a complete TI evaluation, 38 were males (72%) and 15 females (38%), with a mean age of 69.45 ± 14.08. Mean ejection fraction was 35.82 ± 14.72. Three (6%) patients experienced TI after the procedure (two mild and one severe, all with tricuspid valve endocarditis); 16 (30%) patients were found to have TI before LLE that returned to normal valve function during or after the procedure. Thirty-four (64%) patients did not experience any significant change of the tricuspid valve performance after LLE. LLE was not associated with increased TI. ©2013, The Authors. Journal compilation ©2013 Wiley Periodicals, Inc.

Porcine Tricuspid Valve Anatomy and Human Compatibility

DEFF Research Database (Denmark)

Waziri, Farhad; Lyager Nielsen, Sten; Hasenkam, J. Michael

2016-01-01

before clinical use. The study aim was to evaluate and compare the tricuspid valve anatomy of porcine and human hearts. METHODS: The anatomy of the tricuspid valve and the surrounding structures that affect the valve during a cardiac cycle were examined in detail in 100 fresh and 19 formalin...

Improvement of tricuspid regurgitation after transcatheter ASD closure in older patients.

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Chen, L; Shen, J; Shan, X; Wang, F; Kan, T; Tang, X; Zhao, X; Qin, Y

2017-07-19

Adult patients with undiagnosed atrial septal defect (ASD) may have right heart cavity enlargement and functional tricuspid valve insufficiency. Moderate or more severe tricuspid regurgitation has been associated with a worse prognosis, and more serious complications are typically seen in older patients. This study aimed to evaluate the improvement in functional tricuspid regurgitation and heart geometry after transcatheter ASD closure in older patients. The data of 111 patients over 60 years of age with moderate or severe tricuspid regurgitation before ASD closure were analyzed. At the 1‑month and 6‑month follow-up after closure, both tricuspid regurgitation jet area and right atrial volume decreased significantly. Right ventricular volume decreased 1 month after closure, showing a further decrease at the end of the 6‑month follow-up. However, 24 patients (21.6%) still had persistent severe tricuspid regurgitation after the procedure. Multivariate analysis revealed that patient age at ASD closure and pulmonary artery systolic pressure determined by echocardiography before closure were predictors of persistent tricuspid regurgitation after closure. Transcatheter ASD closure in older patients could significantly decrease tricuspid regurgitation and improve right heart geometry.

[MitraClip® for treatment of tricuspid valve insufficiency].

Science.gov (United States)

Pfister, R; Baldus, S

2017-11-01

Tricuspid valve regurgitation is frequently found as a result of right ventricular remodeling due to advanced left heart diseases. Drug treatment is limited to diuretics and the cardiac or pulmonary comorbidities. Due to the high risk only a small percentage of patients are amenable to surgical treatment of tricuspid regurgitation in those who undergo left-sided surgery for other reasons. Catheter-based procedures are an attractive treatment alternative, particularly since the strong prognostic impact of tricuspid regurgitation suggests an unmet need of treatment, independent of the underlying heart disease. A vast amount of clinical experience exists for the MitraClip system for treatment of mitral regurgitation. A first case series shows that the application for treatment of tricuspid regurgitation is technically feasible, seems to be safe and the degree of valve regurgitation can be reduced. In this review the background of tricuspid regurgitation treatment is summarized and first experiences and perspectives with the MitraClip system are assessed.

Surgical management of traumatic tricuspid insufficiency.

Science.gov (United States)

Zhang, Zhiqi; Yin, Kanhua; Dong, Lili; Sun, Yongxin; Guo, Changfa; Lin, Yi; Wang, Chunsheng

2017-06-01

This study reviews our experience with traumatic tricuspid insufficiency (TTI) following blunt chest trauma. From January 2010 to June 2016, 10 patients (nine males, mean age 49.0 ± 12.4 years) underwent surgical treatment of TTI following blunt chest trauma. The mean intervals between trauma and diagnosis and between trauma and surgery were 74.1 and 81.8 months, respectively. Preoperatively, all patients exhibited severe tricuspid regurgitation. Five patients underwent tricuspid valve repair, and the remaining patients underwent valve replacement. The mean follow-up duration (with echocardiography) was 29.7 months. There was no early or late death. Seven patients had anterior chordal rupture, two patients had anterior papillary muscle rupture, and one patient had both anterior chordal and anterior leaflet rupture. The median postoperative intensive care unit and hospital stays were 1 and 6 days, respectively. There were no severe postoperative complications. During follow-up, four patients exhibited trivial to mild tricuspid regurgitation, and the remaining six patients exhibited no regurgitation. Surgical treatment of TTI via either valve repair or replacement can be performed with low perioperative morbidity and mortality. Early surgery is recommended for achieving a successful valve repair and preserving right ventricular function. © 2017 Wiley Periodicals, Inc.

Recurrent tricuspid insufficiency: is the surgical repair technique a risk factor?

Science.gov (United States)

Kara, Ibrahim; Koksal, Cengiz; Cakalagaoglu, Canturk; Sahin, Muslum; Yanartas, Mehmet; Ay, Yasin; Demir, Serdar

2013-01-01

This study compares the medium-term results of De Vega, modified De Vega, and ring annuloplasty techniques for the correction of tricuspid insufficiency and investigates the risk factors for recurrent grades 3 and 4 tricuspid insufficiency after repair. In our clinic, 93 patients with functional tricuspid insufficiency underwent surgical tricuspid repair from May 2007 through October 2010. The study was retrospective, and all the data pertaining to the patients were retrieved from hospital records. Functional capacity, recurrent tricuspid insufficiency, and risk factors aggravating the insufficiency were analyzed for each patient. In the medium term (25.4 ± 10.3 mo), the rates of grades 3 and 4 tricuspid insufficiency in the De Vega, modified De Vega, and ring annuloplasty groups were 31%, 23.1%, and 6.1%, respectively. Logistic regression analysis revealed that chronic obstructive pulmonary disease, left ventricular dysfunction (ejection fraction, tricuspid insufficiency. Medium-term survival was 90.6% for the De Vega group, 96.3% for the modified De Vega group, and 97.1% for the ring annuloplasty group. Ring annuloplasty provided the best relief from recurrent tricuspid insufficiency when compared with DeVega annuloplasty. Modified De Vega annuloplasty might be a suitable alternative to ring annuloplasty when rings are not available.

Spontaneous Tricuspid Valve Chordal Rupture in Idiopathic Pulmonary Hypertension.

Science.gov (United States)

Rodrigues, Ana Clara Tude; Afonso, José E; Cordovil, Adriana; Monaco, Claudia; Piveta, Rafael; Cordovil, Rodrigo; Fischer, Claudio H; Vieira, Marcelo; Lira-Filho, Edgar; Morhy, Samira S

2016-03-01

Rupture of tricuspid valve is unusual, occurring mainly in the setting of blunt trauma or endomyocardial biopsy. Spontaneous tricuspid valve chordal rupture is particularly rare. We report herein a case of a patient with severe pulmonary hypertension, on the lung transplantation waiting list, who presented with spontaneous chordal rupture, exacerbation of tricuspid insufficiency and worsening of clinical status. Diagnosis and treatment, along with possible mechanisms for this complication, are discussed. © 2015, Wiley Periodicals, Inc.

Prosthetic tricuspid valve dysfunction assessed by three-dimensional transthoracic and transesophageal echocardiography.

Science.gov (United States)

Yuasa, Toshinori; Takasaki, Kunitsugu; Mizukami, Naoko; Ueya, Nami; Kubota, Kayoko; Horizoe, Yoshihisa; Chaen, Hideto; Kuwahara, Eiji; Kisanuki, Akira; Hamasaki, Shuichi

2013-09-01

A 39-year-old male who had undergone tricuspid valve replacement for severe tricuspid regurgitation was admitted with palpitation and general edema. Two-dimensional (2D) echocardiography showed tricuspid prosthetic valve dysfunction. Additional three-dimensional (3D) transthoracic and transesophageal echocardiography (TEE) could clearly demonstrate the disabilities of the mechanical tricuspid valve. Particularly, 3D TEE demonstrated a mass located on the right ventricular side of the tricuspid prosthesis, which may have caused the stuck disk. This observation was confirmed by intra-operative findings.

Familial Granuloma Annulare

Directory of Open Access Journals (Sweden)

Zennure Takci

2015-09-01

Full Text Available Granuloma annulare is a benign, asymptomatic, relatively common, often self-limited chronic granulomatos disorder of the skin that can affect both children and adults. The primary skin lesion usually is grouped papules in an enlarging annular shape, with color ranging from flesh-colored to erythematous. The two most common types of granuloma annulare are localized, which typically is found on the lateral or dorsal surfaces of the hands and feet; and disseminated, which is widespread. Rarely, familial cases of granuloma annulare has been reported. Herein, we report two sisters with annular papules and plaques diagnosed as granuloma annulare with the clinical and pathological findings. [J Contemp Med 2015; 5(3.000: 189-191

Traumatic Tricuspid Insufficiency Requiring Valve Repair in an Acute Setting.

Science.gov (United States)

Enomoto, Yoshinori; Sudo, Yoshio; Sueta, Tomonori

2015-01-01

Tricuspid insufficiency due to penetrating cardiac trauma is rare. Patients with tricuspid insufficiency due to trauma can tolerate this abnormality for months or even years. We report a case of a 66-year-old female with penetrating cardiac trauma on the right side of her heart that required tricuspid valve repair in an acute setting. She sustained cut and stab wounds on her bilateral forearms and in the neck and epigastric region. She had cardiac tamponade and developed pulseless electrical activity, which required emergency surgery. The right ventricle and superior vena cava were dissected approximately 5 cm and 2 cm, respectively. After these wounds had been repaired, the patient's inability to wean from cardiopulmonary bypass suggested rightsided heart failure; transesophageal echocardiography revealed tricuspid insufficiency. Right atriotomy was performed, and a detailed examination revealed that the tricuspid valve septal leaflet was split in two. There was also an atrial septal injury that created a connection with the left atrium; these injuries were not detected from the right ventricular wound. After repair, weaning from cardiopulmonary bypass with mild tricuspid insufficiency was achieved, and she recovered uneventfully. This case emphasized the importance of thoroughly investigating intracardiac injury and transesophageal echocardiography.

ORGANIC TRICUSPID VALVE REPAIR WITH AUTOLOGOUS GLUTARALDEHYDE FIXED PERICARDIAL PATCH : A SINGLE CENTER RESULTS

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Murtaza A

2015-10-01

Full Text Available AIM AND OBJECTIVE: The aim of this study was to determine the effectiveness and results of repair of Organic Tricuspid Valve disease. INTRODUCTION : since tricuspid valve disease most often found in association with other valve disease. Isolated tricuspid valve disease is ra re. Pattern of involvement of tricuspid valve disease shows functional (75% and primary (organic in (25%. Surgical repair of organic tricuspid valve disease often fails because of abnormal valve. This usually leads to limited options. This study examine s our experience of tricuspid valve repair with autologous pericardium for organic tricuspid valve disease. MATERIAL AND METHODS : From Jan 2014 to May 2015, 22 patients underwent repairs for organic tricuspid valve disease. The patient aged 15 to 65 years and all were in New York Heart Association (NYHA class of III or IV. All patients presented with severe tricuspid disease coexisting with other cardiac pathology, usually left - sided heart valve disease. Repair techniques included Commisurotomy, division o f secondary chordae, Glutaraldehyde treated autologous pericardial patch augmentation of tricuspid valve leaflets, anterior papillary muscle advancement etc with or without ring/suture annuloplasty. Follow - up duration was 3 to 18 months. RESULTS : No deaths or late reoperations occurred. All patients demonstrated clinical improvements on follow up. Echocardiographic studies before hospital discharge showed less than mild tricuspid regurgitation in all patients except one. CONCLUSIONS : Large majorit y of organic tricuspid valve regurgitation is repairable with acceptable early results. Tricuspid stenosis and mixed tricuspid valve disease are more challenging. In the latter group, it is a judgment call whether to accept a suboptimal result or replace t he valve

Post-traumatic tricuspid insufficiency: a case report.

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Tütün, Ufuk; Aksöyek, Ayşen; Parlar, Ali Ihsan; Cobanoğlu, Adnan

2011-11-01

Post-traumatic tricuspid insufficiency is a rare complication of chest trauma. An 18-year-old male patient was injured in a bicycle accident from his abdominal and anterior chest wall. The tear on the inferior diaphragmatic surface of the heart was repaired with primary sutures by the attending surgeon. Eighteen years later, he was admitted to the hospital with severe tricuspid regurgitation (3+/4+). During the operation, the valve was determined unsuitable for repair and was replaced with a bioprosthesis. The hemodynamic aberrations relevant to an isolated tricuspid valve injury are very often well-tolerated. Reconstructive surgery may be possible in the early period. In the late cases, repair is sometimes not feasible due to degeneration of the valvular apparatus. Replacement with a biological prosthesis may give the best long-term results in longstanding cases.

Repair of traumatic tricuspid insufficiency via minimally invasive port access.

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Kasahara, Hirofumi; Kudo, Mikihiko; Kawajiri, Hiroyuki; Yozu, Ryohei

2010-04-01

We report on a successful tricuspid valve plasty using port-access minimally invasive cardiac surgery (MICS) for severe traumatic tricuspid insufficiency caused by blunt chest trauma suffered 15 years previously. A combination repair procedure, consisting of cleft closures, plication of the anteroseptal commissure, and ring annuloplasty, was necessary to achieve valve competence and proved possible via port access without difficulty. Port-access MICS is an alternative approach for tricuspid valve surgery.

Traumatic tricuspid valve insufficiency. Experience in thirteen patients.

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van Son, J A; Danielson, G K; Schaff, H V; Miller, F A

1994-11-01

From 1964 through June 1993, thirteen patients with traumatic tricuspid insufficiency were treated surgically; all were male, and the ages ranged from 17 to 64 years (median 39 years). The condition was associated with blunt chest trauma in all patients: motor vehicle accidents in twelve and an explosion of a tank of compressed air in one. The median duration between trauma and operation was 17 years (range 1 month to 37 years). Preoperatively, six patients were in sinus rhythm and seven were in atrial fibrillation. At operation, the right ventricular function appeared moderately to severely depressed in twelve patients. In twelve patients, the anterior leaflet was flail because of chordal rupture (n = 9), rupture of anterior papillary muscle (n = 3), or tear in the anterior leaflet (n = 1). In one patient, the septal leaflet was missing and in another it was retracted and adherent to the ventricular septum. In five patients the tricuspid valve was repaired and in eight it was replaced. In seven patients in the latter group, the chordae, papillary muscles, and/or tricuspid valve leaflet(s) were found to be in a contracted and atrophic state, precluding repair. No early or late deaths occurred. At follow-up extending to 26 years (median 12 years), 12 patients are in New York Heart Association class I and one patient is in class II. Nine patients were in sinus rhythm and four were in atrial fibrillation. Although our experience indicates that good functional results can still be achieved many years after the onset of traumatic tricuspid valve insufficiency, earlier diagnosis and surgical treatment should increase the feasibility of tricuspid valve insufficiency, earlier diagnosis and surgical treatment should increase the feasibility of tricuspid valve repair, prevent progressive deterioration of right ventricular function, and increase the possibility of maintaining late sinus rhythm in a greater number of patients.

Annular pancreas

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... page: //medlineplus.gov/ency/article/001142.htm Annular pancreas To use the sharing features on this page, please enable JavaScript. An annular pancreas is a ring of pancreatic tissue that encircles ...

Tricuspid valve endocarditis with pulmonary infarction caused by central venous catheter

International Nuclear Information System (INIS)

Grabbe, E.; Guthoff, A.; Hamburg Univ.

1981-01-01

Knowledge of common complications of central venous catheters is completed by a case of bacterial tricuspid endocarditis with recurrent pulmonary infarction. This rare, life threatening complication should be considered in differential diagnosis, when in case of central venous catheter sepsis, changing pulmonary infiltrations with pleural effusion as well as different auscultatory findings above the tricuspid valve do occur. The diagnosis can be supported by echocardiographic demonstration of tricuspid vegetations. (orig.) [de

Tricuspid valve endocarditis with pulmonary infarction caused by central venous catheter

Energy Technology Data Exchange (ETDEWEB)

Grabbe, E; Guthoff, A

1981-02-01

Knowledge of common complications of central venous catheters is completed by a case of bacterial tricuspid endocarditis with recurrent pulmonary infarction. This rare, life threatening complication should be considered in differential diagnosis, when in case of central venous catheter sepsis, changing pulmonary infiltrations with pleural effusion as well as different auscultatory findings above the tricuspid valve do occur. The diagnosis can be supported by echocardiographic demonstration of tricuspid vegetations.

Hyperthyroidism presenting as isolated tricuspid regurgitation and right heart failure.

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Whitner, Tanya E; Hudson, Christopher J; Smith, Timothy D; Littmann, Laszlo

2005-01-01

Although hyperthyroidism has many signs and symptoms, right heart failure can occasionally be the main presenting symptom. We describe the case of a previously healthy 42-year-old woman whose chief complaint was progressive bilateral lower extremity edema. The echocardiogram revealed right atrial dilatation and moderate-to-severe tricuspid regurgitation. Results of laboratory studies were consistent with hyperthyroidism. Thyroid ablation resulted in permanent resolution of symptoms and resolution of tricuspid incompetence on echocardiography. In a case of isolated, unexplained tricuspid regurgitation, it is important to consider indolent hyperthyroidism in the differential diagnosis.

Post-traumatic tricuspid valve insufficiency. 2 cases of delayed clinical manifestation.

OpenAIRE

Bortolotti, U; Scioti, G; Milano, A; Guglielmi, C; Benedetti, M; Tartarini, G; Balbarini, A

1997-01-01

We present 2 cases of tricuspid insufficiency following blunt chest trauma: 1 was diagnosed 5 months after the trauma and the other, 20 years after the trauma. In both patients, the tricuspid valve was replaced with a porcine bioprosthesis, because valve repair was not considered feasible. These cases emphasize the variability of clinical presentation of post-traumatic tricuspid valve insufficiency and indicate the need for close follow-up of patients after major thoracic trauma.

[Tricuspid insufficiency and right traumatic ventricular aneurysm. Apropos of a case].

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Boisselier, P; Lombaert, M; Rey, J L; Quiret, J C; Bernasconi, P

1981-12-01

Tricuspid incompetence associated with a right ventricular aneurysm wa discovered after a non-penetrating thoracic injury. The severity of the tricuspid lesion was confirmed by phonomechanography, catheterisation and angiography. The mechanism was demonstrated by two-dimensional echocardiography: the right ventricular aneurysm was located in the right ventricular outflow tract. As the hemodynamic tolerance was good, surgery was not performed. A review of the literature found 41 other reports of traumatic tricuspid incompetence, and 4 cases of right ventricular aneurysm, only one of which was associated with tricuspid regurgitation. The points of interest of ths case: the rarity of the association, the good hemodynamic tolerance and the value of two-dimensional echocardiography for the diagnosis of ruptured chordae in the absence of surgical observations.

Primary Cardiac Leiomyoma Causing Right Ventricular Obstruction and Tricuspid Regurgitation.

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Careddu, Lucio; Foà, Alberto; Leone, Ornella; Agostini, Valentina; Gargiulo, Gaetano Domenico; Rapezzi, Claudio; Di Bartolomeo, Roberto; Pacini, Davide

2017-09-01

We report the unique case of a primary cardiac leiomyoma originating from the right ventricle and involving the tricuspid valve in a 43-year-old woman. Echocardiography showed a giant mass causing severe pulmonary stenosis and tricuspid valve regurgitation. The patient underwent surgical excision and histologic examination revealed a primary cardiac leiomyoma. To the best of our knowledge only three cases of primary cardiac leiomyoma have so far been reported, and this is the first case of primary cardiac leiomyoma involving the tricuspid valve apparatus. Copyright © 2017 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Leaving Moderate Tricuspid Valve Regurgitation Alone at the Time of Pulmonary Valve Replacement: A Worthwhile Approach.

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Kogon, Brian; Mori, Makoto; Alsoufi, Bahaaldin; Kanter, Kirk; Oster, Matt

2015-06-01

Pulmonary valve disruption in patients with tetralogy of Fallot and congenital pulmonary stenosis often results in pulmonary insufficiency, right ventricular dilation, and tricuspid valve regurgitation. Management of functional tricuspid regurgitation at the time of subsequent pulmonary valve replacement remains controversial. Our aims were to (1) analyze tricuspid valve function after pulmonary valve replacement through midterm follow-up and (2) determine the benefits, if any, of concomitant tricuspid annuloplasty. Thirty-five patients with tetralogy of Fallot or congenital pulmonary stenosis were analyzed. All patients had been palliated in childhood by disrupting the pulmonary valve, and all patients had at least moderate tricuspid valve regurgitation at the time of subsequent pulmonary valve replacement. Preoperative and serial postoperative echocardiograms were analyzed. Pulmonary and tricuspid regurgitation, along with right ventricular dilation and dysfunction were scored as 0 (none), 1 (mild), 2 (moderate), and 3 (severe). Right ventricular volume and area were also calculated. Comparisons were made between patients who underwent pulmonary valve replacement alone and those who underwent concomitant tricuspid valve annuloplasty. At 1 month after pulmonary valve replacement, there were significant reductions in pulmonary valve regurgitation (mean 3 vs 0.39, p tricuspid valve regurgitation (mean 2.33 vs 1.3, p tricuspid regurgitation 1 month postoperatively between patients who underwent concomitant tricuspid annuloplasty and those who underwent pulmonary valve replacement alone (mean 1.31 vs 1.29, p = 0.81). However, at latest follow-up (mean 7.0 ± 2.8 years), the degree of tricuspid regurgitation was significantly higher in the concomitant annuloplasty group (mean 1.87 vs 1.12, p = 0.005). In patients with at least moderate tricuspid valve regurgitation, significant improvement in tricuspid valve function and right ventricular size occurs in the first

Association of Tricuspid Regurgitation and Severity of Mitral Stenosis in Patients with Rheumatic Heart Disease

International Nuclear Information System (INIS)

Ahmed, R.; Kazmi, N.; Naz, F.; Malik, S.; Gillani, S.

2016-01-01

Background: Rheumatic heart disease is a common ailment in Pakistan and Mitral stenosis is its flag bearer Severity of mitral stenosis is the key factor in deciding for mitral valve surgery. Methods: This case series study was conducted at Ayub Teaching Hospital .Cases of Rheumatic heart disease with mitral stenosis were diagnosed clinically. 2D echocardiography was used to find severity of mitral stenosis. Data was entered into SPSS-17.0 and results were recorded and analysed. Pearsons two tailed correlation was used to find the correlation between presence of tricuspid regurgitation in patients with severe mitral stenosis, p was <0.05. Results: A total 35 patients with pure mitral stenosis were included in study, out of which 8 were male and 27 were females. Mean age in males was 34.5±15.85 years while in females it was 31±8 years. Twenty-two out of 35 (62.86 percent) patients had tricuspid regurgitation while 13 out 35 (37.14 percent) had no tricuspid regurgitation. Mean (MVA) mitral valve area in patients with tricuspid regurgitation was 0.84±0.3 cm/sup 2/ while mean (MVA) mitral valve area in patients without tricuspid regurgitation was 1.83±0.7 cm/sup 2/. Mean left atrial (L.A) size was 45.23±1.5mm/sup 2/ in patients with tricuspid regurgitation, while it was 44.13±6.14mm/sup 2/ in patients without tricuspid regurgitation. Mean RSVP was 57.5mmHg in patients with tricuspid regurgitation while RSVP could not be calculated in patients without tricuspid regurgitation. Conclusions: It was concluded that tricuspid regurgitation was strongly associated with severe mitral stenosis as almost all patients with severe mitral stenosis had tricuspid regurgitation and none of the patients with mild mitral stenosis had tricuspid regurgitation. (author)

Permanent pacemaker lead induced severe tricuspid regurgitation in patient undergoing multiple valve surgery.

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Lee, Jung Hee; Kim, Tae Ho; Kim, Wook Sung

2015-04-01

Severe and permanent tricuspid regurgitation induced by pacemaker leads is rarely reported in the literature. The mechanism of pacemaker-induced tricuspid regurgitation has been identified, but its management has not been well established. Furthermore, debate still exists regarding the proper surgical approach. We present the case of a patient with severe tricuspid regurgitation induced by a pacemaker lead, accompanied by triple valve disease. The patient underwent double valve replacement and tricuspid valve repair without removal of the pre-existing pacemaker lead. The operation was successful and the surgical procedure is discussed in detail.

Tricuspid valve endocarditis caused by Eikenella corrodens

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Martin Tretjak

2015-06-01

Full Text Available AbstractBackground. Infectious endocarditis of the tricuspid valve is rare in non-intravenous drug users and patients without central venous devices. The most frequent causative agents are staphylococci, rarely other bacteria.Methods. We describe a case of a 57-year-old patient without history of drug abuse that was admitted to our hospital because of fever with chills, dry cough, loss of appetite and wasting lasting for a few months. He had a venous ulcer on the right foot and interdigital inflammation on both feet. Eikenella corrodens was isolated from blood cultures. Transthoracic echocardiography showed a large vegetation on the anterior leaflet of tricuspid valve. CT scan oh the thorax showed probable septic emboli. The patient was treated conservatively with prolonged double antibiotic regimen. During the treatment there were no further complications.Conclusions. In our patients a rare form of tricuspid valve endocarditis was confirmed, caused by Eikenella corrodens. The possibility of infectious endocarditis should always be considered in patients with prolonged fever, especially when a possible causative agent is isolated from blood cultures.

Diagnosis of tricuspid insufficiency by Doppler flowmetry in the inferior vena cava

International Nuclear Information System (INIS)

Smith, H.J.

1986-01-01

Eighty-five patients subjected to routine heart catheterization were examined with duplex scanning of the inferior vena cava. Adequate Doppler recordings and a right ventricular angiography were obtained in 79 of them. Tricuspid insufficiency was found to be present in 34 patients at angiography and in 24 at duplex examination. No false positive Doppler diagnoses of tricuspid insufficiency occurred. The possibility of false positive angiographic diagnoses is discussed. A high correlation was found between percentage reversed flow in the inferior vena cava during ventricular systole and degree of angiographic tricuspid insufficiency. It is concluded that duplex scanning of the inferior vena cava seems to be a good alternative to angiography in the diagnosis and quantification of tricuspid insufficiency. (orig.)

Recurrent Tricuspid Insufficiency: Is the Surgical Repair Technique a Risk Factor?

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Kara, Ibrahim; Koksal, Cengiz; Cakalagaoglu, Canturk; Sahin, Muslum; Yanartas, Mehmet; Ay, Yasin; Demir, Serdar

2013-01-01

This study compares the medium-term results of De Vega, modified De Vega, and ring annuloplasty techniques for the correction of tricuspid insufficiency and investigates the risk factors for recurrent grades 3 and 4 tricuspid insufficiency after repair.

Permanent Pacemaker Lead Induced Severe Tricuspid Regurgitation in Patient Undergoing Multiple Valve Surgery

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Jung Hee Lee

2015-04-01

Full Text Available Severe and permanent tricuspid regurgitation induced by pacemaker leads is rarely reported in the literature. The mechanism of pacemaker-induced tricuspid regurgitation has been identified, but its management has not been well established. Furthermore, debate still exists regarding the proper surgical approach. We present the case of a patient with severe tricuspid regurgitation induced by a pacemaker lead, accompanied by triple valve disease. The patient underwent double valve replacement and tricuspid valve repair without removal of the pre-existing pacemaker lead. The operation was successful and the surgical procedure is discussed in detail.

Surgical results of reoperative tricuspid surgery: analysis from the Japan Cardiovascular Surgery Database†.

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Umehara, Nobuhiro; Miyata, Hiroaki; Motomura, Noboru; Saito, Satoshi; Yamazaki, Kenji

2014-07-01

Tricuspid valve insufficiency (TI) following cardiovascular surgery causes right-side heart failure and hepatic failure, which affect patient prognosis. Moreover, the benefits of reoperation for severe tricuspid insufficiency remain unclear. We investigated the surgical outcomes of reoperation in TI. From the Japan Cardiovascular Surgery Database (JACVSD), we extracted cases who underwent surgery for TI following cardiac surgery between January 2006 and December 2011. We analysed the surgical outcomes, specifically comparing tricuspid valve replacement (TVR) and tricuspid valve plasty (TVP). Of the 167 722 surgical JACVSD registered cases, reoperative TI surgery occurred in 1771 cases, with 193 TVR cases and 1578 TVP cases. The age and sex distribution was 684 males and 1087 females, with an average age of 66.5 ± 10.8 years. The overall hospital mortality was 6.8% and was significantly higher in the TVR group than in the TVP group (14.5 vs 5.8%, respectively; P tricuspid surgery were unsatisfactory. Although TVR is a last resort for non-repairable tricuspid lesions, it carries a significant risk of surgical mortality. Improving the patient's preoperative status and opting for TVP over TVR is necessary to improve the results of reoperative tricuspid surgery. © The Author 2014. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

Predictors of ventricular tachyarrhythmia occurring late after intracardiac repair of tetralogy of Fallot: combination of QRS duration change rate and tricuspid regurgitation pressure gradient

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Takahashi, Masashi; Sugimoto, Ai; Tsuchida, Masanori

2017-01-01

Background To determine potential predictors of ventricular tachyarrhythmia and sudden cardiac death (SCD) occurring late after repair of tetralogy of Fallot (TOF). Methods Since 1964, 415 patients had undergone total repair for TOF at Niigata University Hospital. Of these, 89 patients who were followed for more than 10 years at our institute were retrospectively reviewed. Results The mean follow-up period was 24.3 years. During the study period, one patient died of cerebral bleeding, and two patients had SCD. The overall survival rates at 20, 30, and 40 years were 100%, 94.6%, and 94.6%, respectively. Eight (9.0%) patients required re-intervention during the late period associated with right ventricular outflow (n=4), tricuspid valve (n=3), aortic valve (n=2), and others (n=2). Ten (11.2%) patients had a history of ventricular tachycardia (VT) or ventricular fibrillation (VF), and six underwent implantation of an implantable cardiac defibrillator. Multivariate analysis selected the change rate of QRS duration [ms/year; odds ratio (OR), 2.44; 95% confidence interval (CI): 1.28–4.65; P=0.007] and the pressure gradient at tricuspid valve regurgitation on echocardiography (OR, 1.12; 95% CI: 1.02–1.22; P=0.017) as risk factors for VT/VF or SCD. Trans-annular patch (TAP) repair was not an independent risk factor for ventricular arrhythmia. Conclusions The combination of rapid change rate of QRS duration and higher-pressure gradient at tricuspid regurgitation were risk factors for ventricular tachyarrhythmia late after TOF repair. Adequate surgical or catheter intervention for pressure and volume load in the right ventricle might decrease the prevalence of VT/VF and SCD. PMID:29312717

Congenital absence of anterior papillary muscle of the tricuspid valve and surgical repair with artificial chordae.

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Tian, Chuan; Pan, Shiwei

2017-02-01

We report the case of a 26-year old woman who underwent successful tricuspid valve repair for the absence of the anterior papillary of the tricuspid valve. Preoperative echocardiography revealed grade IV tricuspid valve regurgitation, caused by congenital absence of the anterior papillary muscle and prolapse of the anterior leaflet. Tricuspid valve repair was performed using artificial chords consisting of two polytetrafluoroethylene sutures and a concomitant ring annuloplasty. Postoperative echocardiography revealed mild tricuspid valve regurgitation. This approach represented a safe and effective technique for tricuspid valve repair in congenital absence of papillary muscle. © The Author 2016. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

[Foreign body in the tricuspid valve with valvular insufficiency and right-left shunt].

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Delebarre, P; Augustin-Normand, C; Capronier, C; Cramer, J; Godeau, P; Letac, B; Forman, J; Maurice, P; Ourbak, P

1987-05-01

We present the case of a 50-year old man who progressively developed tricuspid valve insufficiency with opening of a patent foramen ovale responsible for right-to-left shunt with polycythaemia. The tricuspid valve insufficiency was due to a foreign body, probably of surgical origin as suggested by its radiological image and by the patient's previous history. It would have been introduced, far away from the tricuspid valve (compound fracture of the wrist), several years previously. At surgery, we found the foreign body embedded in the valve system. As a possible mechanism for the mutilation, an undiagnosed endocarditis was suspected but could not be confirmed. Three cases tricuspid endocarditis (with foreign bodies in the right ventricle) and 3 cases of asymptomatic tricuspid valve foreign bodies have been published. Fifty-five cases of foreign bodies introduced peripherally and migrated into the heart, the pericardium and the pulmonary artery are reviewed.

Increased pulmonary artery pressures during exercise are related to persistent tricuspid regurgitation after atrial septal defect closure.

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De Meester, Pieter; Van De Bruaene, Alexander; Herijgers, Paul; Voigt, Jens-Uwe; Vanhees, Luc; Budts, Werner

2013-08-01

Although closure of an atrial septal defect type secundum often normalizes right heart dimensions and pressures, mild tricuspid insufficiency might persist. This study aimed at (1) identification of determinants explaining the persistence of tricuspid insufficiency after atrial septal defect closure, and (2) evaluation of functional capacity of patients with persistent mild tricuspid insufficiency. Twenty-five consecutive patients (age 42+17 y) were included from the outpatient clinic of congenital heart disease at the University Hospitals of Leuven. All underwent transthoracic echocardiography, semi-supine bicycle stress echocardiography and cardio-pulmonary exercise testing. Six patients (24%) had mild tricuspid insufficiency (2/4) compared to 19 patients (76%) with no or minimal tricuspid insufficiency ( 1/4) as assessed by semi-quantitative colour Doppler echocardiography. Mann-Whitney U and Fisher's exact tests were performed where applicable. Patients with persistent mild tricuspid insufficiency were significantly older than those with no or minimal tricuspid insufficiency (P = 0.042). At rest, no differences in right heart configuration, mean pulmonary artery pressure or right ventricular function were found. At peak exercise, mean pulmonary artery pressure was significantly higher in patients with mild persistent tricuspid insufficiency (P = 0.026). Peak oxygen uptake was significantly lower in patients with mild persistent tricuspid insufficiency (P = 0.019). Mild tricuspid insufficiency after atrial septal defect repair occurs more frequently in older patients and in patients with higher mean pulmonary artery pressure at peak exercise. In patients with mild tricuspid insufficiency, functional capacity was more reduced. Mild tricuspid insufficiency could be a marker of subclinical persistent pressure load on the right ventricle.

Comparison of outcomes of tricuspid annuloplasty with 3D-rigid versus flexible prosthetic ring for functional tricuspid regurgitation secondary to rheumatic mitral valve disease.

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Wang, Haiping; Liu, Xiancheng; Wang, Xin; Lv, Zhenqian; Liu, Xiaojun; Xu, Ping

2016-11-01

Annuloplasty bands and rings are widely used for repairing functional tricuspid regurgitation (FTR). However, the question regarding which is the ideal annuloplasty device remains unclear. The aim of this study was to compare the efficacy and mid-term durability of tricuspid ring annuloplasty for FTR secondary to rheumatic mitral valve disease using flexible Cosgrove-Edwards band and the rigid Edwards MC3 ring (Edwards Lifesciences, LLC, Irvine, CA, USA). We retrospectively collected the clinical data of those who underwent mitral valve replacement (MVR) in concomitant with tricuspid ring annuloplasty from 2009 to 2013. The flexible band was used in 46 patients (flexible group), and the 3D rigid ring was used in 60 patients (rigid group). Echocardiographic evaluation of tricuspid function was performed preoperatively and postoperatively. The grade of TR was significantly improved compared to preoperative values in two groups. There was no significant difference regarding postoperative TR grade between the two groups at 1 week and 2-3 months but there was statistical significant difference at postoperative 6-12 months, and 2-3 years. During the follow up period, 25 of 46 patients (54.3%) in flexible group and 22 of 60 patients (30.3%) in rigid group developed recurrent TR. Freedom from recurrent TR in flexible group is significant lower than rigid group in each postoperative follow up period. These findings suggest that 3D rigid ring annuloplasty might be more effective for tricuspid ring annuloplasty in FTR in mid-term postoperative periods when compared to flexible band.

Isolated tricuspid valve infective endocarditis

African Journals Online (AJOL)

1990-07-07

Jul 7, 1990 ... thromycin and cefamandole was isolated from multiple blood. Department of .... through the tricuspid orifice into the right atrium. ..... ('ma' 50) indicating adequate platelet function.) In the ... reponed here failed to prevent spontaneous haemorrhage ... this preparation is in shon supply and is very expensive.

[Plastic repair of tricuspid valve: Carpentier's ring annuloplasty versus De VEGA technique].

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Charfeddine, Salma; Hammami, Rania; Triki, Faten; Abid, Leila; Hentati, Mourad; Frikha, Imed; Kammoun, Samir

2017-01-01

Tricuspid valve disease has been neglected for a long time by cardiologists and surgeons, but for some years now leakage of tricuspid valve has been demonstrated as a prognostic factor in the evolution of patients with left heart valve disease undergoing surgery. Several techniques for plastic repair of tricuspid valve have been developed and the published studies differ on the results of these techniques; we conducted this study to assess the results of plastic repair of tricuspid valve in a population of patients with a high prevalence of rheumatic disease and to compare Carpentier's ring annuloplasty techniques with DEVEGA plasty. We conducted a retrospective study of patients undergoing plastic repair of tricuspid valve in the Department of Cardiology at the Medicine University of Sfax over a period of 25 years. We compared the results from the Group 1 (Carpentier's ring annuloplasty) with Group 2 (DeVEGA plasty). 91 patients were included in our study, 45 patients in the Group 1 and 46 patients in the Group 2. Most patients had mean or severe TI (83%) before surgery, ring dilation was observed in 90% of patients with no significant difference between the two groups. Immediate results were comparable between the two techniques but during monitoring recurrent, at least mean, insufficiency was significantly more frequent in the DeVEGA plasty Group. The predictive factors for significant recurring long term TI were DeVEGA technique (OR=3.26[1.12-9.28]) in multivariate study and preoperative pulmonary artery systolic pressure (OR=1.06 (1.01-1.12)). Plastic repair of tricuspid valve using Carpentier's ring seems to guarantee better results than DeVEGA plasty. On the other hand, preoperative high PASP is predictive of recurrent leakage of tricuspid valve even after plasty; hence the importance of surgery in the treatment of patients at an early stage of the disease.

Dominance of free wall radial motion in global right ventricular function of heart transplant recipients.

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Lakatos, Bálint Károly; Tokodi, Márton; Assabiny, Alexandra; Tősér, Zoltán; Kosztin, Annamária; Doronina, Alexandra; Rácz, Kristóf; Koritsánszky, Kinga Bianka; Berzsenyi, Viktor; Németh, Endre; Sax, Balázs; Kovács, Attila; Merkely, Béla

2018-03-01

Assessment of right ventricular (RV) function using conventional echocardiography might be inadequate as the radial motion of the RV free wall is often neglected. Our aim was to quantify the longitudinal and the radial components of RV function using three-dimensional (3D) echocardiography in heart transplant (HTX) recipients. Fifty-one HTX patients in stable cardiovascular condition without history of relevant rejection episode or chronic allograft vasculopathy and 30 healthy volunteers were enrolled. RV end-diastolic (EDV) volume and total ejection fraction (TEF) were measured by 3D echocardiography. Furthermore, we quantified longitudinal (LEF) and radial ejection fraction (REF) by decomposing the motion of the RV using the ReVISION method. RV EDV did not differ between groups (HTX vs control; 96 ± 27 vs 97 ± 2 mL). In HTX patients, TEF was lower, however, tricuspid annular plane systolic excursion (TAPSE) decreased to a greater extent (TEF: 47 ± 7 vs 54 ± 4% [-13%], TAPSE: 11 ± 5 vs 21 ± 4 mm [-48%], P < .0001). In HTX patients, REF/TEF ratio was significantly higher compared to LEF/TEF (REF/TEF vs LEF/TEF: 0.58 ± 0.10 vs 0.27 ± 0.08, P < .0001), while in controls the REF/TEF and LEF/TEF ratio was similar (0.45 ± 0.07 vs 0.47 ± 0.07). Current results confirm the superiority of radial motion in determining RV function in HTX patients. Parameters incorporating the radial motion are recommended to assess RV function in HTX recipients. © 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Tricuspid valve endocarditis following central venous cannulation: The increasing problem of catheter related infection

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Suresh Babu Kale

2013-01-01

Full Text Available A central venous catheter (CVC is inserted for measurement of haemodynamic variables, delivery of nutritional supplements and drugs and access for haemodialysis and haemofiltration. Catheterization and maintenance are common practices and there is more to the technique than routine placement as evident when a procedure-related complication occurs. More than 15% of the patients who receive CVC placement have some complications and infectious endocarditis involving the tricuspid valve is a rare and serious complication with high morbidity and mortality. Overenthusiastic and deep insertion of the guide wire and forceful injection through the CVC may lead to injury of the tricuspid valve and predispose to bacterial deposition and endocarditis. We report a case of tricuspid valve endocarditis, probably secondary to injury of the anterior tricuspid leaflet by the guide wire or the CVC that required open heart surgery with vegetectomy and repair of the tricuspid valve.

Subcutaneous granuloma annulare

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Dhar Sandipan

1994-01-01

Full Text Available Two cases of subcutaneos granuloma annulare are reported. Clinical presentation was in the form of hard subcutaneous nodules; histopathology confirmed the clinical diagnosis. The cases were unique because of onset in adult hood, occurrence over unusual sites and absence of classical lesions of granuloma annulare elsewhere.

Subcutaneous granuloma annulare

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Dhar Sandipan

1993-01-01

Full Text Available Two cases of subcutaneous granuloma annulare are reported. Clinical presentation was in the form of hard subcutaneous nodules, histopathology confirmed the clinical diagnosis. The cases were unique because of onset in adult age, occurrence over unusual sites and absence of classical lesions of granuloma annulare elsewhere.

A rare cause of native tricuspid valve endocarditis: Abortus

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M.Sıddık Evsen

2011-03-01

Full Text Available A 28-year-old female patient, who at her 7 weeks ofpregnancy, admitted to hospital with abdominal painand vaginal bleeding. She had been hospitalized in anothercenter with the diagnosis of spontaneous completeabortion. After discharge, her clinical process, deteriorateddue to fever, chills and fatigue therefore she hadbeen admitted to emergency unit of that hospital onceagain, and received non-specific antibiotics. She was referredto our clinic because of persistant complaints.Transthoracic echocardiography showed vegetations onthe tricuspid valve leading to diagnosis of infective endocarditis,so treatment was started at our clinic. No microorganismisolated in blood cultures. Following 15-days antibiotic therapy no reduction was seen in the diameterof the vegetation, therefore surgical operationwas planned and a bioprosthetic tricuspid valve was putinto place. In this article we aimed to report the developmentof spontaneous abortus at 7 weeks of pregnancy,in order to emphasize that tricuspid valve endocarditiscan be developed secondary to very rare causes.J Clin Exp Invest 2011; 2(1: 102-105

Midterm follow up after Ebstein's anomaly repair augmented with tricuspid annuloplasty ring

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Sherif Eliwa

2017-06-01

Conclusions: Augmentation of the tricuspid valve repair with annuloplasty ring can be performed with low mortality and morbidity. Early and mid-term follow-up showed clinical improvement in the majority of patients, low incidence of reoperations, and no need for tricuspid valve replacement (TVR.

Wall stress on ascending thoracic aortic aneurysms with bicuspid compared with tricuspid aortic valve.

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Xuan, Yue; Wang, Zhongjie; Liu, Raymond; Haraldsson, Henrik; Hope, Michael D; Saloner, David A; Guccione, Julius M; Ge, Liang; Tseng, Elaine

2018-03-08

Guidelines for repair of bicuspid aortic valve-associated ascending thoracic aortic aneurysms have been changing, most recently to the same criteria as tricuspid aortic valve-ascending thoracic aortic aneurysms. Rupture/dissection occurs when wall stress exceeds wall strength. Recent studies suggest similar strength of bicuspid aortic valve versus tricuspid aortic valve-ascending thoracic aortic aneurysms; thus, comparative wall stress may better predict dissection in bicuspid aortic valve versus tricuspid aortic valve-ascending thoracic aortic aneurysms. Our aim was to determine whether bicuspid aortic valve-ascending thoracic aortic aneurysms had higher wall stresses than their tricuspid aortic valve counterparts. Patients with bicuspid aortic valve- and tricuspid aortic valve-ascending thoracic aortic aneurysms (bicuspid aortic valve = 17, tricuspid aortic valve = 19) greater than 4.5 cm underwent electrocardiogram-gated computed tomography angiography. Patient-specific 3-dimensional geometry was reconstructed and loaded to systemic pressure after accounting for prestress geometry. Finite element analyses were performed using the LS-DYNA solver (LSTC Inc, Livermore, Calif) with user-defined fiber-embedded material model to determine ascending thoracic aortic aneurysm wall stress. Bicuspid aortic valve-ascending thoracic aortic aneurysms 99th-percentile longitudinal stresses were 280 kPa versus 242 kPa (P = .028) for tricuspid aortic valve-ascending thoracic aortic aneurysms in systole. These stresses did not correlate to diameter for bicuspid aortic valve-ascending thoracic aortic aneurysms (r = -0.004) but had better correlation to tricuspid aortic valve-ascending thoracic aortic aneurysms diameter (r = 0.677). Longitudinal stresses on sinotubular junction were significantly higher in bicuspid aortic valve-ascending thoracic aortic aneurysms than in tricuspid aortic valve-ascending thoracic aortic aneurysms (405 vs 329 kPa, P = .023). Bicuspid

Transfemoral implantation of an Edwards SAPIEN valve in a tricuspid bioprosthesis without fluoroscopic landmarks.

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Calvert, Patrick A; Himbert, Dominique; Brochet, Eric; Radu, Costin; Iung, Bernard; Hvass, Ulrik; Darondel, Jean-Marc; Depoix, Jean-Pol; Nataf, Patrick; Vahanian, Alec

2012-03-01

We describe the first report of an Edwards SAPIEN valve implanted in a tricuspid bioprosthesis from the femoral vein. We highlight the feasibility of this previously avoided approach and the techniques involved. A 61-year-old woman with multiple valve replacements for rheumatic heart disease presented with NHYA IV dyspnoea secondary to a severely stenosed tricuspid bioprosthesis. After failed aggressive medical therapy and surgical turn down, an Edwards SAPIEN XT valve was deployed in the tricuspid bioprosthesis via the right femoral vein. Adaptations to the standard transfemoral transcatheter aortic valve implantation (TAVI) technique included: (1) crossing the tricuspid bioprosthesis with a balloon floatation catheter; (2) temporary pacing wire in the coronary sinus rather than the right ventricle; (3) mounting of the SAPIEN XT valve in the reverse orientation to transfemoral TAVI; and (4) fine positioning of the final valve position pre-deployment by 3D transoesophageal echocardiography (3D TOE) alone due to complete radiolucency of the tricuspid bioprosthesis. The procedure was completed without complication and resulted in significant symptomatic improvement. Deployment of an Edwards SAPIEN valve in a tricuspid bioprosthesis via the femoral vein is feasible and, with careful adaptations to established TAVI techniques, can be performed without complications and with good clinical response.

Surgical treatment of tricuspid valve insufficiency promotes early reverse remodeling in patients with axial-flow left ventricular assist devices.

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Maltais, Simon; Topilsky, Yan; Tchantchaleishvili, Vakhtang; McKellar, Stephen H; Durham, Lucian A; Joyce, Lyle D; Daly, Richard C; Park, Soon J

2012-06-01

The HeartMate II (Thoratec Corp, Pleasanton, Calif) continuous-flow left ventricular assist device has emerged as the standard of care for patients with advanced heart failure. The objective of this study was to assess the safety and early effectiveness of concomitant tricuspid valve procedures in patients undergoing implantation of a HeartMate II device. From February 2007 to April 2010, 83 patients underwent HeartMate II left ventricular assist device implantation. Of these, 37 patients had concomitant tricuspid valve procedures (32 repairs, 5 replacements) for severe tricuspid regurgitation. The effects of a tricuspid valve procedure on tricuspid regurgitation and right ventricular remodeling were assessed comparing echocardiographic findings at baseline and 30 days after left ventricular assist device implantation. Overall survival was also compared. Patients undergoing a concomitant tricuspid valve procedure had more tricuspid regurgitation (vena contracta, 5.6 ± 2.1 mm vs 2.9 ± 2.0 mm; P tricuspid regurgitation was worse in patients who underwent left ventricular assist device implantation alone (+18.6%), whereas it improved significantly in patients undergoing a concomitant tricuspid valve procedure (-50.2%) (P = .005). A corresponding significant reduction in right ventricular end-diastolic area (33.6% ± 6.2% vs 30.1% ± 9.7%; P = .03) and a trend toward better right ventricular function (55.5% ± 79.7% vs 35.7% ± 60.5%; P = .28) were noted in patients undergoing a concomitant tricuspid valve procedure. Survival was comparable between the 2 groups. In patients with severe tricuspid regurgitation undergoing left ventricular assist device implantation, a concomitant tricuspid valve procedure effectively reduces tricuspid regurgitation and promotes reverse remodeling of the right ventricle. Copyright © 2012 The American Association for Thoracic Surgery. Published by Mosby, Inc. All rights reserved.

The optimal project position for demonstrating tricuspid annulus in angiography: an experimental study

International Nuclear Information System (INIS)

Bai Yuan; Zong Gongjun; Wang Hongru; Qin Yongwen; Huang Xinmiao; Jiang Haibin

2009-01-01

Objective: To explore the optimal project position for demonstrating tricuspid annulus angiographically in experimental goats. Methods: Eight healthy goats underwent right atrial angiography by using 6 F pig tail catheters. Under fluoroscopic monitoring the contrast media (total 110 ml, flow rate 12 ml/ s, pressure 800 psi) was injected continuously while a serious exposures were performed from RAO position to LAO position (totally 180 degree rotation). The maximum diameter of the tricuspid annulus in every picture was measured and the results were compared with that obtained from sonography. Results: The procedure was successful in all 8 experimental goats. The optimal project position to display the tricuspid annulus was at 27 degree ± 3 degree in RAO position. Conclusion: In angiography, the tricuspid annulus can be best demonstrated at the project position of 27 degree ± 3 degree in RAO. (authors)

Successful Tricuspid Valve Replacement in a Patient with Severe Pulmonary Arterial Hypertension and Preserved Right Ventricular Systolic Function

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Jamil A. Aboulhosn

2009-01-01

Full Text Available A 56-year-old patient with severe pulmonary hypertension developed severe tricuspid regurgitation, right-sided heart failure, and congestive hepatopathy. She was transferred for possible lung transplant and/or tricuspid valve surgery. Clinical and echocardiographic assessment provided confidence that acute tricuspid valve failure was responsible for the decompensation and that tricuspid valve replacement despite pulmonary hypertension could be performed.

Unusual Giant Right Atrium in Rheumatic Mitral Stenosis and Tricuspid Insufficiency

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Jean Baptiste Anzouan-Kacou

2011-01-01

Full Text Available Dilation and hypertrophy of the atria occur in patients with valvular heart disease especially in mitral regurgitation, mitral stenosis or tricuspid abnormalities. In sub-saharan Africa, rheumatic fever is still the leading cause of valvular heart disease. We report a case of an unusual giant right atrium in context of rheumatic stenosis and severe tricuspid regurgitation in a 58-year-old woman.

Tricuspid leaflet resection in an open beating heart for the creation of a canine tricuspid regurgitation model.

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Xie, Xu-jing; Liao, Sheng-jie; Wu, Yue-heng; Lu, Cong; Zhu, Ping; Fei, Hong-wen; Xiao, Xue-jun; Huang, Huan-lei

2016-02-01

Outcomes of tricuspid valve replacement are poor, partly due to right heart remodelling. The research on its underlying mechanisms is hampered by a lack of animal models of tricuspid regurgitation (TR). Our objective was to create a reproducible and clinically compatible TR animal model to study right heart remodelling caused by TR. Fourteen juvenile male Beagle dogs were divided randomly into an intervention group (n = 11) and a sham-operated control group (n = 3). The intervention group underwent thoracotomy and right atrial incision following superior and inferior vena caval occlusion. The anterior leaflet, together with the chordae, of the tricuspid valve was resected in eight dogs ('one leaflet' group), whereas both anterior and posterior leaflets, together with the chordae, were resected in three dogs ('two leaflets' group). The right atrium and chest were then closed. The control group underwent the same procedure, except leaflet resection. One dog from the 'two leaflets' group and one control dog were sacrificed and autopsy was performed at 12 months post-surgery. All dogs survived over the 1-year observation period postoperatively. TR grade IV occurred immediately postoperatively in the 'one leaflet' group, and TR grade IV plus in the 'two leaflets' group. The overall procedure lasted 30-40 min, and the mean time of vena caval occlusion was 87 ± 10 s. Central venous pressure increased from 6 ± 1.2 at baseline to 13 ± 1.7 mmHg (P heart remodelling. © The Author 2015. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

Massive congenital tricuspid insufficiency in the newborn

International Nuclear Information System (INIS)

Bogren, H.G.; Ikeda, R.; Riemenschneider, T.A.; Merten, D.F.; Janos, G.G.

1979-01-01

Three cases of massive congenital tricuspid incompetence in the newborn are reported and discussed from diagnostic, pathologic and etiologic points of view. The diagnosis is important as cases have been reported with spontaneous resolution. (Auth.)

Patient selection, echocardiographic screening and treatment strategies for interventional tricuspid repair using the edge-to-edge repair technique.

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Hausleiter, Jörg; Braun, Daniel; Orban, Mathias; Latib, Azeem; Lurz, Philipp; Boekstegers, Peter; von Bardeleben, Ralph Stephan; Kowalski, Marek; Hahn, Rebecca T; Maisano, Francesco; Hagl, Christian; Massberg, Steffen; Nabauer, Michael

2018-04-24

Severe tricuspid regurgitation (TR) has long been neglected despite its well known association with mortality. While surgical mortality rates remain high in isolated tricuspid valve surgery, interventional TR repair is rapidly evolving as an alternative to cardiac surgery in selected patients at high surgical risk. Currently, interventional edge-to-edge repair is the most frequently applied technique for TR repair even though the device has not been developed for this particular indication. Due to the inherent differences in tricuspid and mitral valve anatomy and pathology, percutaneous repair of the tricuspid valve is challenging due to a variety of factors including the complexity and variability of tricuspid valve anatomy, echocardiographic visibility of the valve leaflets, and device steering to the tricuspid valve. Furthermore, it remains to be clarified which patients are suitable for a percutaneous tricuspid repair and which features predict a successful procedure. On the basis of the available experience, we describe criteria for patient selection including morphological valve features, a standardized process for echocardiographic screening, and a strategy for clip placement. These criteria will help to achieve standardization of valve assessment and the procedural approach, and to further develop interventional tricuspid valve repair using either currently available devices or dedicated tricuspid edge-to-edge repair devices in the future. In summary, this manuscript will provide guidance for patient selection and echocardiographic screening when considering edge-to-edge repair for severe TR.

Choice of approaches for surgical correction of tricuspid pathology in patients with rheumatic multi-valvular heart disease

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Hamidullah A. Abdumadzhidov

2017-04-01

Full Text Available Objective: To analyze the results of surgical correction of patients with tricuspid pathology in rheumatic multi-valvular heart disease. Methods: We retrospectively analyzed outcomes of surgical correction of tricuspid valve disease in 292 patients with rheumatic multi-valvular heart defects, who underwent surgery in our clinic. Results: The age of our patients ranged from 12 to 74 years (mean age 36.7 (9.4 years, among them 197 (67.4% women and 95 (32.6% - men. According to the degree of circulatory disorders, 21 (7.2% patients were in NYHA class III and 271 (92.8% patients - class IV. Of them 235 (80.5% patients were operated by the method of De Vega using plastic fibrous ring. After tricuspid valve (TV and fibrous ring repair in 26.9% - tricuspid regurgitation disappeared, in 62.8% - regurgitation decreased to the 1st degree, and the remaining 10.3% of patients had 2nd (moderate degree tricuspid regurgitation. In 7 (2.38% cases of infective endocarditis, the "open heart surgery" correction – replacement of TV with biological prosthesis was made. Creation of the bicuspid tricuspid valve techniques was used in 13.4% of cases. Conclusion: Our study demonstrated that correction of tricuspid valve disease in our cohort of patients, including valve repair and replacement and reconstructive surgery of fibrous ring alone or in combination with mitral or aortic valve replacement/ repair is accompanied by reduction of tricuspid regurgitation and reduction of cardiac chamber size and right ventricular pressure. No complications intrinsic to operative technique of tricuspid valve reconstructive surgery as advanced atrioventricular block or myocardial ischemia and infarction were recorded.

The "clover technique" as a novel approach for correction of post-traumatic tricuspid regurgitation.

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Alfieri, O; De Bonis, M; Lapenna, E; Agricola, E; Quarti, A; Maisano, F

2003-07-01

To describe a novel technique, named "clover," to correct complex post-traumatic tricuspid valve lesions. Five patients with severe post-traumatic tricuspid insufficiency underwent valve reconstruction with the clover technique, a new surgical approach that consists of stitching together the middle point of the free edges of the tricuspid leaflets, producing a clover-shaped valve. The mechanism of tricuspid regurgitation was complex in all patients, and right ventricular function was always moderately to severely depressed. An echocardiographic study was performed after cardiopulmonary bypass, at discharge, and at follow-up. Cardiopulmonary bypass time was 32 +/- 6.3 minutes and crossclamp time was 23 +/- 7.4. There was no hospital mortality or morbidity. Intraoperative transesophageal and predischarge transthoracic echocardiography showed perfect results in all patients. No late deaths occurred. At the latest follow-up, extending to 14.2 months (mean 11.3; median 12.4), all patients were asymptomatic (New York Heart Association class I) with trivial (2 patients) or no residual regurgitation (3 patients) on 2-dimensional echocardiogram. No transvalvular gradient was revealed in any patient. A significant reduction of the right ventricular end-diastolic dimensions was noted as well (from 54 +/- 7.1 mm to 40 +/- 7.5 mm, P tricuspid valve repair in case of severe traumatic tricuspid valve insufficiency, leading to very satisfactory mid-term results even in the presence of complex lesions or dilatation and deterioration of the right ventricle.

Surgical treatment of ventricular septal defect combined with tricuspid valve insufficiency

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L. Maniuc

2016-11-01

Full Text Available The aim – to evaluate different methods of surgical treatment of ventricular septal defect (VSD, combined with failure of the tricuspid valve (TC, and to develop optimal algorithm for the treatment of patients with this pathology. Materials and methods. Between 2010 and 2014, 35 patients, average age 80.9±20.5 months, underwent tricuspidal annuloplasty within correction of VSD in Center of Cardiac Surgery of Republic of Moldova. Tricuspidal regurgitation of the II grade was diagnosed valve in 20 (57.0 % cases, III grade – in 8 (23.0 % cases, IV grade – in 7 (20.0 % of cases. Within correction of VSD plastics of tricuspidal valve was performed: in 4 cases (11.0 % of patients plastics by De Vega, in 14 cases (40.0 % of patients – comissuroplastics, in 6 cases (17.0 % – comissuroplastics and suture of cleft, in 1 case (4.0 % plastics by De Vega with comissuroplastics, in 10 cases (29.0 % – comissuroplastics and suture of cleft. Results. After operation the clinic status improved significantly: breathlessness reduced from 91.7 % to 8.3 % cases, tachycardia reduced from 91.7 % to 33.3 % cases and other cardiac failure symptoms – from 10.8 % to 4.2 % cases. The number of patients with NYHA class I heart failure after surgery was 54.2 % compared to its absence before operation, class 2 diminished from 60.0 % to 41.7 % cases, class 3 – from 36.0 % to 4.2 % cases. Conclusions. Anteroseptal comissuroplastics was used in majority of cases. This method is simple, reliable and inexpensive, requires not more than 5–10 min and significantly reduces tricuspidal valve insufficiency.

Echocardiographic Evaluation of Tricuspid Prosthetic Valves: An Update

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Dimitrios Maragiannis, MD, FASE, FACC

2016-05-01

Full Text Available This review focuses on the diagnostic value of novel echocardiographic techniques and the clinical application of recently described algorithms to assess tricuspid prosthetic valve function.

Transcatheter treatment of severe tricuspid regurgitation with the MitraClip system.

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Hammerstingl, Christoph; Schueler, Robert; Malasa, Margarita; Werner, Nikos; Nickenig, Georg

2016-03-07

The aim of this study was to show technical principles and feasibility of transcatheter tricuspid valve repair by use of the MitraClip system. Three consecutive patients were treated successfully for severe symptomatic Tricuspid regurgitation. Three-dimensional transoesophageal echocardiography confirmed reduction of measured effective regurgitant orifice in all patients [effective regurgitant orifice area-baseline/post-procedure (cm(2)): 0.7/0.3; 1.5/0.8; 0.4/0.1], which was accompanied by an increase in left ventricular stroke volumes [baseline/post-procedure (mL): 42.8/45.4; 38/45; 35.2/45], decrease of measured levels of N terminal pro brain natriuretic peptide (pg/mL: baseline/post-procedure: 548/440; 2526/1702; 1754/623), and significant relief of clinical symptoms for chronic right heart failure in all patients. Transcatheter tricuspid valve repair by use of interventional edge-to-edge repair with the MitraClip system was feasible, and safe in three consecutive patients. Reduction of tricuspid insufficiency associates with relief of clinical symptoms for right heart failure. This strategy seems a promising treatment option for patients at prohibitive surgical risk. Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2016. For permissions please email: journals.permissions@oup.com.

Isolated Tricuspid Valve Libman-Sacks Endocarditis in Systemic Lupus Erythematosus with Secondary Antiphospholipid Syndrome.

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Unic, Daniel; Planinc, Mislav; Baric, Davor; Rudez, Igor; Blazekovic, Robert; Senjug, Petar; Sutlic, Zeljko

2017-04-01

Libman-Sacks endocarditis, one of the most prevalent cardiac presentations of systemic lupus erythematosus, typically affects the aortic or mitral valve; tricuspid valve involvement is highly unusual. Secondary antiphospholipid syndrome increases the frequency and severity of cardiac valvular disease in systemic lupus erythematosus. We present the case of a 47-year-old woman with lupus and antiphospholipid syndrome whose massive tricuspid regurgitation was caused by Libman-Sacks endocarditis isolated to the tricuspid valve. In addition, we discuss this rare case in the context of the relevant medical literature.

Intraoperative Transesophageal Echocardiography and Right Ventricular Failure After Left Ventricular Assist Device Implantation.

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Silverton, Natalie A; Patel, Ravi; Zimmerman, Josh; Ma, Jianing; Stoddard, Greg; Selzman, Craig; Morrissey, Candice K

2018-02-15

To determine whether intraoperative measures of right ventricular (RV) function using transesophageal echocardiography are associated with subsequent RV failure after left ventricular assist device (LVAD) implantation. Retrospective, nonrandomized, observational study. Single tertiary-level, university-affiliated hospital. The study comprised 100 patients with systolic heart failure undergoing elective LVAD implantation. Transesophageal echocardiographic images before and after cardiopulmonary bypass were analyzed to quantify RV function using tricuspid annular plane systolic excursion (TAPSE), tricuspid annular systolic velocity (S'), fractional area change (FAC), RV global longitudinal strain, and RV free wall strain. A chart review was performed to determine which patients subsequently developed RV failure (right ventricular assist device placement or prolonged inotrope requirement ≥14 days). Nineteen patients (19%) subsequently developed RV failure. Postbypass FAC was the only measure of RV function that distinguished between the RV failure and non-RV failure groups (21.2% v 26.5%; p = 0.04). The sensitivity, specificity, and area under the curve of an abnormal RV FAC (failure after LVAD implantation were 84%, 20%, and 0.52, respectively. No other intraoperative measure of RV function was associated with subsequent RV failure. RV failure increased ventilator time, intensive care unit and hospital length of stay, and mortality. Intraoperative measures of RV function such as tricuspid annular plane systolic excursion, tricuspid annular systolic velocity, and RV strain were not associated with RV failure after LVAD implantation. Decreased postbypass FAC was significantly associated with RV failure but showed poor discrimination. Copyright © 2018 Elsevier Inc. All rights reserved.

Recurrent protein-losing enteropathy and tricuspid valve insufficiency in a transplanted heart: a causal relationship?

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Aggarwal, Sanjeev; Delius, Ralph E; Walters, Henry L; L'Ecuyer, Thomas J

2012-01-01

This case report describes a toddler who developed a protein-losing enteropathy (PLE) 4 years after orthotopic heart transplantation (OHT). He was born with a hypoplastic left heart syndrome for which he underwent a successful Norwood procedure, a Hemi-Fontan palliation, and a Fontan palliation at 18 months of age. Fifteen months following the Fontan operation, he developed a PLE and Fontan failure requiring OHT. Four years after OHT, he developed a severe tricuspid regurgitation and a PLE. His PLE improved after tricuspid valve replacement. It is now 2 years since his tricuspid valve replacement and he remains clinically free of ascites and peripheral edema with a normal serum albumin level. His prosthetic tricuspid valve is functioning normally. © 2011 Wiley Periodicals, Inc.

[Major tricuspid insufficiency and absence of systolic valvular coaptation. Echocardiographic study. Apropos of 6 cases].

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Roudaut, R; Héraudeau, A; Gosse, P; Aouizerate, E; Dequecker, J L; Dallocchio, M

1986-09-01

In a retrospective series of 960 cases of tricuspid regurgitation studied by two-dimensional echocardiography 6 patients presented a systolic defect of valvular coaptation. The origin of this defect varied: one case was due to carcinoid, two to rheumatic cardiopathy, two to papyraceous right ventricle and one to sclerodermia associated with pulmonary arterial hypertension. The mechanism of the lacking coaptation varies according to the etiology: valvular retraction in carcinoid cardiopathy, right-ventricle dilatation, dilatation of the tricuspid ring and altered kinetics of the right ventricle in the other cases. Changed contractility of the right ventricle is the only element allowing to distinguish tricuspid regurgitation with and without a coaptation defect. Clinically this abnormality always points to an advanced stage of severe tricuspid regurgitation.

Traumatic tricuspid regurgitation and right-to-left intra-atrial shunt--an unusual complication of a horse-kick.

LENUS (Irish Health Repository)

Byrne, R A

2010-02-01

A 63-year-old male presented with sudden onset chest pain and dyspnoea following a kick to the praecordium while gelding a horse. Transthoracic echocardiography showed evidence of flail tricuspid valve leaflets, severe tricuspid regurgitation and a widely patent foramen ovale with a right-to-left shunt. Due to progressive severe systemic hypoxemia the patient underwent emergent surgical intervention. Operative findings confirmed rupture of the anterior and septal tricuspid valve papillary muscles. Successful papillary muscle reattachment was performed in association with tricuspid annuloplasty and suture closure of his patent foramen ovale. Disruption of the tricuspid valve is well described as consequence of blunt trauma to the chest wall and is often well tolerated, coming to light many years post injury. Valve disruption due to rupture at the papillary muscle level, however, typically results in greater severity of tricuspid regurgitation and the abrupt rise in right intra-atrial pressure may lead to a right-to-left shunt across a patent foramen ovale. Where hemodynamic compromise ensues, prompt surgical intervention is mandated.

Porcine Tricuspid Valve Anatomy and Human Compatibility: Relevance for Preclinical Validation of Novel Valve Interventions.

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Waziri, Farhad; Lyager Nielsen, Sten; Michael Hasenkam, John

2016-09-01

Tricuspid regurgitation may be a precursor for heart failure, reduced functional capacity, and poor survival. A human compatible experimental model is required to understand the pathophysiology of the tricuspid valve disease as a basis for validating novel tricuspid valve interventions before clinical use. The study aim was to evaluate and compare the tricuspid valve anatomy of porcine and human hearts. The anatomy of the tricuspid valve and the surrounding structures that affect the valve during a cardiac cycle were examined in detail in 100 fresh and 19 formalin-fixed porcine hearts obtained from Danish Landrace pigs (body weight 80 kg). All valvular dimensions were compared with human data acquired from literature sources. No difference was seen in the tricuspid annulus circumference between porcine and human hearts (13.0 ± 1.2 cm versus 13.5 ± 1.5 cm; p = NS), or in valve area (5.7 ± 1.6 cm2 versus 5.6 ± 1.0 cm2; p = NS). The majority of chordae types exhibited a larger chordal length and thickness in human hearts compared to porcine hearts. In both species, the anterior papillary muscle (PM) was larger than other PMs in the right ventricle, but muscle length varied greatly (range: 5.2-40.3 mm) and was significantly different in pigs and in humans (12.2 ± 3.2 mm versus 19.2 mm; p human hearts.

Right ventricular longitudinal strain correlates well with right ventricular stroke work index in patients with advanced heart failure referred for heart transplantation.

Science.gov (United States)

Cameli, Matteo; Lisi, Matteo; Righini, Francesca Maria; Tsioulpas, Charilaos; Bernazzali, Sonia; Maccherini, Massimo; Sani, Guido; Ballo, Piercarlo; Galderisi, Maurizio; Mondillo, Sergio

2012-03-01

Right ventricular (RV) systolic function has a critical role in determining the clinical outcome and success of using left ventricular assist devices (LVADs) in patients with refractory heart failure. Tissue Doppler and M-mode measurements of tricuspid systolic motion (tricuspid S' and tricuspid annular plane systolic excursion [TAPSE]) are the most currently used methods for the quantification of RV longitudinal function; RV deformation analysis by speckle-tracking echocardiography (STE) has recently allowed the analysis of global RV longitudinal function. Using cardiac catheterization as the reference standard, this study aimed at exploring the correlation between RV longitudinal function by STE and RV stroke work index (RVSWI) in patients referred for cardiac transplantation. Right-side heart catheterization and transthoracic echo Doppler were simultaneously performed in 41 patients referred for cardiac transplantation evaluation for advanced systolic heart failure. Thermodilution RV stroke volume and invasive pulmonary pressures were used to obtain RVSWI. RV longitudinal strain (RVLS) by STE was assessed averaging all segments in apical 4-chamber view (global RVLS) and by averaging RV free-wall segments (free-wall RVLS). Tricuspid S' and TAPSE were also calculated. No significant correlations were found for TAPSE or tricuspid S' with RVSWI (r = 0.14; r = 0.06; respectively). Close negative correlations between global RVLS and free-wall RVLS with the RVSWI were found (r = -0.75; r = -0.82; respectively; both P rights reserved.

Successful management of multiple permanent pacemaker complications – infection, 13 year old silent lead perforation and exteriorisation following failed percutaneous extraction, superior vena cava obstruction, tricuspid valve endocarditis, pulmonary embolism and prosthetic tricuspid valve thrombosis

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Kaul, Pankaj; Adluri, Krishna; Javangula, Kalyana; Baig, Wasir

2009-01-01

A 59 year old man underwent mechanical tricuspid valve replacement and removal of pacemaker generator along with 4 pacemaker leads for pacemaker endocarditis and superior vena cava obstruction after an earlier percutaneous extraction had to be abandoned, 13 years ago, due to cardiac arrest, accompanied by silent, unsuspected right atrial perforation and exteriorisation of lead. Postoperative course was complicated by tricuspid valve thrombosis and secondary pulmonary embolism requiring TPA thrombolysis which was instantly successful. A review of literature of pacemaker endocarditis and tricuspid thrombosis along with the relevant management strategies is presented. We believe this case report is unusual on account of non operative management of right atrial lead perforation following an unsuccessful attempt at percutaneous removal of right sided infected pacemaker leads and the incidental discovery of the perforated lead 13 years later at sternotomy, presentation of pacemaker endocarditis with a massive load of vegetations along the entire pacemaker lead tract in superior vena cava, right atrial endocardium, tricuspid valve and right ventricular endocardium, leading to a functional and structural SVC obstruction, requirement of an unusually large dose of warfarin postoperatively occasioned, in all probability, by antibiotic drug interactions, presentation of tricuspid prosthetic valve thrombosis uniquely as vasovagal syncope and isolated hypoxia and near instantaneous resolution of tricuspid prosthetic valve thrombosis with Alteplase thrombolysis. PMID:19239701

Successful management of multiple permanent pacemaker complications – infection, 13 year old silent lead perforation and exteriorisation following failed percutaneous extraction, superior vena cava obstruction, tricuspid valve endocarditis, pulmonary embolism and prosthetic tricuspid valve thrombosis

Directory of Open Access Journals (Sweden)

Javangula Kalyana

2009-02-01

Full Text Available Abstract A 59 year old man underwent mechanical tricuspid valve replacement and removal of pacemaker generator along with 4 pacemaker leads for pacemaker endocarditis and superior vena cava obstruction after an earlier percutaneous extraction had to be abandoned, 13 years ago, due to cardiac arrest, accompanied by silent, unsuspected right atrial perforation and exteriorisation of lead. Postoperative course was complicated by tricuspid valve thrombosis and secondary pulmonary embolism requiring TPA thrombolysis which was instantly successful. A review of literature of pacemaker endocarditis and tricuspid thrombosis along with the relevant management strategies is presented. We believe this case report is unusual on account of non operative management of right atrial lead perforation following an unsuccessful attempt at percutaneous removal of right sided infected pacemaker leads and the incidental discovery of the perforated lead 13 years later at sternotomy, presentation of pacemaker endocarditis with a massive load of vegetations along the entire pacemaker lead tract in superior vena cava, right atrial endocardium, tricuspid valve and right ventricular endocardium, leading to a functional and structural SVC obstruction, requirement of an unusually large dose of warfarin postoperatively occasioned, in all probability, by antibiotic drug interactions, presentation of tricuspid prosthetic valve thrombosis uniquely as vasovagal syncope and isolated hypoxia and near instantaneous resolution of tricuspid prosthetic valve thrombosis with Alteplase thrombolysis.

Detection of tricuspid insufficiency by portable nuclear probe monitoring over the liver

International Nuclear Information System (INIS)

Dey, H.M.; Schulman, P.; Smith, V.E.; Karimeddini, M.K.; Spencer, R.P.

1983-01-01

A case is presented in which a portable nuclear scintillation probe was used to detect tricuspid regurgitation. An electrocardiographically-gated scintigraphic collection obtained over the liver was correlated with findings from contrast echocardiography and jugular venous pulse tracings. The nuclear probe may provide a simple means for the detection of tricuspid insufficiency. It remains to be determined if quantification of severity will be possible

Traumatic Tricuspid Insufficiency with Chordae Tendinae Rupture: A Case Report and Literature Review

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Shin-Jing Lin

2006-12-01

Full Text Available With the increase in the number of automobile accidents, traumatic tricuspid insufficiency, a rare complication of non-penetrating blunt chest injury, has become an important problem. This kind of injury has been found more frequently during the last decade, partly because of better diagnostic procedures and a better understanding of the pathology. Here, we report a 22-year-old male patient who suffered chest trauma from an automobile accident. Echocardiography demonstrated tricuspid chordae tendinae rupture with remarkable tricuspid regurgitation. We discuss this case in comparison with the previous literature. This case reminds us that physicians in the emergency department should be aware of this potential complication following non-penetrating chest trauma.

Tricuspid valve regurgitation after heart transplantation.

Science.gov (United States)

Kwon, Murray H; Shemin, Richard J

2017-05-01

Tricuspid valve regurgitation (TVR) in the orthotopic heart transplant (OHT) recipient is quite common and has varied clinical sequelae. In its severest forms, it can lead to right-sided failure symptoms indistinguishable from that seen in native heart TVR disease. While certain implantation techniques are widely recognized to reduce the risk of TVR in the cardiac allograft, concomitant tricuspid annuloplasty, while having advocates, is not currently accepted as a routinely established adjunct. Decisions to surgically correct TVR in the OHT recipient must be made carefully, as certain clinical scenarios have high risk of failure. Like in the native heart, anatomic etiologies typically have the greatest chances for success compared to functional etiologies. While repair options have been utilized, there is emerging data to support replacement as the more durable option. While mechanical prostheses are impractical in the heart transplant recipient, biologic valves offer the advantage of continued access to the right ventricle for biopsies in addition to acceptable durability in the low pressure system of the right side.

EXPLOSION OF ANNULAR CHARGE ON DUSTY SURFASE

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A. Levin Vladimir

2017-01-01

Full Text Available This problem is related to the safety problem in the area of forest fires. It is well known that is possible to extinguish a fire, for example, by means of a powerful air stream. Such flow arises from the explosive shock wave. To enhance the im- pact of the blast wave can be used an explosive charge of annular shape. The shock wave, produced by the explosion, in- creased during moves to the center and can serve as a means of transportation dust in the seat of the fire. In addition, emerging after the collapse of a converging shock wave strong updraft can raise dust on a greater height and facilitate fire extinguishing, precipitating dust over a large area. This updraft can be dangerous for aircraft that are in the sky above the fire. To determine the width and height of the danger zone performed the numerical simulation of the ring of the explosion and the subsequent movement of dust and gas mixtures. The gas is considered ideal and perfect. The explosion is modeled as an instantaneous increase in the specific internal energy in an annular zone on the value of the specific heat of explosives. The flow is consid- ered as two-dimensional, and axisymmetric. The axis of symmetry perpendicular to the Earth surface. This surface is considered to be absolutely rigid and is considered as the boundary of the computational domain. On this surface is exhibited the condition of no motion. For the numerical method S. K. Godunov is used a movable grid. One system of lines of this grid is moved in accordance with movement of the shock wave. Others lines of this grid are stationary. The calculations were per- formed for different values of the radii of the annular field and for different sizes of rectangular cross-sectional of the annular field. Numerical results show that a very strong flow is occurring near the axis of symmetry and the particles rise high above the surface. These calculations allow us to estimate the sizes of the zone of danger in specific

Flail Tricuspid Valve in an Adult Patient with Congenitally Corrected Transposition of the Great Arteries.

Science.gov (United States)

Meloni, Luigi; Abbruzzese, Piero A.; Pirisi, Raimondo; Cherchi, Angelo

1997-01-01

We describe a case of a 50-year-old woman with congenitally corrected transposition of the great vessels, in whom severe left-sided tricuspid (systemic atrioventricular) valve insufficiency was the only associated anomaly. The tricuspid valve was dysplastic and abnormally oriented toward the interventricular septum, without the downward displacement of Ebstein's anomaly. The mechanism of atrioventricular regurgitation was unusual in that it consisted of the rupture of chordae tendineae of both the anterior and septal leaflets. The left-sided tricuspid valve was replaced with a St. Jude prosthesis and the postoperative course was uneventful.

Critical heat fluxes and liquid distribution in annular channels in the dispersion-annular flow

International Nuclear Information System (INIS)

Boltenko, Eh.A.; Pomet'ko, R.S.

1984-01-01

On the basis of using the dependence of intensity of total mass transfer between the flux nucleus and wall film obtained for tubes with uniform heat release and taking into account the peculiarities of mass transfer between the flux nucleus and wall film in annular channels the technique for calculating the liquid distribution and critical capacity of annular channels with internal, external and bilateral heating at uniform and non-uniform heat release over the length is proposed. The calculation of annular channels critical capacity according to the suggested technique is performed. A satisfactory agreement of calculation results with the experimental data is attained

Do pulmonary artery catheters cause or increase tricuspid or pulmonic valvular regurgitation?

Science.gov (United States)

Sherman, S V; Wall, M H; Kennedy, D J; Brooker, R F; Butterworth, J

2001-05-01

There are few quantitative data on the extent or mechanism of pulmonary artery catheter (PAC)-induced valvular dysfunction. We hypothesized that PACs cause or worsen tricuspid and pulmonic valvular regurgitation, and tested this hypothesis by using transesophageal echocardiography. In 54 anesthetized adult patients, we measured color Doppler jet areas of tricuspid regurgitation (TR) in two planes (midesophageal [ME] 4-chamber and right ventricular inflow-outflow views) and pulmonic insufficiency (PI) in one plane (ME aortic valve long-axis view), both before and after we advanced a PAC into the pulmonary artery. Regurgitant jet areas and hemodynamic measurements were compared by using paired t-test. There were no significant changes in blood pressure or heart rate after passage of the PAC. After PAC placement, the mean PI jet area was not significantly increased. The mean TR jet area increased significantly in the right ventricular inflow-outflow view (+0.37 +/- 0.11 cm(2)) (P = 0.0014), but did not increase at the ME 4-chamber view. Seventeen percent of patients had an increase in TR jet area > or =1 cm(2); 8% of patients had an increase in PI jet area >/=1 cm(2). In patients without pulmonic or tricuspid valvular pathology, placement of a pulmonary artery catheter (PAC) worsened tricuspid regurgitation, which is consistently visualized in the right ventricular inflow-outflow view, and often not seen in the midesophageal 4-chamber view. This is consistent with malcoaptation of the anterior and posterior leaflets. PAC-induced pulmonic insufficiency was rarely detected in the midesophageal aortic valve long-axis view. We conclude that a PAC is very unlikely to be the sole cause of severe tricuspid regurgitation or pulmonic insufficiency.

Radial midframe baffle for can-annular combustor arrangement having tangentially oriented combustor cans

Science.gov (United States)

Rodriguez, Jose L.

2015-09-15

A can-annular gas turbine engine combustion arrangement (10), including: a combustor can (12) comprising a combustor inlet (38) and a combustor outlet circumferentially and axially offset from the combustor inlet; an outer casing (24) defining a plenum (22) in which the combustor can is disposed; and baffles (70) configured to divide the plenum into radial sectors (72) and configured to inhibit circumferential motion of compressed air (16) within the plenum.

Tricuspid valve dysplasia: A retrospective study of clinical features and outcome in dogs in the UK

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Xavier Navarro-Cubas

2017-12-01

Full Text Available The objective of this study was to determine the demographic, clinical and survival characteristics and to identify risk factors for mortality due to tricuspid valve dysplasia in UK dogs. Records of client-owned dogs diagnosed with tricuspid valve dysplasia at a referral centre were retrospectively reviewed. Only dogs diagnosed with tricuspid valve dysplasia based on the presence of a right-sided heart murmur identified prior to one year of age, and confirmed with Doppler echocardiography, were included. Dogs with concomitant cardiac diseases, pulmonary hypertension and/or trivial tricuspid regurgitation were excluded. Analysed data included signalment, reason for presentation, clinical signs, electrocardiographic and echocardiographic features, survival status and cause of death. Survival times and risk factors for mortality were evaluated using Kaplan-Meier curves and Cox regression. Eighteen dogs met inclusion criteria. Border collies were over-represented (p= 0.014. Dogs were most frequently referred for investigation of heart murmur. The most common arrhythmia was atrial fibrillation (n=3. Median survival time from diagnosis of tricuspid valve dysplasia was 2775 days (range 1-3696 days; 95% CI 1542.41-4007.59 and from onset of right-sided congestive heart failure was 181 days (range 1-2130 days; 95% CI 0-455.59. Syncope was the sole risk factor for cardiac death. In this population of UK dogs, tricuspid valve dysplasia was uncommon but, when severe, frequently led to right-sided congestive heart failure. Prognosis was favourable for mild and moderate tricuspid dysplasia. Survival time was reduced with right-sided congestive heart failure but varied widely. Risk of cardiac death was significantly increased if syncope had occurred.

Study on two phase flow characteristics in annular pulsed extraction column with different ratio of annular width to column diameter

International Nuclear Information System (INIS)

Qin Wei; Dai Youyuan; Wang Jiading

1994-01-01

Annular pulsed extraction column can successfully provide large throughput and can be made critically safe for fuel reprocessing. This investigation is to study the two phase flow characteristics in annular pulsed extraction column with four different annular width. 30% TBP (in kerosene)-water is used (water as continuous phase). Results show that modified Pratt correlation is valid under the experimental operation conditions for the annular pulsed extraction column. The characteristic velocity U K decreased with the increase of energy input and increased with the increase of the ratio of annular width to column diameter. Flooding velocity correlation is suggested. The deviation of the calculated values from the experimental data is within +20% for four annular width in a pulsed extraction column

Modeling of annular two-phase flow using a unified CFD approach

Energy Technology Data Exchange (ETDEWEB)

Li, Haipeng, E-mail: haipengl@kth.se; Anglart, Henryk, E-mail: henryk@kth.se

2016-07-15

Highlights: • Annular two-phase flow has been modeled using a unified CFD approach. • Liquid film was modeled based on a two-dimensional thin film assumption. • Both Eulerian and Lagrangian methods were employed for the gas core flow modeling. - Abstract: A mechanistic model of annular flow with evaporating liquid film has been developed using computational fluid dynamics (CFD). The model is employing a separate solver with two-dimensional conservation equations to predict propagation of a thin boiling liquid film on solid walls. The liquid film model is coupled to a solver of three-dimensional conservation equations describing the gas core, which is assumed to contain a saturated mixture of vapor and liquid droplets. Both the Eulerian–Eulerian and the Eulerian–Lagrangian approach are used to describe the droplet and vapor motion in the gas core. All the major interaction phenomena between the liquid film and the gas core flow have been accounted for, including the liquid film evaporation as well as the droplet deposition and entrainment. The resultant unified framework for annular flow has been applied to the steam-water flow with conditions typical for a Boiling Water Reactor (BWR). The simulation results for the liquid film flow rate show good agreement with the experimental data, with the potential to predict the dryout occurrence based on criteria of critical film thickness or critical film flow rate.

Modeling of annular two-phase flow using a unified CFD approach

International Nuclear Information System (INIS)

Li, Haipeng; Anglart, Henryk

2016-01-01

Highlights: • Annular two-phase flow has been modeled using a unified CFD approach. • Liquid film was modeled based on a two-dimensional thin film assumption. • Both Eulerian and Lagrangian methods were employed for the gas core flow modeling. - Abstract: A mechanistic model of annular flow with evaporating liquid film has been developed using computational fluid dynamics (CFD). The model is employing a separate solver with two-dimensional conservation equations to predict propagation of a thin boiling liquid film on solid walls. The liquid film model is coupled to a solver of three-dimensional conservation equations describing the gas core, which is assumed to contain a saturated mixture of vapor and liquid droplets. Both the Eulerian–Eulerian and the Eulerian–Lagrangian approach are used to describe the droplet and vapor motion in the gas core. All the major interaction phenomena between the liquid film and the gas core flow have been accounted for, including the liquid film evaporation as well as the droplet deposition and entrainment. The resultant unified framework for annular flow has been applied to the steam-water flow with conditions typical for a Boiling Water Reactor (BWR). The simulation results for the liquid film flow rate show good agreement with the experimental data, with the potential to predict the dryout occurrence based on criteria of critical film thickness or critical film flow rate.

CT diagnosis of annular pancreas

International Nuclear Information System (INIS)

Ueno, Eiko; Isobe, Yoshinori; Niimi, Akiko; Shimizu, Yasushi; Yamada, Akiyoshi; Hanyu, Fujio

1987-01-01

CT scan was performed in two cases of annular pancreas which could be found in one case preoperatively and in the other case retrospectively. CT scan demonstrated secondary changes of annular pancreas such as medial displacement and dilatation of the duodenal bulb in the former case and stenosis of the duodenal loop and thickened soft tissue density around the narrow segment of the duodenal loop in the latter case, although it failed to demonstrate the peninsular protrusion of the parenchyma of the pancreas head. These findings suggest high possibility of diagnosing annular pancreas by CT scan. (author)

Cardiovascular adaptation to extrauterine life after intrauterine growth restriction.

Science.gov (United States)

Rodriguez-Guerineau, Luciana; Perez-Cruz, Miriam; Gomez Roig, María D; Cambra, Francisco J; Carretero, Juan; Prada, Fredy; Gómez, Olga; Crispi, Fátima; Bartrons, Joaquim

2018-02-01

Introduction The adaptive changes of the foetal heart in intrauterine growth restriction can persist postnatally. Data regarding its consequences for early circulatory adaptation to extrauterine life are scarce. The aim of this study was to assess cardiac morphometry and function in newborns with late-onset intrauterine growth restriction to test the hypothesis that intrauterine growth restriction causes cardiac shape and functional changes at birth. A comprehensive echocardiographic study was performed in 25 neonates with intrauterine growth restriction and 25 adequate-for-gestational-age neonates. Compared with controls, neonates with intrauterine growth restriction had more globular ventricles, lower longitudinal tricuspid annular motion, and higher left stroke volume without differences in the heart rate. Neonates with intrauterine growth restriction also showed subclinical signs of diastolic dysfunction in the tissue Doppler imaging with lower values of early (e') diastolic annular peak velocities in the septal annulus. Finally, the Tei index in the tricuspid annulus was higher in the intrauterine growth restriction group. Neonates with history of intrauterine growth restriction showed cardiac remodelling and signs of systolic and diastolic dysfunction. Overall, there was a significant tendency to worse cardiac function results in the right heart. The adaptation to extrauterine life occurred with more globular hearts, higher stroke volumes but a similar heart rate compared to adequate-for-gestational-age neonates.

Annular dynamics after mitral valve repair with different prosthetic rings: A real-time three-dimensional transesophageal echocardiography study.

Science.gov (United States)

Nishi, Hiroyuki; Toda, Koichi; Miyagawa, Shigeru; Yoshikawa, Yasushi; Fukushima, Satsuki; Kawamura, Masashi; Yoshioka, Daisuke; Saito, Tetsuya; Ueno, Takayoshi; Kuratani, Toru; Sawa, Yoshiki

2016-09-01

We assessed the effects of different types of prosthetic rings on mitral annular dynamics using real-time three-dimensional echocardiography (RT3DE). RT3DE was performed in 44 patients, including patients undergoing mitral annuloplasty using the Cosgrove-Edwards flexible band (Group A, n = 10), the semi-rigid Sorin Memo 3D ring (Group B, n = 17), the semi-rigid Edwards Physio II ring (Group C, n = 7) and ten control subjects. Various annular diameters were measured throughout the cardiac cycle. We observed flexible anterior annulus motion in all of the groups except Group C. A flexible posterior annulus was only observed in Group B and the Control group. The mitral annular area changed during the cardiac cycle by 8.4 ± 3.2, 6.3 ± 2.0, 3.2 ± 1.3, and 11.6 ± 5.0 % in Group A, Group B, Group C, and the Control group, respectively. The dynamic diastolic to systolic change in mitral annular diameters was lost in Group C, while it was maintained in Group A, and to a good degree in Group B. In comparison to the Control group, the mitral annulus shape was more ellipsoid in Group B and Group C, and more circular in Group A. Although mitral regurgitation was well controlled by all of the types of rings that were utilized in the present study, we demonstrated that the annulus motion and annulus shape differed according to the type of prosthetic ring that was used, which might provide important information for the selection of an appropriate prosthetic ring.

Diagnosis of tricuspid insufficiency by Doppler flowmetry in the inferior vena cava. A comparison with right ventricular angiography

Energy Technology Data Exchange (ETDEWEB)

Smith, H.J.

Eighty-five patients subjected to routine heart catheterization were examined with duplex scanning of the inferior vena cava. Adequate Doppler recordings and a right ventricular angiography were obtained in 79 of them. Tricuspid insufficiency was found to be present in 34 patients at angiography and in 24 at duplex examination. No false positive Doppler diagnoses of tricuspid insufficiency occurred. The possibility of false positive angiographic diagnoses is discussed. A high correlation was found between percentage reversed flow in the inferior vena cava during ventricular systole and degree of angiographic tricuspid insufficiency. It is concluded that duplex scanning of the inferior vena cava seems to be a good alternative to angiography in the diagnosis and quantification of tricuspid insufficiency.

Mitochondrial apoptotic pathway activation in the atria of heart failure patients due to mitral and tricuspid regurgitation.

Science.gov (United States)

Chang, Jen-Ping; Chen, Mien-Cheng; Liu, Wen-Hao; Lin, Yu-Sheng; Huang, Yao-Kuang; Pan, Kuo-Li; Ho, Wan-Chun; Fang, Chih-Yuan; Chen, Chien-Jen; Chen, Huang-Chung

2015-08-01

Apoptosis occurs in atrial cardiomyocytes in mitral and tricuspid valve disease. The purpose of this study was to examine the respective roles of the mitochondrial and tumor necrosis factor-α receptor associated death domain (TRADD)-mediated death receptor pathways for apoptosis in the atrial cardiomyocytes of heart failure patients due to severe mitral and moderate-to-severe tricuspid regurgitation. This study comprised eighteen patients (7 patients with persistent atrial fibrillation and 11 in sinus rhythm). Atrial appendage tissues were obtained during surgery. Three purchased normal human left atrial tissues served as normal controls. Moderately-to-severely myolytic cardiomyocytes comprised 59.7±22.1% of the cardiomyocytes in the right atria and 52.4±12.9% of the cardiomyocytes in the left atria of mitral and tricuspid regurgitation patients with atrial fibrillation group and comprised 58.4±24.8% of the cardiomyocytes in the right atria of mitral and tricuspid regurgitation patients with sinus rhythm. In contrast, no myolysis was observed in the normal human adult left atrial tissue samples. Immunohistochemical analysis showed expression of cleaved caspase-9, an effector of the mitochondrial pathways, in the majority of right atrial cardiomyocytes (87.3±10.0%) of mitral and tricuspid regurgitation patients with sinus rhythm, and right atrial cardiomyocytes (90.6±31.4%) and left atrial cardiomyocytes (70.7±22.0%) of mitral and tricuspid regurgitation patients with atrial fibrillation. In contrast, only 5.7% of cardiomyocytes of the normal left atrial tissues showed strongly positive expression of cleaved caspase-9. Of note, none of the atrial cardiomyocytes in right atrial tissue in sinus rhythm and in the fibrillating right and left atria of mitral and tricuspid regurgitation patients, and in the normal human adult left atrial tissue samples showed cleaved caspase-8 expression, which is a downstream effector of TRADD of the death receptor pathway

Tricuspid Valve Dysfunction Following Pacemaker or Cardioverter-Defibrillator Implantation.

Science.gov (United States)

Chang, James D; Manning, Warren J; Ebrille, Elisa; Zimetbaum, Peter J

2017-05-09

The potential for cardiac implantable electronic device leads to interfere with tricuspid valve (TV) function has gained increasing recognition as having hemodynamic and clinical consequences associated with incremental morbidity and death. The diagnosis and treatment of lead-related (as distinct from functional) tricuspid regurgitation pose unique challenges. Because of pitfalls in routine diagnostic imaging, a high level of clinical suspicion must be maintained to avoid overlooking the possibility that worsening heart failure is a consequence of mechanical interference with TV leaflet mobility or coaptation and is amenable to lead extraction or valve repair or replacement. The future of cardiac implantable electronic devices includes pacing and perhaps defibrillation without a lead traversing the TV. Copyright © 2017 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

Case Report: Cardiac Rehabilitation in a Patient with MVR & AVR & Tricuspid Valve Repair

Directory of Open Access Journals (Sweden)

Babak Gousheh

2003-01-01

Full Text Available Patient is a 24 year .old male with valvular heart disease, severe mitral & aortic & tricuspid valve stenosis and regurgitation. After MVR & AVR & tricuspid surgical repair, he has undergone cardiac rehabilitation for 8 weeks (24 sittings. After completion of a cardiac rehabilitation, review of cardiovascular tests showed obvious improvement in the functional capacity, blood pressure and heart rate. Physically and mentally patient feels very comfortable and hopeful of a good healthy life.

Surgical experience with diseases of the tricuspid valve. Cross-sectional and Doppler echocardiographic evaluation following DeVega's repair.

Science.gov (United States)

Kulshrestha, P; Das, B; Iyer, K S; Sampathkumar, A; Sharma, M L; Rao, I M; Kaul, U; Srivastava, S; Bhatia, M L; Venugopal, P

1989-04-01

Seventy-eight patients undergoing mitral valve surgery with or without replacement of the aortic valve also underwent procedures on the tricuspid valve over a period of 10 years. All patients were in functional class III or IV preoperatively. The procedures were performed in all patients with organic disease of the tricuspid valve (N = 44) and in those with moderate or severe functional tricuspid valvar regurgitation (N = 34). Seventy-one patients underwent DeVega's annuloplasty with or without commissurotomy. The overall mortality was 11.5%. 65 long-term survivors were followed up for a period of 6 months to 10 years (mean 5.3 years). Sixty-three patients were in functional class I or II at the last follow-up. Six patients had clinical evidence of mild to moderate tricuspid regurgitation. Regression of cardiomegaly (as judged by the chest radiograph and right ventricular hypertrophy seen in the electrocardiogram) was evident in most cases. Fifty-one of 54 patients evaluated by cross-sectional echocardiography were reported to have a functionally normal tricuspid valve. Doppler echocardiography in 28 patients showed no significant tricuspid regurgitation or stenosis in 26 patients. Eleven consecutive patients undergoing DeVega's annuloplasty were studied prospectively with pre- and postoperative Doppler echocardiography. Good correlation existed between right ventricular systolic pressures predicted by Doppler with those obtained preoperatively at cardiac catheterization. Postoperative Doppler echocardiography in these 11 patients showed complete restoration of competence of the tricuspid valve as well as normalisation of the right ventricular systolic pressure in 10 patients.

Prediction of Critical Heat Flux under Rolling Motion

Energy Technology Data Exchange (ETDEWEB)

Hwang, Jinseok; Lee, Yeongun; Park, Gooncherl [Seoul National Univ., Seoul (Korea, Republic of)

2013-05-15

The aim to this paper may be summarized as follows: identify the flow regime compare with existing void-quality relationship and void fraction at OAF derived from the vapor superficial velocity obtained by the churn-to annular flow criterion, develop and evaluate the correlation for accurate prediction of CHF ratio under rolling motion. Experimentally measured CHF results from the previous study were not well-predicted by existing CHF correlations developed for wide range of pressure under rolling motion in vertical tube. Specifically, existing correlations do not account for the dynamic motion parameter, such as tangential and centrifugal force. This study reviewed some existing correlation and experimental studies related to reduction and enhancement of CHF and heat transfer and flow behavior under heaving and rolling motion, and developed a CHF ratio correlation for upward flow vertical tube under rolling motion. Based upon dimensionless groups, equations and interpolation factor, an empirical CHF correlation has been developed which is consistent with experimental data for uniformly heated tubes internally cooled by R-134 under rolling motion. Flow regime was determined through the prediction method for annular flow. Non-dimensional number and function were decided by CHF mechanism of each region. Interaction of LFD and DNB regions is taken into account by means of power interpolation which is reflected void fraction at OAF. The suggested correlation predicted the CHF Ratio with reasonable accuracy, showing an average error of -0.59 and 2.51% for RMS. Rolling motion can affect bubble motion and liquid film behavior complexly by combination of tangential and centrifugal forces and mass flow than heaving motion. Through a search of literature and a comparison of previous CHF ratio results, this work can contribute to the study of boiling heat transfer and CHF for the purpose of enhancement or reduction the CHF of dynamic motion system, such as marine reactor.

Restoration of Tricuspid Valve Mechanism at the Level of Displaced Septal and Posterior Leaflets in Ebstein's Anomaly.

Science.gov (United States)

Im, Yu-Mi; Park, Chun Soo; Park, Jeong-Jun; Yun, Tae-Jin

2016-03-01

Surgical techniques currently used for the repair of Ebstein's anomaly comprise reconstruction of the tricuspid valve mechanism at the level of the true annulus with or without plication of the atrialized right ventricle. However, performing this procedure for patients with a dysmorphic anterior leaflet (i.e., insufficient leaflet tissue and decreased mobility due to tethering) may necessitate technical modifications. A retrospective review was performed of 31 patients (seven males and 24 females, median age at operation 31 years) with Ebstein's anomaly, who underwent tricuspid valve repair between March 2002 and December 2014. The original Hetzer technique (annulus to annulus approximation) was employed for six patients with a well-formed anterior leaflet. In 25 patients, the tricuspid valve mechanism was restored at the displaced septal leaflet by approximating the anterior leaflet attachment in the true annulus to the displaced septal leaflet attachment in the mid-septum. A bidirectional superior cavopulmonary anastomosis was added in 27 of 31 (87%) patients. No early or late death occurred during the median follow-up of 66 months (1-138 months). Immediate postoperative tricuspid regurgitation was trivial to mild in 22 patients, and the median preoperative, immediate postoperative, and last follow-up tricuspid regurgitation jet areas in 21 adult patients were 23.3 cm2, 10.4 cm2, and 7.0 cm2, respectively. Two patients underwent reoperation at 81 and 119 months postoperatively. Five-year freedom from severe tricuspid regurgitation or reoperation was 93.2%. Restoration of the tricuspid valve mechanism at the level of displaced septal leaflet leads to excellent long-term outcomes. The addition of the bidirectional superior cavopulmonary anastomosis has contributed to the success of this technique. © 2016 Wiley Periodicals, Inc.

A comparison of the clinical, haemodynamic and angiographic features in right ventricular endomyocardial fibrosis and Ebstein's anomaly of the tricuspid valve.

Science.gov (United States)

Balakrishnan, K G; Sapru, R P; Sasidharan, K; Venkitachalam, C G

1982-01-01

The clinical, haemodynamic and angiographic features of 18 patients with right ventricular endomyocardial fibrosis (RVEMF) and 8 patients with Ebstein's anomaly of the tricuspid valve (EATV) have been compared. Diagnosis was confirmed by selective angiography. The position of the tricuspid annulus was identified from selective right ventricular angiograms and confirmed by selective right coronary angiography. In 83% of RVEMF patients the tricuspid annulus was displaced to the left of the spine. A false impression of displacement of the tricuspid leaflet can thus be created. However, a tricuspid leaflet displaced away from the tricuspid annulus was found only in patients with EATV. A considerable overlap exists between the wide spectrum of clinical presentations of the two conditions. Helpful distinguishing features that favour EATV were, the presence of a scratchy diastolic murmur and polyphasic QRS complexes in the ECG. Atrial fibrillation in the ECG, and myocardial calcification or pericardial effusion, whenever present, favour RVEMF.

[Doppler echocardiography of tricuspid insufficiency. Methods of quantification].

Science.gov (United States)

Loubeyre, C; Tribouilloy, C; Adam, M C; Mirode, A; Trojette, F; Lesbre, J P

1994-01-01

Evaluation of tricuspid incompetence has benefitted considerably from the development of Doppler ultrasound. In addition to direct analysis of the valves, which provides information about the mechanism involved, this method is able to provide an accurate evaluation, mainly through use of the Doppler mode. In addition to new criteria being evaluated (mainly the convergence zone of the regurgitant jet), some indices are recognised as good quantitative parameters: extension of the regurgitant jet into the right atrium, anterograde tricuspid flow, laminar nature of the regurgitant flow, analysis of the flow in the supra-hepatic veins, this is only semi-quantitative, since the calculation of the regurgitation fraction from the pulsed Doppler does not seem to be reliable; This accurate semi-quantitative evaluation is made possible by careful and consistent use of all the criteria available. The authors set out to discuss the value of the various evaluation criteria mentioned in the literature and try to define a practical approach.

A dye penetration inspection device for a peripheral annular zone of of a body

International Nuclear Information System (INIS)

Gebel, A.; Gemma, A.

1996-01-01

The device is composed of: a transverse annular rail track that is attached to the peripheral surface of the body, a guided cart moving on the track, and various equipment mounted on the cart including nozzles for spraying the dye liquid, a dye cleaning liquid and a developer product, and drying means and remote viewing means. Remote control means are also used to control cart motion and spraying, cleaning and drying sequences

The challenge of preoperative quantification of functional tricuspid regurgitation and of right ventricle function: what information is clinically relevant?

Science.gov (United States)

Hahn, Rebecca T

2017-10-01

Functional or secondary tricuspid regurgitation (TR) is the most common etiology of severe TR in the western world. The presence of functional TR, either isolated or in combination with left heart disease is associated with unfavorable natural history however surgical mortality for isolated tricuspid valve interventions remain higher than for any other single valve surgery. Determining the severity of TR remains a controversial area and will continue to evolve as new techniques for assessing this valve as well as the right ventricle, are investigated. The following review will describe tricuspid anatomy, define echocardiographic views for evaluating tricuspid valve and right heart morphology and function, that are relevant to the pre-procedural assessment of functional TR.

THE RESULTS OF SURGICAL TREATMENT OF TRICUSPID VALVE INFECTIVE ENDOCARDITIS USING VALVE REPAIR AND VALVE REPLACEMENT OPERATIONS

Directory of Open Access Journals (Sweden)

S. A. Kovalev

2015-01-01

Full Text Available Aim. To evaluate in-hospital and long-term results of surgical treatment of patients with infective endocarditis of the tricuspid valve, to compare the effectiveness of valve repair and valve replacement techniques, and to identify risk factors of mortality and reoperations. Materials and methods. 31 surgical patients with tricuspid valve infective endocarditis were evaluated. Patients were divided into 2 groups. In Group 1 (n = 14 repairs of the tricuspid valve were performed, in Group 2 (n = 17 patients had undergone tricuspid valve replacements. Epidemiological, clinical, microbiological and echocardiographic data were studied. Methods of comparative analysis, the Kaplan–Meier method, and Cox risk models were applied. Results. The most common complication of in-hospital stay was atrioventricular block (17.7% of cases in Group 2. In Group 1, this type of complication was not found. Hospital mortality was 7.14% in Group 1, and 0% in Group 2. Long-term results have shown the significant reduction of heart failure in general cohort and in both groups. In Group 1 the severity of heart failure in the long term was less than in Group 2. No significant differences in the severity of tricuspid regurgitation were found between the groups. In 7-year follow up no cases of death were registered in Group 1. Cumulative survival rate in Group 2 within 60 months was 67.3 ± 16.2%. No reoperations were performed in patients from Group 1. In Group 2, the freedom from reoperation within 60 months was 70.9 ± 15.3%. Combined intervention was found as predictor of postoperative mortality. Prosthetic valve endocarditis was identified as risk factor for reoperation. Conclusion. Valve repair and valve replacement techniques of surgical treatment of tricuspid valve endocarditis can provide satisfactory hospital and long-term results. Tricuspid valve repair techniques allowed reducing the incidence of postoperative atrioventricular block. In the long-term, patients

Repair or Replacement for Isolated Tricuspid Valve Pathology? Insights from a Surgical Analysis on Long-Term Survival

Science.gov (United States)

Farag, Mina; Arif, Rawa; Sabashnikov, Anton; Zeriouh, Mohamed; Popov, Aron-Frederik; Ruhparwar, Arjang; Schmack, Bastian; Dohmen, Pascal M.; Szabó, Gábor; Karck, Matthias; Weymann, Alexander

2017-01-01

Background Long-term follow-up data concerning isolated tricuspid valve pathology after replacement or reconstruction is limited. Current American Heart Association guidelines equally recommend repair and replacement when surgical intervention is indicated. Our aim was to investigate and compare operative mortality and long-term survival in patients undergoing isolated tricuspid valve repair surgery versus replacement. Material/Methods Between 1995 and 2011, 109 consecutive patients underwent surgical correction of tricuspid valve pathology at our institution for varying structural pathologies. A total of 41 (37.6%) patients underwent tricuspid annuloplasty/repair (TAP) with or without ring implantation, while 68 (62.3%) patients received tricuspid valve replacement (TVR) of whom 36 (53%) were mechanical and 32 (47%) were biological prostheses. Results Early survival at 30 days after surgery was 97.6% in the TAP group and 91.1% in the TVR group. After 6 months, 89.1% in the TAP group and 87.8% in the TVR group were alive. In terms of long-term survival, there was no further mortality observed after one year post surgery in both groups (Log Rank p=0.919, Breslow p=0.834, Tarone-Ware p=0.880) in the Kaplan-Meier Survival analysis. The 1-, 5-, and 8-year survival rates were 85.8% for TAP and 87.8% for TVR group. Conclusions Surgical repair of the tricuspid valve does not show survival benefit when compared to replacement. Hence valve replacement should be considered generously in patients with reasonable suspicion that regurgitation after repair will reoccur. PMID:28236633

Acquired tricuspid valve stenosis associated with two ventricular endocardial pacing leads in a dog.

Science.gov (United States)

Tompkins, Emily; Dulake, Michelle I; Ghaffari, Shadie; Nakamura, Reid K

2015-01-01

Acquired tricuspid valve stenosis (TVS) is a rare complication of endocardial pacing lead implantation in humans that has only been described once previously in the veterinary literature in a dog with excessive lead redundancy. A 12 yr old terrier presented with right-sided congestive heart failure 6 mo after implantation of a second ventricular endocardial pacing lead. The second lead was placed due to malfunction of the first lead, which demonstrated abnormally low impedance. Transthoracic echocardiography identified hyperechoic tissue associated with the pacing leads as they crossed the tricuspid valve annulus as well as a stenotic tricuspid inflow pattern via spectral Doppler interrogation. Medical management was ultimately unsuccessful and the dog was euthanized 6 wk after TVS was diagnosed. The authors report the first canine case of acquired TVS associated with two ventricular endocardial pacing leads.

Aceclofenac-induced erythema annulare centrifugum

Directory of Open Access Journals (Sweden)

Dilip Meena

2018-01-01

Full Text Available Erythema annulare centrifugum (EAC is characterised by slowly enlarging annular erythematous lesions and is thought to represent a clinical reaction pattern to infections, medications, and rarely, underlying malignancy. Causative drugs include chloroquine, cimetidine, gold sodium thiomalate, amitriptyline, finasteride, etizolam etc. We present a case of 40-year-old woman who presented to us with a 10 days history of nonpruritic, peripherally growing annular erythematous eruption. She had a history of recent onset of joint pain, for which she was taking aceclofenac 90 mg once a day for 5 days prior to the onset of the rash. This was confirmed on biopsy as EAC. The rash promptly subsided after stopping the drug. We report this case as there was no previous report of aceclofenac induced EAC.

The Fate of the Tricuspid Valve Following the Transatrial Closure of the Ventricular Septal Defect.

Science.gov (United States)

Giordano, Raffaele; Cantinotti, Massimiliano; Di Tommaso, Luigi; Comentale, Giuseppe; Tozzi, Andrea; Pilato, Emanuele; Iannelli, Gabriele; Palma, Gaetano

2018-05-17

The transatrial repair of the ventricular septal defect (VSD) requires an adequate exposure of its rim. We retrospectively evaluated the impact of adopting the tricuspid valve incision (TVI) technique, either with detachment or radial incision, on the postoperative outcome of children undergoing surgical VSD repair. From January 2008 to September 2017 we retrospectively enrolled 141 patients, divided into two groups: 97 patients were subjected to TVI (68.8%) and 44 patients (31.2%) were not subjected to TVI. All patients received an echocardiogram upon discharge from the hospital and after 1 month, 3 months, 6 months and a year from the treatment. No perioperative or late deaths resulted in our dataset. TVI was associated with a slightly longer cardio-pulmonary bypass and cross-clamp time but there were no differences in the surgical outcome between the two groups. Moreover, no differences occurred concerning residual VSD, atrioventricular block or tricuspid regurgitation at discharge. Echocardiograms at follow-up were available for 134 patients (95%) with a median of 5.3 years (range 0.5-9.3) and the degree of tricuspid regurgitation did not differ between groups. No patient required reoperation for tricuspid regurgitation or residual interventricular shunt. Finally, no difference was found even when comparing the two TVI subgroups. TVI should be used whenever intraoperative exposure of VSD is compromised in order to avoid a residual shunt and atrioventricular block. Here we show that this procedure does not significantly compromise the tricuspid function although a large, multicenter, randomized controlled trial is advised to validate this hypothesis. Copyright © 2018. Published by Elsevier Inc.

Contemporary management of tricuspid regurgitation: an updated clinical review.

Science.gov (United States)

Taylor, Joshua T; Chidsey, Geoffrey; Disalvo, Thomas G; Byrne, John G; Maltais, Simon

2013-01-01

Tricuspid regurgitation (TR) is a complex and insidious valvular pathology that represents a complex decision and management algorithm for patients. TR is present in a significant proportion of the population and is especially prevalent in patients with advanced heart failure. Patients with TR have been demonstrated to have a decreased survival even with normal left heart function. TR can be a result of pathology that directly affects the valvular structure (i.e., Ebstein anomaly) or as a result of increased forward pressures (ie, pulmonary hypertension, left heart failure). Conservative management of patients with TR is primarily symptomatic relief. Definitive therapy involves surgical repair of the tricuspid valve. Furthermore, as more patients develop advanced heart failure, the management of TR in patients with left ventricular assist devices has become necessary because of the evidence of increased in-hospital morbidity and a trend toward decreased survival.

State-of-the-Art Review of Echocardiographic Imaging in the Evaluation and Treatment of Functional Tricuspid Regurgitation.

Science.gov (United States)

Hahn, Rebecca T

2016-12-01

Functional or secondary tricuspid regurgitation (TR) is the most common cause of severe TR in the Western world. The presence of functional TR, either isolated or in combination with left heart disease, is associated with unfavorable natural history. Surgical mortality for isolated tricuspid valve interventions remains higher than for any other single valve surgery, and surgical options for repair do not have consistent long-term durability. In addition, as more patients undergo transcatheter left valve interventions, developing transcatheter solutions for functional TR has gained greater momentum. Numerous transcatheter devices are currently in early clinical trials. All patients require an assessment of valve morphology and function, and transcatheter devices typically require intraprocedural guidance by echocardiography. The following review will describe tricuspid anatomy, define echocardiographic views for evaluating tricuspid valve morphology and function, and discuss imaging requirements for the current transcatheter devices under development for the treatment of functional TR. © 2016 American Heart Association, Inc.

Interfacial friction in low flowrate vertical annular flow

International Nuclear Information System (INIS)

Kelly, J.M.; Freitas, R.L.

1993-01-01

During boil-off and reflood transients in nuclear reactors, the core liquid inventory and inlet flowrate are largely determined by the interfacial friction in the reactor core. For these transients, annular flow occurs at relatively modest liquid flowrates and at the low heat fluxes typical of decay heat conditions. The resulting low vapor Reynolds numbers, are out of the data range used to develop the generally accepted interfacial friction relations for annular flow. In addition, most existing annular flow data comes from air/liquid adiabatic experiments with fully developed flows. By contrast, in a reactor core, the flow is continuously developing along the heated length as the vapor flowrate increases and the flow regimes evolve from bubbly to annular flow. Indeed, the entire annular flow regime may exist only over tens of L/D's. Despite these limitations, many of the advanced reactor safety analysis codes employ the Wallis model for interfacial friction in annular flow. Our analyses of the conditions existing at the end-of-reflood in the PERICLES tests have indicated that the Wallis model seriously underestimates the interfacial shear for low vapor velocity cocurrent upflow. To extend the annular flow data base to diabatic low flowrate conditions, the DADINE tests were re-analyzed. In these tests, both pressure drop and local cross-section averaged void fractions were measured. Thus, both the wall and interfacial shear can be deduced. Based on the results of this analysis, a new correlation is proposed for interfacial friction in annular flow. (authors). 5 figs., 12 refs

Dynamics of Newtonian annular jets

International Nuclear Information System (INIS)

Paul, D.D.

1978-12-01

The main objectives of this investigation are to identify the significant parameters affecting the dynamics of Newtonian annular jets, and to develop theoretical models for jet break-up and collapse. This study has been motivated by recent developments in laser-fusion reactor designs; one proposed cavity design involves the use of an annular lithium jet to protect the cavity wall from the pellet debris emanating from the microexplosion

Pannus Formation Leads to Valve Malfunction in the Tricuspid Position 19 Years after Triple Valve Replacement.

Science.gov (United States)

Alskaf, Ebraham; McConkey, Hannah; Laskar, Nabila; Kardos, Attila

2016-06-20

The Medtronic ATS Open Pivot mechanical valve has been successfully used in heart valve surgery for more than two decades. We present the case of a patient who, 19 years following a tricuspid valve replacement with an ATS prosthesis as part of a triple valve operation following infective endocarditis, developed severe tricuspid regurgitation due to pannus formation.

Management of tricuspid regurgitation in congenital heart disease: is survival better with valve repair?

Science.gov (United States)

Said, Sameh M; Dearani, Joseph A; Burkhart, Harold M; Connolly, Heidi M; Eidem, Ben; Stensrud, Paul E; Schaff, Hartzell V

2014-01-01

Tricuspid valve (TV) regurgitation in congenital heart disease includes a heterogeneous group of lesions, and few series have documented the outcomes. We reviewed the records of 553 patients with congenital heart disease who had undergone TV surgery for tricuspid regurgitation from January 1993 to December 2010. Patients with Ebstein malformation were excluded. Their mean age was 32 ± 21 years, and 300 were female (54%). The most common diagnoses were conotruncal anomaly in 216 patients (39%), previous ventricular septal defect closure in 83 (15%), atrioventricular septal defect in 77 (14%), and pulmonary atresia with an intact ventricular septum in 11 (2%). Preoperative right-sided heart failure was present in 124 patients (22%), and 55 patients (10%) had pulmonary hypertension. TV repair was performed in 442 (80%) and TV replacement in 111 (20%) patients. Repeat sternotomy was performed in 415 patients (75%). Previous TV repair was present in 44 patients (8%); of these, 17 (38.6%) underwent repeat TV repair. The overall early mortality was 3.1% (17 patients) and was 2.5% for TV repair and 5.4% for TV replacement (P = .001). The mean follow-up period was 4.5 ± 4.1 years (maximum, 18). The overall survival at 1, 5, and 10 years was 97%, 93%, and 85%, respectively. Survival was better for patients with repair than with replacement. TV repair was an independent predictor of better survival (P = .001). Important tricuspid regurgitation can occur with a variety of congenital diagnoses. Early mortality is low and late survival is superior with tricuspid repair than with valve replacement. Surgical treatment of tricuspid regurgitation in congenital heart disease should be performed before the onset of heart failure. Copyright © 2014 The American Association for Thoracic Surgery. Published by Mosby, Inc. All rights reserved.

Subcutaneous granuloma annulare: radiologic appearance

International Nuclear Information System (INIS)

Kransdorf, M.J.; Murphey, M.D.; Temple, H.T.

1998-01-01

Objective. Granuloma annulare is an uncommon benign inflammatory dermatosis characterized by the formation of dermal papules with a tendency to form rings. There are several clinically distinct forms. The subcutaneous form is the most frequently encountered by radiologists, with the lesion presenting as a superficial mass. There are only a few scattered reports of the imaging appearance of this entity in the literature. We report the radiologic appearance of five cases of subcutaneous granuloma annulare. Design and patients. The radiologic images of five patients (three male, two female) with subcutaneous granuloma annulare were retrospectively studied. Mean patient age was 6.4 years (range, 2-13 years). The lesions occurred in the lower leg (two), foot, forearm, and hand. MR images were available for all lesions, gadolinium-enhanced imaging in three cases, radiographs in four, and bone scintigraphy in one. Results. Radiographs showed unmineralized nodular masses localized to the subcutaneous adipose tissue. The size range, in greatest dimension on imaging studies, was 1-4 cm. MR images show a mass with relatively decreased signal intensity on all pulse sequences, with variable but generally relatively well defined margins. There was extensive diffuse enhancement following gadolinium administration. Conclusion. The radiologic appearance of subcutaneous granuloma annulare is characteristic, typically demonstrating a nodular soft-tissue mass involving the subcutaneous adipose tissue. MR images show a mass with relatively decreased signal intensity on all pulse sequences and variable but generally well defined margins. There is extensive diffuse enhancement following gadolinium administration. Radiographs show a soft-tissue mass or soft-tissue swelling without evidence of bone involvement or mineralization. This radiologic appearance in a young individual is highly suggestive of subcutaneous granuloma annulare. (orig.)

Virtual reality 3D echocardiography in the assessment of tricuspid valve function after surgical closure of ventricular septal defect

Directory of Open Access Journals (Sweden)

Kappetein A Pieter

2007-02-01

Full Text Available Abstract Background This study was done to investigate the potential additional role of virtual reality, using three-dimensional (3D echocardiographic holograms, in the postoperative assessment of tricuspid valve function after surgical closure of ventricular septal defect (VSD. Methods 12 data sets from intraoperative epicardial echocardiographic studies in 5 operations (patient age at operation 3 weeks to 4 years and bodyweight at operation 3.8 to 17.2 kg after surgical closure of VSD were included in the study. The data sets were analysed as two-dimensional (2D images on the screen of the ultrasound system as well as holograms in an I-space virtual reality (VR system. The 2D images were assessed for tricuspid valve function. In the I-Space, a 6 degrees-of-freedom controller was used to create the necessary projectory positions and cutting planes in the hologram. The holograms were used for additional assessment of tricuspid valve leaflet mobility. Results All data sets could be used for 2D as well as holographic analysis. In all data sets the area of interest could be identified. The 2D analysis showed no tricuspid valve stenosis or regurgitation. Leaflet mobility was considered normal. In the virtual reality of the I-Space, all data sets allowed to assess the tricuspid leaflet level in a single holographic representation. In 3 holograms the septal leaflet showed restricted mobility that was not appreciated in the 2D echocardiogram. In 4 data sets the posterior leaflet and the tricuspid papillary apparatus were not completely included. Conclusion This report shows that dynamic holographic imaging of intraoperative postoperative echocardiographic data regarding tricuspid valve function after VSD closure is feasible. Holographic analysis allows for additional tricuspid valve leaflet mobility analysis. The large size of the probe, in relation to small size of the patient, may preclude a complete data set. At the moment the requirement of an I

Left Ventricular Function in Patients with Pulmonary Arterial Hypertension: The Role of Two-Dimensional Speckle Tracking Strain.

Science.gov (United States)

de Amorim Corrêa, Ricardo; de Oliveira, Fernanda Brito; Barbosa, Marcia M; Barbosa, Jose Augusto A; Carvalho, Taís Soares; Barreto, Michele Campos; Campos, Frederico Thadeu A F; Nunes, Maria Carmo Pereira

2016-09-01

Pulmonary arterial hypertension (PAH) is characterized by elevated mean pulmonary arterial pressure with abnormal right ventricular (RV) pressure overload that may alter left ventricular (LV) function. The aim of this study was to assess the impact of RV pressure overload on LV function in PAH patients using two-dimensional (2D) speckle tracking strain. The study enrolled 37 group 1 PAH patients and 38 age- and gender-matched healthy controls. LV longitudinal and radial 2D strains were measured with and without including the ventricular septum. Six-minute walk test (6MWT) and brain natriuretic peptide (BNP) levels were also obtained in patients with PAH. The mean age of patients was 46.4 ± 14.8 years, 76% women, and 16 patients (43%) had schistosomiasis. Sixteen patients (43%) were in WHO class III or IV under specific treatment for PAH. The overall 6MWT distance was 441 meters, and the BNP levels were 80 pg/mL. Patients with PAH more commonly presented with LV diastolic dysfunction and impairment of RV function when compared to controls. LV global longitudinal and radial strains were lower in patients than in controls (-17.9 ± 2.8 vs. -20.5 ± 1.9; P < 0.001 and 30.8 ± 10.5 vs. 49.8 ± 15.4; P < 0.001, respectively). After excluding septal values, LV longitudinal and radial strains remained lower in patients than in controls. The independent factors associated with global LV longitudinal strain were LV ejection fraction, RV fractional area change, and tricuspid annular systolic motion. This study showed impaired LV contractility in patients with PAH assessed by speckle tracking strain, irrespective of ventricular septal involvement. Global LV longitudinal strain was associated independently with RV fractional area change and tricuspid annular systolic motion, after adjustment for LV ejection fraction. © 2016, Wiley Periodicals, Inc.

Right ventriculography as a valid method for the diagnosis of tricuspid insufficiency.

Science.gov (United States)

Ubago, J L; Figueroa, A; Colman, T; Ochoteco, A; Rodríguez, M; Durán, C M

1981-01-01

The value of right ventriculography in the diagnosis of tricuspid insufficiency (TI) is often questioned because of 1) the high incidence of premature ventricular contractions (PVCs) during injections and 2) interference of the catheter in the valve closure mechanism. In 168 patients a commercially available, not preshaped, balloon-tipped catheter was used for right ventriculography. To avoid the induction of PVCs, the catheter tip was placed in the middle third of the diafragmatic wall of the right ventricle, and the balloon was inflated, becoming trapped by the trabeculae. In this position the catheter's side holes should be located in the inflow chamber. To ensure this correct position, and therefore lack of ectopic beats during angiography, a saline test injection was performed previously in every case. With this technique the incidence of PVCs during ventriculography was only 7.7%. In all but one case, such beats were isolated. The 168 patients were divided into three groups according to their likelihood of experiencing tricuspid interference by the catheter: group 1 included 41 patients with a normal heart or with coronary artery disease. No one from this group had TI. Of group II, 28 patients with right ventricular pressure or volume overload or cardiomyopathy, only 2 had TI, both with a previous clinical diagnosis of regurgitation. Group III contained 99 patients with rheumatic heart disease. Thirty-five of them showed angiographic TI, and 24 of these had this diagnosis confirmed either clinically or at surgery. It is felt that this technique of right ventriculography, with its low incidence of PVCs and slight interference with tricuspid closure, is a valid method for the objective study of the tricuspid valve.

Severe isolated tricuspid insufficiency due to tricuspid papillary muscle rupture after a fall from a horse: treatment with port access minimally invasive cardiac surgery.

Science.gov (United States)

Öz, Kürsad; Mayeran, Yousef; Van Praet, Frank; Codens, Jose; Vanerman, Hugo

2014-04-01

We report on the successful treatment of tricuspid valve insufficiency due to blunt chest injury using port-access minimally invasive cardiac surgery. The optimal surgical treatment of traumatic valvular insufficiency is discussed, including a brief review of the relevant literature.

Congenital tricuspid valve disease and testicular agenesis: a case ...

African Journals Online (AJOL)

This is a report of a case of congenital tricuspid valve disease presenting with heart failure and pulmonary hypertension. Cardinal clinical features include breathlessness, easy fatigability since childhood, stunted growth, cyanosis, finger clubbing, a pansystolic murmur loudest at the left sternal edge in the fourth intercostal ...

Predictors of right ventricular function as measured by tricuspid annular plane systolic excursion in heart failure

DEFF Research Database (Denmark)

Kjaergaard, Jesper; Iversen, Kasper K; Akkan, Dilek

2009-01-01

in heart failure patients, in particular with reduced septal longitudinal motion. TAPSE is decreased in patients with heart failure of ischemic etiology. However, the absolute reduction in TAPSE is small and seems to be of minor importance in the clinical utilization of TAPSE whether applied as a measure...... of right ventricular systolic function or as a prognostic factor....

Surgical treatment of traumatic tricuspid insufficiency: experience in 13 cases.

Science.gov (United States)

Ma, Wei-Guo; Luo, Guo-Hua; Sun, Han-Song; Xu, Jian-Ping; Hu, Sheng-Shou; Zhu, Xiao-Dong

2010-12-01

Traumatic tricuspid insufficiency (TTI) is uncommon and surgical experience is limited. We report our surgical experience with TTI in 13 patients. From January 2000 through March 2008, we operated on 13 patients with TTI (10 men 3 women; mean age, 39.8 ± 10.5 years). The intervals from trauma to diagnosis and from trauma to surgery averaged 37.4 and 54.4 months, respectively. At operation, the mechanism of TTI was due to anterior chordal rupture in 8, anterior papillary muscle rupture in 3, rupture of anterior papillary muscle and chordae in 1, and anterior leaflet defect in 1. In 7 patients the annulus was dilated. Valve repair was successful in 13 patients. No early or late deaths occurred. Severe hemolysis occurred in 1 patient after tricuspid and mitral valve repairs. At follow-up extending to 9.5 years, 9 patients were in New York Heart Association functional class I, and 4 were in class II. Transthoracic echocardiography demonstrated no or trivial residual regurgitation in 7 patients, mild regurgitation in 4, and mild-to-moderate regurgitation in 2. A significant decrease of the right ventricular end-diastolic dimension (37.7 ± 9.7 vs 20.7 ± 4.6 mm; p tricuspid valve repair. Early surgical intervention should be emphasized to achieve good functional results and preserve the right ventricular function. Copyright © 2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Ascending Aortic Wall Cohesion: Comparison of Bicuspid and Tricuspid Valves

Directory of Open Access Journals (Sweden)

Jaroslav Benedik

2012-01-01

Full Text Available Objectives. Bicuspid aortic valve (AV represents the most common form of congenital AV malformation, which is frequently associated with pathologies of the ascending aorta. We compared the mechanical properties of the aortic wall between patients with bicuspid and tricuspid AV using a new custom-made device mimicking transversal aortic wall shear stress. Methods. Between 03/2010 and 07/2011, 190 consecutive patients undergoing open aortic valve replacement at our institution were prospectively enrolled, presenting either with a bicuspid (group 1, n=44 or a tricuspid (group 2, n=146 AV. Aortic wall specimen were examined with the “dissectometer” resulting in nine specific aortic-wall parameters derived from tensile strength curves (TSC. Results. Patients with a bicuspid AV showed significantly more calcified valves (43.2% versus 15.8%, P<0.001, and a significantly thinner aortic wall (2.04±0.42 mm versus 2.24±0.41 mm, P=0.008. Transesophageal echocardiography diameters (annulus, aortic sinuses, and sinotubular junction were significantly larger in the bicuspid group (P=0.003, P=0.02, P=0.01. We found no difference in the aortic wall cohesion between both groups as revealed by shear stress testing (P=0.72, P=0.40, P=0.41. Conclusion. We observed no differences of TSC in patients presenting with tricuspid or bicuspid AVs. These results may allow us to assume that the morphology of the AV and the pathology of the ascending aorta are independent.

Effect of annular secondary conductor in a linear electromagnetic ...

Indian Academy of Sciences (India)

This paper presents the variation of average axial force density in the annular secondary conductor of a linear electromagnetic stirrer. Different geometries of secondaries are considered for numerical and experimental validation namely, 1. hollow annular ring, 2. annular ring with a solid cylinder and 3. solid cylinder.

Cardiac carcinoid: tricuspid delayed hyperenhancement on cardiac 64-slice multidetector CT and magnetic resonance imaging.

LENUS (Irish Health Repository)

Martos, R

2012-02-01

INTRODUCTION: Carcinoid heart disease is a rare condition in adults. Its diagnosis can be easily missed in a patient presenting to a primary care setting. We revised the advantages of using coronary multidetector computed tomography (MDCT) and cardiac magnetic resonance imaging (MRI) in diagnosing this condition. MATERIALS AND METHODS: We studied a 65-year-old patient with carcinoid heart disease and right heart failure using transthoracic Doppler-echocardiogram, cardiac MDCT and MRI. Cardiac echocardiogram revealed marked thickening and retraction of the tricuspid leaflets with dilated right atrium and ventricle. Cardiac MDCT and MRI demonstrated fixation and retraction of the tricuspid leaflets with delayed contrast hyperenhancement of the tricuspid annulus. CONCLUSION: This case demonstrates fascinating imaging findings of cardiac carcinoid disease and highlights the increasing utility of contrast-enhanced MRI and cardiac MDCT in the diagnosis of this interesting condition.

Manufacture of annular cermet articles

Science.gov (United States)

Forsberg, Charles W.; Sikka, Vinod K.

2004-11-02

A method to produce annular-shaped, metal-clad cermet components directly produces the form and avoids multiple fabrication steps such as rolling and welding. The method includes the steps of: providing an annular hollow form with inner and outer side walls; filling the form with a particulate mixture of ceramic and metal; closing, evacuating, and hermetically sealing the form; heating the form to an appropriate temperature; and applying force to consolidate the particulate mixture into solid cermet.

Numerical investigation of a perturbed swirling annular two-phase jet

Energy Technology Data Exchange (ETDEWEB)

Siamas, George A. [Mechanical Engineering, School of Engineering and Design, Brunel University, Uxbridge UB8 3PH (United Kingdom)], E-mail: siamas@spidernet.com.cy; Jiang, Xi; Wrobel, Luiz C. [Mechanical Engineering, School of Engineering and Design, Brunel University, Uxbridge UB8 3PH (United Kingdom)

2009-06-15

A swirling annular gas-liquid two-phase jet flow system has been investigated by solving the compressible, time-dependent, non-dimensional Navier-Stokes equations using highly accurate numerical methods. The mathematical formulation for the flow system is based on an Eulerian approach with mixed-fluid treatment while an adjusted volume of fluid method is utilised to account for the gas compressibility. Surface tension effects are captured by a continuum surface force model. Swirling motion is applied at the inlet while a small helical perturbation is also applied to initiate the instability. Three-dimensional spatial direct numerical simulation has been performed with parallelisation of the code based on domain decomposition. The results show that the flow is characterised by a geometrical recirculation zone adjacent to the nozzle exit and by a central recirculation zone further downstream. Swirl enhances the flow instability and vorticity and promotes liquid dispersion in the cross-streamwise directions. A dynamic precessing vortex core is developed demonstrating that the growth of such a vortex in annular configurations can be initiated even at low swirl numbers, in agreement with experimental findings. Analysis of the averaged results revealed the existence of a geometrical recirculation zone and a swirl induced central recirculation zone in the flow field.

Granuloma annulare localized to the shaft of the penis

DEFF Research Database (Denmark)

Trap, R; Wiebe, B

1993-01-01

A case of granuloma annulare localized to the shaft of the penis is reported. The differential diagnoses are discussed. Penile granuloma annulare is a rare disorder and it is concluded that biopsies of penile lesions are recommended to verify the correct diagnosis.......A case of granuloma annulare localized to the shaft of the penis is reported. The differential diagnoses are discussed. Penile granuloma annulare is a rare disorder and it is concluded that biopsies of penile lesions are recommended to verify the correct diagnosis....

Acquired cyanotic heart disease secondary to traumatic tricuspid regurgitation. Case report with a review of the literature.

Science.gov (United States)

Bardy, G H; Talano, J V; Meyers, S; Lesch, M

1979-12-01

A case of traumatic tricuspid insufficiency leading to right atrial enlargement and to a patent foramen ovale with right to left shunting is presented. Six similar cases previously reported are reviewed. The time course of clinical deterioration was related to the type of tricuspid valve damage incurred. Papillary muscle rupture led to surgery within a year, whereas less severe chordal damage allowed a more benign course that lasted from 10 to 25 years from the time of injury to the time of surgery. Surgical repair of the incompetent tricuspid valve and closure of the atrial septal defect led to significant improvement. The diagnostic usefulness of radionuclide imaging and echocardiography is demonstrated in this case. A mechanism of right to left interatrial shunting in the presence of normal pulmonary arterial pressures is proposed; this invokes phasic increases in right atrial pressure from tricuspid insufficiency and streaming of blood from the inferior vena cava into the left atrium across a patent foramen ovale in a manner that resembles conditions in the fetal circulation.

Flow visualization study of post critical heat flux region for inverted bubbly, slug and annular flow regimes

International Nuclear Information System (INIS)

Denten, J.G.; Ishii, M.

1988-11-01

A visual study of film boiling using still photographic and high- speed motion picture methods was carried out in order to analyze the post-CHF hydrodynamics for steady-state inlet pre-CHF two-phase flow regimes. Pre-CHF two-phase flow regimes were established by introducing Freon 113 liquid and nitrogen gas into a jet core injection nozzle. An idealized, post-CHF two-phase core initial flow geometry (cylindrical multiphase jet core surrounded by a coaxial annulus of gas) was established at the nozzle exit by introducing nitrogen gas into the annular gap between the jet nozzle two-phase effluent and the heated test section inlet. For the present study three basic post-CHF flow regimes have been observed: the rough wavy regime (inverted annular flow preliminary break down), the agitated regime (transition between inverted annular and dispersed droplet flow), and the dispersed ligament/droplet regime. For pre-CHF bubbly flow in the jet nozzle, the post-CHF flow (beginning from jet nozzle exit/heated test section inlet) consists of the rough wavy regime, followed by the agitated and then the dispersed ligament/droplet regime. In the same way, for pre-CHF slug flow in the jet core, the post-CHF flow is comprised of the agitated regime at the nozzle exit, followed by the dispersed regime. Pre-CHF annular jet core flow results in a small, depleted post-CHF agitated flow regime at the nozzle exit, immediately followed by the dispersed ligament/droplet regime. Observed post dryout hydrodynamic behavior is reported, with particular attention given to the transition flow pattern between inverted annular and dispersed droplet flow. 43 refs., 20 figs., 5 tabs

Annular pancreas (image)

Science.gov (United States)

Annular pancreas is an abnormal ring or collar of pancreatic tissue that encircles the duodenum (the part of the ... intestine that connects to stomach). This portion of pancreas can constrict the duodenum and block or impair ...

Transcatheter aortic valve replacement in patients with severe mitral or tricuspid regurgitation at extreme risk for surgery.

Science.gov (United States)

Little, Stephen H; Popma, Jeffrey J; Kleiman, Neal S; Deeb, G Michael; Gleason, Thomas G; Yakubov, Steven J; Checuti, Stan; O'Hair, Daniel; Bajwa, Tanvir; Mumtaz, Mubashir; Maini, Brijeshwar; Hartman, Alan; Katz, Stanley; Robinson, Newell; Petrossian, George; Heiser, John; Merhi, William; Moore, B Jane; Li, Shuzhen; Adams, David H; Reardon, Michael J

2018-05-01

Patients with symptomatic severe aortic stenosis and severe mitral regurgitation or severe tricuspid regurgitation were excluded from the major transcatheter aortic valve replacement trials. We studied these 2 subgroups in patients at extreme risk for surgery in the prospective, nonrandomized, single-arm CoreValve US Expanded Use Study. The primary end point was all-cause mortality or major stroke at 1 year. A favorable medical benefit was defined as a Kansas City Cardiomyopathy Questionnaire overall summary score greater than 45 at 6 months and greater than 60 at 1 year and with a less than 10-point decrease from baseline. There were 53 patients in each group. Baseline characteristics for the severe mitral regurgitation and severe tricuspid regurgitation cohorts were age 84.2 ± 6.4 years and 84.9 ± 6.5 years; male, 29 (54.7%) and 22 (41.5%), and mean Society of Thoracic Surgeons score 9.9% ± 5.0% and 9.2% ± 4.0%, respectively. Improvement in valve regurgitation from baseline to 1 year occurred in 72.7% of the patients with severe mitral regurgitation and in 61.8% of patients with severe tricuspid regurgitation. A favorable medical benefit occurred in 31 of 47 patients (66.0%) with severe mitral regurgitation and 33 of 47 patients (70.2%) with severe tricuspid regurgitation at 6 months, and in 25 of 44 patients (56.8%) with severe mitral regurgitation and 24 of 45 patients (53.3%) with severe tricuspid regurgitation at 1 year. All-cause mortality or major stroke for the severe mitral regurgitation and severe tricuspid regurgitation cohorts were 11.3% and 3.8% at 30 days and 21.0% and 19.2% at 1 year, respectively. There were no major strokes in either group at 1 year. Transcatheter aortic valve replacement in patients with severe mitral regurgitation or severe tricuspid regurgitation is reasonable and safe and leads to improvement in atrioventricular valve regurgitation. Copyright © 2018 The American Association for Thoracic Surgery

Prevalence, Predictors and Clinical Outcome of Residual Pulmonary Hypertension Following Tricuspid Annuloplasty.

Science.gov (United States)

Chen, Yan; Liu, Ju-Hua; Chan, Daniel; Sit, Ko-Yung; Wong, Chun-Ka; Ho, Kar-Lai; Ho, Lai-Ming; Zhen, Zhe; Lam, Yui-Ming; Lau, Chu-Pak; Au, Wing-Kok; Tse, Hung-Fat; Yiu, Kai-Hang

2016-07-22

Tricuspid annuloplasty is increasingly performed during left heart valve surgery, but the long-term clinical outcome postoperatively is not satisfactory. The aim of this study was to determine whether residual pulmonary hypertension (PHT) contributes to the adverse outcome. One-hundred thirty-seven patients (age 61±11 years; men, 30%) who underwent tricuspid annuloplasty during left-side valve surgery were enrolled. The mean pulmonary artery systolic pressure before surgery was 49±13 mm Hg and 32±15 mm Hg following surgery. Patients were divided into 3 groups according to postoperative pulmonary artery systolic pressure: no residual PHT (n=78, 57%), mild residual PHT (n=43, 31%), or significant residual PHT (n=16, 12%). A preoperative larger right ventricular (RV) geometry and tricuspid valve tethering area were associated with mild or significant residual PHT. A total of 24 adverse events (20 heart failures and 4 cardiovascular deaths) occurred during a median follow-up of 25 months. Kaplan-Meier survival curve demonstrated that patients with significant residual PHT had the highest percentage of adverse events followed by those with mild residual PHT. Patients with no residual PHT had a very low risk of adverse events. Multivariable Cox regression analysis revealed that both mild (hazard ratio=4.94; 95% CI =1.34-18.16; P=0.02) and significant residual PHT (hazard ratio=8.67; 95% CI =2.43-30.98; P<0.01) were independent factors associated with adverse events. The present study demonstrated that 43% of patients who underwent tricuspid annuloplasty had residual PHT. The presence of mild or significant residual PHT was associated with adverse events in these patients. © 2016 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley Blackwell.

Early beneficial effect of preservation of papillo-annular continuity in mitral valve replacement on left ventricular function.

Science.gov (United States)

Dilip, D; Chandra, A; Rajashekhar, D; Padmanabhan, M

2001-05-01

Impairment of left ventricular (LV) function after mitral valve replacement (MVR) has been the most important factor to determine morbidity and mortality. With this in mind, LV performance in the postoperative period was assessed with and without preservation of papillo-annular continuity in MVR. Between March 1994 and August 1998, a total of 383 valve prostheses (202 MVR, 65 AVR, 58 MVR+AVR) were implanted in 325 patients, 177 of whom underwent MVR with Starr Edwards ball cage prostheses (the study group). Of these 177 patients, 105 had MVR with preservation of the posterior mitral leaflet (group I), and 72 had conventional MVR (group II). Predominant lesions were mitral stenosis in 81, mitral regurgitation in 42, and mixed mitral lesion (MS/MR) in 54. Concomitant tricuspid valve annuloplasty was performed in 13, and atrial septal defect repair in five. Sixteen patients underwent MVR for mitral restenosis. In-vivo performance of the prostheses and LV function was evaluated by M-mode and Doppler echocardiography. At 3-6 months clinical improvement was seen in NYHA class, with reduction in cardiothoracic ratio among patients with preserved papillo-annular continuity, irrespective of lesion type. Significant reductions (p versus 44.64 +/- 8.54 postop.; p versus 41.21 +/- 7.16 postop.; p versus 28.81 +/- 5.79 postop.; p versus 64.47 +/- 7.93; p <0.05). Further analysis of data in group I patients showed significant reductions in left atrial dimensions, LVESD and peak gradient, along with improved ejection fraction compared with conventional (group II) patients. Deterioration in LV function in patients undergoing conventional MVR indicates chordal resection as a putative mechanism. This study supports the concept that maintenance of continuity between the mitral annulus and papillary muscles has a beneficial effect on postoperative LV function, and is particularly important in patients with mitral stenosis with depressed preoperative LV systolic function.

Plastik på trikuspidalklappen (Tricuspid valve annuloplasty. The neglected valve)

DEFF Research Database (Denmark)

Pedersen, Thais A L; Wierup, Per; Pedersen, Lia Mendes

2010-01-01

INTRODUCTION: Tricuspid valve regurgitation (TVR) is often secondary to left-sided or congenital heart disease (CHD). Surgical correction of TVR is indicated when the primary abnormalities require operation. MATERIAL AND METHODS: Retrospective analysis of all 50 patients (mean age: 65 years (rang...

[Traumatic tricuspid valve insufficiency with right-to-left shunt: bridging using extracorporeal venovenous membrane oxygenation].

Science.gov (United States)

Weber, S U; Hammerstingl, C; Mellert, F; Baumgarten, G; Putensen, C; Knuefermann, P

2012-01-01

The case of a young male motor vehicle driver is reported who suffered multiple trauma in a car accident with pulmonary and cardiac contusions. In the course of severe pneumonia and traumatic tricuspid valve insufficiency a right-to-left shunt with refractory hypoxemia developed across a pre-existing atrial septal defect (ASD). The patient could be successfully treated by the combination of extracorporeal membrane oxygenation for bridging, interventional ASD occlusion and in the long-term by operative reconstruction of the tricuspid valve.

Delayed recovery of right ventricular systolic function after repair of long-standing tricuspid regurgitation associated with severe right ventricular failure.

Science.gov (United States)

Kim, Jong Hun; Kim, Kyung Hwa; Choi, Jong Bum; Kuh, Ja Hong

2016-03-01

After tricuspid valve surgery for long-standing tricuspid regurgitation associated with right ventricular failure, reverse remodelling of the enlarged right ventricle, including recovery of right ventricular systolic function, is unpredictable. We present the case of a 31-year old man with early reduction of dilated right ventricular dimensions and delayed recovery of impaired right ventricular systolic function after valve repair for traumatic tricuspid regurgitation lasting 16 years. © The Author 2015. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

Tricuspid valve dysplasia: A retrospective study of clinical features ...

African Journals Online (AJOL)

Dogs were most frequently referred for investigation of heart murmur. The most common arrhythmia was atrial fibrillation (n=3). Median survival time from diagnosis of tricuspid valve dysplasia was 2775 days (range 1-3696 days; 95% CI 1542.41-4007.59) and from onset of right-sided congestive heart failure was 181 days ...

Sediment particle entrainment in an obstructed annular

Energy Technology Data Exchange (ETDEWEB)

Loureiro, Bruno Venturini; Siqueira, Renato do Nascimento [Faculdade do Centro Leste (UCL), Serra, ES (Brazil). Lab. de Fenomenos de Transporte], e-mail: brunovl@ucl.br, e-mail: renatons@ucl.br

2006-07-01

Flow in an annular region with internal cylinder rotation is a classic problem in fluid mechanics and has been widely studied. Besides its importance as a fundamental problem, flow in annular regions has several practical applications. This project was motivated by an application of this kind of flow to the drilling of oil and gas wells. In this work, an erosion apparatus was constructed in order to study the effect of the internal cylinder rotation on particle entrainment in an obstructed annular space and bed package as well. The study also analyzed the influence of height of the particles bed on the process performance. The experiment was designed so that the internal cylinder rotation could be measured by an encoder. The fluid temperature was measured by a thermocouple and the experiments were carried out at the temperature of 25 deg C. The study revealed that the particle entrainment for the height of the bed that is close to the center of the cylinders is negligible and the internal cylinder rotation provokes the movement and packing of the bed. For lower height of the bed, with same dimension of the annular gap, the particle entrainment process was satisfactory and the bed compaction was smaller than in the previous case, leading to a more efficient cleaning process in the annular space. (author)

Parametric Investigation of Miniaturized Cylindrical and Annular Hall Thrusters

International Nuclear Information System (INIS)

Smirnov, A.; Raitses, Y.; Fisch, N.J.

2002-01-01

Conventional annular Hall thrusters become inefficient when scaled to low power. An alternative approach, a 2.6-cm miniaturized cylindrical Hall thruster with a cusp-type magnetic field distribution, was developed and studied. Its performance was compared to that of a conventional annular thruster of the same dimensions. The cylindrical thruster exhibits discharge characteristics similar to those of the annular thruster, but it has a much higher propellant ionization efficiency. Significantly, a large fraction of multi-charged xenon ions might be present in the outgoing ion flux generated by the cylindrical thruster. The operation of the cylindrical thruster is quieter than that of the annular thruster. The characteristic peak in the discharge current fluctuation spectrum at 50-60 kHz appears to be due to ionization instabilities. In the power range 50-300 W, the cylindrical and annular thrusters have comparable efficiencies (15-32%) and thrusts (2.5-12 mN). For the annular configuration, a voltage less than 200 V was not sufficient to sustain the discharge at low propellant flow rates. The cylindrical thruster can operate at voltages lower than 200 V, which suggests that a cylindrical thruster can be designed to operate at even smaller power

Radiologic findings of annular pancreas divisum : a case report

International Nuclear Information System (INIS)

Choi, Dong Sik; Lee, Dong Ho; Ko, Young Tae; Han, Tae Il; Yoon, Youp; Dong, Suk Ho

1996-01-01

Annular pancreas divisum is a very rare congenital anomaly involving the coexistence of an annular pancreas and pancreatic divisum in one pancreas, and showing characteristic radiologic findings of ring-like pancreatic tissue surrounding the second portion of the duodenum and no evidence of connection between ventral and dorsal ductal systems. We described the radiologic findings of annular pancreas divisum, diagnosed by hypotonic duodenography, CT and ERCP

Tricuspid endocarditis in hyper-IgE syndrome

Directory of Open Access Journals (Sweden)

Gupta S

2010-01-01

Full Text Available Hyper-IgE syndrome is a congenitally acquired primary immune deficiency condition. We report a case of possible hyper-IgE syndrome who presented with multiple cold skin abscesses and chest infection due to Staphylococcus aureus and hyper-IgE findings. Patient also had tricuspid valve acute bacterial endocarditis with purulent pericarditis which is very rare. This case is presented to highlight that early diagnosis and treatment in such cases decreases the mortality and morbidity in phagocytic disorders.

Does concomitant tricuspid annuloplasty increase perioperative mortality and morbidity when correcting left-sided valve disease?

Science.gov (United States)

Zhu, Tie-Yuan; Wang, Jian-Gang; Meng, Xu

2015-01-01

A best evidence topic in adult valvular surgery was written according to a structured protocol. The question addressed was 'Does concomitant tricuspid annuloplasty increase the perioperative mortality and morbidity when correcting left-sided valve disease?' A total of 561 papers were found using the reported search, of which 12 presented the best evidence to answer the clinical question. The authors, country, journal, date of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. Among these 12 papers, there were nine retrospective studies, two cohort studies and one randomized controlled trial (RCT). Overall, additional tricuspid valve (TV) repair takes more time during operations, particularly with a ring annuloplasty method. The mean aortic cross-clamping times were 57-83 min without associated tricuspid repair and 62-100 min with, and cardiopulmonary bypass times without and with repair were 82-124 and 90-174 min, respectively. A study of 624 patients who had undergone isolated mitral valve (MV) surgery and MV surgery plus TV repair showed more female and atrial fibrillation patients in the tricuspid valve plasty (TVP) group, but no increase in the 30-day mortality was found. One RCT, presenting similar patient baseline characteristics, also found no difference in the hospital mortality rates between the TVP group and the non-TVP group. Another 10 studies also demonstrated no statistically significant differences in perioperative mortality. In a cohort study of 311 patients undergoing MV repair with or without tricuspid annuloplasty, postoperative complications, such as bleeding, stroke, pacemaker, haemofiltration and myocardial infarction, all showed no statistically significant differences in the two groups. One study retrospectively analysed a large number of patients undergoing either isolated left-sided valve surgery or a concomitant TV repair, and there were no statistically significant differences

Can tricuspid annuloplasty of the donor heart reduce valve insufficiency following cardiac transplantation with bicaval anastomosis?

Science.gov (United States)

Fiorelli, Alfredo I; Oliveira, José L; Santos, Ronaldo H B; Coelho, Guilherme B; Oliveira, Adriana S; Lourenço-Filho, Domingos D; Lapenna, Gisele; Dias, Ricardo R; Bacal, Fernando; Bocchi, Edimar A; Stolf, Noedir A G

2010-06-01

The aim of this study was to evaluate the degree of tricuspid valve insufficiency after orthotopic cardiac transplantation with bicaval anastomosis and prophylactic donor heart annuloplasty. At present, our cardiac transplantation experience includes 478 cases. After January 2002, we included 30 consecutive patients in this study who had undergone orthotopic cardiac transplantation and survived >6 months. The patients were divided into 2 groups: group I, 15 patients who underwent transplantation with prophylactic tricuspid annuloplasty on the donor heart with the De Vega technique; and group II, 15 patients who underwent transplantation without this procedure. Their preoperative clinical characteristics were the same. During the late postoperative follow-up, the degree of tricuspid insufficiency was evaluated by transthoracic Doppler echocardiography and assessed according to the Simpson scale: 0, absent; 1, mild; 2, moderate; and 3, severe. Hemodynamic parameters were evaluated invasively by means of a Swan-Ganz catheter during routine endomyocardial biopsies. The mean follow-up time was 26.9 +/- 5.4 months (range, 12-36 months). In group I, 1 patient (6.6%) died from infection in the 18th month after the operation; the death was not related to the annuloplasty. In group II, 1 death (6.6%) occurred after 10 months because of rejection (P > .05). After the 24-month follow-up, the mean degree of tricuspid insufficiency was 0.4 +/- 0.5 in group I and 1.7 +/- 0.9 in group II (P tricuspid annuloplasty on the donor heart was able to reduce significantly the degree of valvular insufficiency, even in cardiac transplantation with bicaval anastomosis; however, it did not modify significantly the hemodynamic performance of the allograft during the investigation period. It is very important to extend the observation period and casuistics to verify other benefits that this technique may offer.

Study on natural convection characteristics in a narrow annular gap, 2

International Nuclear Information System (INIS)

Naohara, Nobuyuki; Uotani, Masaki; Kinoshita, Izumi; Arazeki, Hideo

1987-01-01

To clarify the characteristics of natural convection in a narrow annular gap at the roof-slab penetration in pool-type LMFBR, experimental study was carried out. Experiment is to investigate the effect of annular gap width. The results are summarized as follows. (1) A chart showing the presence of natural convection was drawn, and it was showed that the natural convection in an annular gap was influenced by gap width. (2) Dimensionless circumferential temperature in annular wall could be rearranged by new parameter taking account of the annular gap width and a characteristics curve was obtained. (author)

Ventricular Pacing via the Coronary Sinus in a Patient with a Mechanical Tricuspid Valve Prosthesis

Directory of Open Access Journals (Sweden)

Janice Swampillai, MD

2011-01-01

Full Text Available Implantation of a transvenous endocardial pacing lead in the right ventricle is contra-indicated after mechanical tricuspid valve replacement; therefore a surgical approach to the epicardium is usually required. This case report describes ventricular pacing via a branch of the coronary sinus in a patient with mechanical mitral, aortic and tricuspid valve replacements. In conclusion, this approach is minimally invasive, provides effective ventricular stimulation with low pacing threshold and stable lead position, and is a feasible option when transvenous right ventricular pacing is not possible.

The total right/left-volume index: a new and simplified cardiac magnetic resonance measure to evaluate the severity of Ebstein anomaly of the tricuspid valve: a comparison with heart failure markers from various modalities.

Science.gov (United States)

Hösch, Olga; Sohns, Jan Martin; Nguyen, Thuy-Trang; Lauerer, Peter; Rosenberg, Christina; Kowallick, Johannes Tammo; Kutty, Shelby; Unterberg, Christina; Schuster, Andreas; Faßhauer, Martin; Staab, Wieland; Paul, Thomas; Lotz, Joachim; Steinmetz, Michael

2014-07-01

The classification of clinical severity of Ebstein anomaly still remains a challenge. The aim of this study was to focus on the interaction of the pathologically altered right heart with the anatomically-supposedly-normal left heart and to derive from cardiac magnetic resonance (CMR) a simple imaging measure for the clinical severity of Ebstein anomaly. Twenty-five patients at a mean age of 26±14 years with unrepaired Ebstein anomaly were examined in a prospective study. Disease severity was classified using CMR volumes and functional measurements in comparison with heart failure markers from clinical data, ECG, laboratory and cardiopulmonary exercise testing, and echocardiography. All examinations were completed within 24 hours. A total right/left-volume index was defined from end-diastolic volume measurements in CMR: total right/left-volume index=(RA+aRV+fRV)/(LA+LV). Mean total right/left-volume index was 2.6±1.7 (normal values: 1.1±0.1). This new total right/left-volume index correlated with almost all clinically used biomarkers of heart failure: brain natriuretic peptide (r=0.691; P=0.0003), QRS (r=0.432; P=0.039), peak oxygen consumption/kg (r=-0.479; P=0.024), ventilatory response to carbon dioxide production at anaerobic threshold (r=0.426; P=0.048), the severity of tricuspid regurgitation (r=0.692; P=0.009), tricuspid valve offset (r=0.583; P=0.004), and tricuspid annular plane systolic excursion (r=0.554; P=0.006). Previously described severity indices ([RA+aRV]/[fRV+LA+LV]) and fRV/LV end-diastolic volume corresponded only to some parameters. In patients with Ebstein anomaly, the easily acquired index of right-sided to left-sided heart volumes from CMR correlated well with established heart failure markers. Our data suggest that the total right/left-volume index should be used as a new and simplified CMR measure, allowing more accurate assessment of disease severity than previously described scoring systems. © 2014 American Heart Association, Inc.

Novel annular flow electromagnetic measurement system for drilling engineering.

OpenAIRE

Ge, L.; Wei, G. H.; Wang, Q.; Hu, Z.; Li, J. L.

2017-01-01

Downhole micro-flux control drilling technology can effectively solve drilling accidents, such as kick and loss in narrow density window drilling scenarios. Using a downhole annular flow measurement system to obtain real-time information of downhole annular flow is the core and foundation of downhole micro-flux control drilling technology. The research work of electromagnetic flowmeters in recent years creates a challenge for downhole annular flow measurement. This paper proposes a new method...

Right ventricular pressure response to exercise in adults with isolated ventricular septal defect closed in early childhood.

Science.gov (United States)

Moller, Thomas; Lindberg, Harald; Lund, May Brit; Holmstrom, Henrik; Dohlen, Gaute; Thaulow, Erik

2018-06-01

We previously demonstrated an abnormally high right ventricular systolic pressure response to exercise in 50% of adolescents operated on for isolated ventricular septal defect. The present study investigated the prevalence of abnormal right ventricular systolic pressure response in 20 adult (age 30-45 years) patients who underwent surgery for early ventricular septal defect closure and its association with impaired ventricular function, pulmonary function, or exercise capacity. The patients underwent cardiopulmonary tests, including exercise stress echocardiography. Five of 19 patients (26%) presented an abnormal right ventricular systolic pressure response to exercise ⩾ 52 mmHg. Right ventricular systolic function was mixed, with normal tricuspid annular plane systolic excursion and fractional area change, but abnormal tricuspid annular systolic motion velocity (median 6.7 cm/second) and isovolumetric acceleration (median 0.8 m/second2). Left ventricular systolic and diastolic function was normal at rest as measured by the peak systolic velocity of the lateral wall and isovolumic acceleration, early diastolic velocity, and ratio of early diastolic flow to tissue velocity, except for ejection fraction (median 53%). The myocardial performance index was abnormal for both the left and right ventricle. Peak oxygen uptake was normal (mean z score -0.4, 95% CI -2.8-0.3). There was no association between an abnormal right ventricular systolic pressure response during exercise and right or left ventricular function, pulmonary function, or exercise capacity. Abnormal right ventricular pressure response is not more frequent in adult patients compared with adolescents. This does not support the theory of progressive pulmonary vascular disease following closure of left-to-right shunts.

Common pass decentered annular ring resonator

Energy Technology Data Exchange (ETDEWEB)

Holmes, D. A.; Waite, T. R.

1985-04-30

An optical resonator having an annular cylindrical gain region for use in a chemical laser or the like in which two ring-shaped mirrors having substantially conical reflecting surfaces are spaced apart along a common axis of revolution of the respective conical surfaces. A central conical mirror reflects incident light directed along said axis radially outwardly to the reflecting surface of a first one of the ring-shaped mirrors. The radial light rays are reflected by the first ring mirror to the second ring mirror within an annular cylindrical volume concentric with said common axis and forming a gain region. Light rays impinging on the second ring mirror are reflected to diametrically opposite points on the same conical mirror surfaces and back to the first ring mirror through the same annular cylindrical volume. The return rays are then reflected by the conical mirror surface of the first ring mirror back to the central conical mirror. The mirror surfaces are angled such that the return rays are reflected back along the common axis by the central mirror in a concentric annular cylindrical volume. A scraper mirror having a central opening centered on said axis and an offset opening reflects all but the rays passing through the two openings in an output beam. The rays passing through the second opening are reflected back through the first opening to provide feedback.

Limited Diffraction Maps for Pulsed Wave Annular Arrays

DEFF Research Database (Denmark)

Fox, Paul D.

2002-01-01

A procedure is provided for decomposing the linear field of flat pulsed wave annular arrays into an equivalent set of known limited diffraction Bessel beams. Each Bessel beam propagates with known characteristics, enabling good insight into the propagation of annular fields to be obtained...

Annular pulse column development studies

International Nuclear Information System (INIS)

Benedict, G.E.

1980-01-01

The capacity of critically safe cylindrical pulse columns limits the size of nuclear fuel solvent extraction plants because of the limited cross-sectional area of plutonium, U-235, or U-233 processing columns. Thus, there is a need to increase the cross-sectional area of these columns. This can be accomplished through the use of a column having an annular cross section. The preliminary testing of a pilot-plant-scale annular column has been completed and is reported herein. The column is made from 152.4-mm (6-in.) glass pipe sections with an 89-mm (3.5-in.) o.d. internal tube, giving an annular width of 32-mm (1.25-in.). Louver plates are used to swirl the column contents to prevent channeling of the phases. The data from this testing indicate that this approach can successfully provide larger-cross-section critically safe pulse columns. While the capacity is only 70% of that of a cylindrical column of similar cross section, the efficiency is almost identical to that of a cylindrical column. No evidence was seen of any non-uniform pulsing action from one side of the column to the other

Inverted annular flow experimental study

International Nuclear Information System (INIS)

De Jarlais, G.; Ishii, M.

1985-04-01

Steady-state inverted annular flow of Freon 113 in up flow was established in a transparent test section. Using a special inlet configuration consisting of long aspect-ratio liquid nozzles coaxially centered within a heated quartz tube, idealized inverted annular flow initial geometry (cylindrical liquid core surrounded by coaxial annulus of gas) could be established. Inlet liquid and gas flowrates, liquid subcooling, and gas density (using various gas species) were measured and varied systematically. The hydrodynamic behavior of the liquid core, and the subsequent downstream break-up of this core into slugs, ligaments and/or droplets of various sizes, was observed. In general, for low inlet liquid velocities it was observed that after the initial formation of roll waves on the liquid core surface, an agitated region of high surface area, with attendant high momentum and energy transfers, occurs. This agitated region appears to propagate downsteam in a quasi-periodic pattern. Increased inlet liquid flow rates, and high gas annulus flow rates tend to diminish the significance of this agitated region. Observed inverted annular flow (and subsequent downstream flow pattern) hydrodynamic behavior is reported, and comparisons are drawn to data generated by previous experimenters studying post-CHF flow

Domain-adaptive finite difference methods for collapsing annular liquid jets

Science.gov (United States)

Ramos, J. I.

1993-01-01

A domain-adaptive technique which maps a time-dependent, curvilinear geometry into a unit square is used to determine the steady state mass absorption rate and the collapse of annular liquid jets. A method of lines is used to solve the one-dimensional fluid dynamics equations written in weak conservation-law form, and upwind differences are employed to evaluate the axial convective fluxes. The unknown, time-dependent, axial location of the downstream boundary is determined from the solution of an ordinary differential equation which is nonlinearly coupled to the fluid dynamics and gas concentration equations. The equation for the gas concentration in the annular liquid jet is written in strong conservation-law form and solved by means of a method of lines at high Peclet numbers and a line Gauss-Seidel method at low Peclet numbers. The effects of the number of grid points along and across the annular jet, time step, and discretization of the radial convective fluxes on both the steady state mass absorption rate and the jet's collapse rate have been analyzed on staggered and non-staggered grids. The steady state mass absorption rate and the collapse of annular liquid jets are determined as a function of the Froude, Peclet and Weber numbers, annular jet's thickness-to-radius ratio at the nozzle exit, initial pressure difference across the annular jet, nozzle exit angle, temperature of the gas enclosed by the annular jet, pressure of the gas surrounding the jet, solubilities at the inner and outer interfaces of the annular jet, and gas concentration at the nozzle exit. It is shown that the steady state mass absorption rate is proportional to the inverse square root of the Peclet number except for low values of this parameter, and that the possible mathematical incompatibilities in the concentration field at the nozzle exit exert a great influence on the steady state mass absorption rate and on the jet collapse. It is also shown that the steady state mass absorption

Surgical treatment of infective endocarditis with aortic and tricuspid valve involvement using cryopreserved aortic and mitral valve allografts.

Science.gov (United States)

Ostrovsky, Yury; Spirydonau, Siarhei; Shchatsinka, Mikalai; Shket, Aliaksandr

2015-05-01

Surgical treatment of infective and prosthetic endocarditis using allografts gives good results. Aortic allograft implantation is a common technique, while tricuspid valve replacement with a mitral allograft is very rare. Multiple valve disease in case of infective endocarditis is a surgical challenge as such patients are usually in a grave condition and results of surgical treatment are often unsatisfactory. In this article we describe a clinical case of successful surgical treatment in a patient with active infective endocarditis of aortic and tricuspid valve, complicated by an aortic-right ventricular fistula. The aortic valve and ascending aorta were replaced with a cryopreserved aortic allograft; the tricuspid valve was replaced with a cryopreserved mitral allograft. © The Author 2015. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

Absolute photonic band gap in 2D honeycomb annular photonic crystals

International Nuclear Information System (INIS)

Liu, Dan; Gao, Yihua; Tong, Aihong; Hu, Sen

2015-01-01

Highlights: • A two-dimensional honeycomb annular photonic crystal (PC) is proposed. • The absolute photonic band gap (PBG) is studied. • Annular PCs show larger PBGs than usual air-hole PCs for high refractive index. • Annular PCs with anisotropic rods show large PBGs for low refractive index. • There exist optimal parameters to open largest band gaps. - Abstract: Using the plane wave expansion method, we investigate the effects of structural parameters on absolute photonic band gap (PBG) in two-dimensional honeycomb annular photonic crystals (PCs). The results reveal that the annular PCs possess absolute PBGs that are larger than those of the conventional air-hole PCs only when the refractive index of the material from which the PC is made is equal to 4.5 or larger. If the refractive index is smaller than 4.5, utilization of anisotropic inner rods in honeycomb annular PCs can lead to the formation of larger PBGs. The optimal structural parameters that yield the largest absolute PBGs are obtained

Annular pancreas in adult: a case report

International Nuclear Information System (INIS)

Moreira Neto, M.

1992-01-01

A case of a patient complaining of recurrent symptomatology of the upper abdomen and sub occlusion of the gastrointestinal tract with stenosis of the second portion of duodenum and mass evolving the head of pancreas at echographic study, confirmed by CT is presented. Contrasted oral studies confirmed that the mass evolved the stenotic segment, suggesting annular pancreas. Surgery confirmed the presence of annular pancreas surrounding the second portion of duodenum. (author)

Ex vivo hydrodynamics after central and paracommissural edge-to-edge technique: A further step toward transcatheter tricuspid repair?

Science.gov (United States)

Stock, Sina; Bohm, Heidemarie; Scharfschwerdt, Michael; Richardt, Doreen; Meyer-Saraei, Roza; Tsvelodub, Stanislav; Sievers, Hans-Hinrich

2018-03-01

Transcatheter approaches in heart valve disease became tremendously important and are currently established in the aortic position, but transcatheter tricuspid repair is still in its beginning and remains challenging. Replicating the surgical edge-to-edge technique, for example, with the MitraClip System (Abbott Vascular, Santa Clara, Calif), represents a promising option and has been reported successfully in small numbers of cases. However, up to now, few data considering the edge-to-edge technique as a transcatheter approach are available. This study aims to determine the ex vivo hydrodynamics after the central and paracommissural edge-to-edge technique in different pathologies. Because of basal or apical dislocation of papillary muscles, leaflet prolapse or tethering was simulated in porcine tricuspid valves mounted on a flexible holding device. Central and paracommissural edge-to-edge techniques were evaluated successively in these pathologies. Regurgitant volume and mean transvalvular gradient were determined in a pulse duplicator. In this ex vivo model, the isolated edge-to-edge technique reduced tricuspid regurgitation. In the prolapse model, regurgitant volume decreased significantly after central edge-to-edge technique (from 49.4 ± 13.6 mL/stroke to 39.3 ± 14.1 mL/stroke). In the tethering model, both the central and the paracommissural edge-to-edge techniques led to a significant decrease (from 48.7 ± 13.9 to 43.6 ± 15.6 and to 41.1 ± 13.8 mL/stroke). In all cases, the reduction of regurgitant volume was achieved at the cost of significantly increased mean transvalvular gradient. This study provides a reduction of tricuspid regurgitation after the edge-to-edge technique in the specific experimental setup. Whether this reduction is sufficient to treat tricuspid regurgitation successfully in clinical practice remains to be established. Transcatheter approaches need to be evaluated further, probably with regard to concomitant annuloplasty

Obtention of an empirical equation for annular channels

International Nuclear Information System (INIS)

Diaz H, C.; Salinas R, G.A.

1996-01-01

Using a trial circuit, the experimental heat transfer coefficient is determined, in forced convection at one phase only within an annular channel in which water flows ascendantly and for this reason an empirical equation is determined. This work tries to contribute to the understanding of the forced convection phenomena in non tubular geometries like the annular channels. (Author)

Fluxons in long and annular intrinsic Josephson junction stacks

CERN Document Server

Clauss, T; Moessle, M; Müller, A; Weber, A; Kölle, D; Kleiner, R

2002-01-01

A promising approach towards a THz oscillator based on intrinsic Josephson junctions in high-temperature superconductors is based on the collective motion of Josephson fluxons, which are predicted to form various configurations ranging from a triangular to a quadratic lattice. Not only for this reason, but certainly also for the sake of basic physics, several experimental and theoretical investigations have been done on the subject of collective fluxon dynamics in stacked intrinsic Josephson junctions. In this paper we will present some experimental results on the fluxon dynamics of long intrinsic Josephson junction stacks made of Bi sub 2 Sr sub 2 CaCu sub 2 O sub 8. The stacks were formed either in an open or in an annular geometry, and clear resonant fluxon modes were observed. Experiments discussed include measurements of current-voltage characteristics in external magnetic fields and in external microwave fields.

Electron beam diagnostic system using computed tomography and an annular sensor

Science.gov (United States)

Elmer, John W.; Teruya, Alan T.

2014-07-29

A system for analyzing an electron beam including a circular electron beam diagnostic sensor adapted to receive the electron beam, the circular electron beam diagnostic sensor having a central axis; an annular sensor structure operatively connected to the circular electron beam diagnostic sensor, wherein the sensor structure receives the electron beam; a system for sweeping the electron beam radially outward from the central axis of the circular electron beam diagnostic sensor to the annular sensor structure wherein the electron beam is intercepted by the annular sensor structure; and a device for measuring the electron beam that is intercepted by the annular sensor structure.

Visualization of large waves in churn and annular two-phase flow

International Nuclear Information System (INIS)

Dasgupta, Arnab; Chandraker, D.K.; Nayak, A.K.; Vijayan, P.K.; Kshirasagar, S.; Reddy, B.R.; Walker, S.P.

2015-01-01

The study of churn and annular two-phase flow regimes is important for boiling systems like nuclear reactors, U-tube steam generators etc. In this paper, visualization studies on air-water churn and annular two-phase flow regimes are reported. Though there are differences between air-water and boiling steam water systems, the major flow-pattern characteristics are similar (if not same).The specific object of study is the large waves which exist in both churn and annular regimes. These waves are responsible for majority of the momentum and mass dispersion across the phases. The differentiating characteristics of these waves in the chum and annular flow regimes are reported. The visualization also leads to a more quantitative representation of the transition from churn to annular flow. A new interpretation of the criterion for onset of entrainment is also evolved from the studies. (author)

Optimal Thrust Vectoring for an Annular Aerospike Nozzle, Phase I

Data.gov (United States)

National Aeronautics and Space Administration — Recent success of an annular aerospike flight test by NASA Dryden has prompted keen interest in providing thrust vector capability to the annular aerospike nozzle...

Tricuspid insufficiency detected by equilibrium gated radionuclide study

International Nuclear Information System (INIS)

Handler, B.; Pavel, D.G.; Lam, W.; Byrom, E.; Swiryn, S.; Pietras, R.; Rosen, K.M.

1981-01-01

The results of a gated radionuclide cardiac study are reported in a patient with biventricular failure and tricuspid insufficiency demonstrated by clinical evaluation, M-mode and 2-D sector echocardiography, and cardia catheterization. The processed gated radionuclide cardiac study showed a left ventricular/right ventricular stroke volume ratio of 0.5; expansion of the hepatic blood pool demonstrated by hepatic time activity curve and calculation of an '''expansion fraction''; and synchronous changes of count rate of the atrial and hepatic regions detected by phase analysis

Design and Optimization of Annular Flow Electromagnetic Measurement System for Drilling Engineering

Directory of Open Access Journals (Sweden)

Liang Ge

2018-01-01

Full Text Available Using the downhole annular flow measurement system to get real-time information of downhole annular flow is the core and foundation of downhole microflux control drilling technology. The research work of electromagnetic flowmeter in recent years creates a challenge to the design of downhole annular flow measurement. This paper proposes a design and optimization of annular flow electromagnetic measurement system for drilling engineering based on the finite element method. Firstly, the annular flow measuring and optimization principle are described. Secondly, a simulation model of an annular flow electromagnetic measurement system with two pairs of coil is built based on the fundamental equation of electromagnetic flowmeter by COMSOL. Thirdly, simulations of the structure of excitation system of the measurement system are carried out, and simulations of the size of the electrode’s radius are also carried out based on the optimized structure, and then all the simulation results are analyzed to evaluate the optimization effect based on the evaluation indexes. The simulation results show that optimized shapes of the excitation system and electrode size can yield a better performance in the annular flow measurement.

A coaxial-output capacitor-loaded annular pulse forming line.

Science.gov (United States)

Li, Rui; Li, Yongdong; Su, Jiancang; Yu, Binxiong; Xu, Xiudong; Zhao, Liang; Cheng, Jie; Zeng, Bo

2018-04-01

A coaxial-output capacitor-loaded annular pulse forming line (PFL) is developed in order to reduce the flat top fluctuation amplitude of the forming quasi-square pulse and improve the quality of the pulse waveform produced by a Tesla-pulse forming network (PFN) type pulse generator. A single module composed of three involute dual-plate PFNs is designed, with a characteristic impedance of 2.44 Ω, an electrical length of 15 ns, and a sustaining voltage of 60 kV. The three involute dual-plate PFNs connected in parallel have the same impedance and electrical length. Due to the existed small inductance and capacitance per unit length in each involute dual-plate PFN, the upper cut-off frequency of the PFN is increased. As a result, the entire annular PFL has better high-frequency response capability. Meanwhile, the three dual-plate PFNs discharge in parallel, which is much closer to the coaxial output. The series connecting inductance between adjacent two modules is significantly reduced when the annular PFL modules are connected in series. The pulse waveform distortion is reduced when the pulse transfers along the modules. Finally, the shielding electrode structure is applied on both sides of the module. The electromagnetic field is restricted in the module when a single module discharges, and the electromagnetic coupling between the multi-stage annular PFLs is eliminated. Based on the principle of impedance matching between the multi-stage annular PFL and the coaxial PFL, the structural optimization design of a mixed PFL in a Tesla type pulse generator is completed with the transient field-circuit co-simulation method. The multi-stage annular PFL consists of 18 stage annular PFL modules in series, with the characteristic impedance of 44 Ω, the electrical length of 15 ns, and the sustaining voltage of 1 MV. The mixed PFL can generate quasi-square electrical pulses with a pulse width of 43 ns, and the fluctuation ratio of the pulse flat top is less than 8% when the

A coaxial-output capacitor-loaded annular pulse forming line

Science.gov (United States)

Li, Rui; Li, Yongdong; Su, Jiancang; Yu, Binxiong; Xu, Xiudong; Zhao, Liang; Cheng, Jie; Zeng, Bo

2018-04-01

A coaxial-output capacitor-loaded annular pulse forming line (PFL) is developed in order to reduce the flat top fluctuation amplitude of the forming quasi-square pulse and improve the quality of the pulse waveform produced by a Tesla-pulse forming network (PFN) type pulse generator. A single module composed of three involute dual-plate PFNs is designed, with a characteristic impedance of 2.44 Ω, an electrical length of 15 ns, and a sustaining voltage of 60 kV. The three involute dual-plate PFNs connected in parallel have the same impedance and electrical length. Due to the existed small inductance and capacitance per unit length in each involute dual-plate PFN, the upper cut-off frequency of the PFN is increased. As a result, the entire annular PFL has better high-frequency response capability. Meanwhile, the three dual-plate PFNs discharge in parallel, which is much closer to the coaxial output. The series connecting inductance between adjacent two modules is significantly reduced when the annular PFL modules are connected in series. The pulse waveform distortion is reduced when the pulse transfers along the modules. Finally, the shielding electrode structure is applied on both sides of the module. The electromagnetic field is restricted in the module when a single module discharges, and the electromagnetic coupling between the multi-stage annular PFLs is eliminated. Based on the principle of impedance matching between the multi-stage annular PFL and the coaxial PFL, the structural optimization design of a mixed PFL in a Tesla type pulse generator is completed with the transient field-circuit co-simulation method. The multi-stage annular PFL consists of 18 stage annular PFL modules in series, with the characteristic impedance of 44 Ω, the electrical length of 15 ns, and the sustaining voltage of 1 MV. The mixed PFL can generate quasi-square electrical pulses with a pulse width of 43 ns, and the fluctuation ratio of the pulse flat top is less than 8% when the

Near-limit propagation of gaseous detonations in narrow annular channels

Science.gov (United States)

Gao, Y.; Ng, H. D.; Lee, J. H. S.

2017-03-01

New results on the near-limit behaviors of gaseous detonations in narrow annular channels are reported in this paper. Annular channels of widths 3.2 and 5.9 mm were made using circular inserts in a 50.8 mm-diameter external tube. The length of each annular channel was 1.8 m. Detonations were initiated in a steel driver tube where a small volume of a sensitive C2H2+ 2.5O2 mixture was injected to facilitate detonation initiation. A 2 m length of circular tube with a 50.8 mm diameter preceded the annular channel so that a steady Chapman-Jouguet (CJ) detonation was established prior to entering the annular channel. Four detonable mixtures of C2H2 {+} 2.5O2 {+} 85 % Ar, C2H2 {+} 2.5O2 {+} 70 % Ar, C3H8 {+} 5O2, and CH4 {+} 2O2 were used in the present study. Photodiodes spaced 10 cm throughout the length of both the annular channel and circular tube were used to measure the detonation velocity. In addition, smoked foils were inserted into the annular channel to monitor the cellular structure of the detonation wave. The results show that, well within the detonability limits, the detonation wave propagates along the channel with a small local velocity fluctuation and an average global velocity can be deduced. The average detonation velocity has a small deficit of 5-15 % far from the limits and the velocity rapidly decreases to 0.7V_{CJ}-0.8V_{CJ} when the detonation propagates near the limit. Subsequently, the fluctuation of local velocity also increases as the decreasing initial pressure approaches the limit. In the two annular channels used in this work, no galloping detonations were observed for both the stable and unstable mixtures tested. The present study also confirms that single-headed spinning detonation occurs at the limit, as in a circular tube, rather than the up and down "zig zag" mode in a two-dimensional, rectangular channel.

Imaging characteristics of Zernike and annular polynomial aberrations.

Science.gov (United States)

Mahajan, Virendra N; Díaz, José Antonio

2013-04-01

The general equations for the point-spread function (PSF) and optical transfer function (OTF) are given for any pupil shape, and they are applied to optical imaging systems with circular and annular pupils. The symmetry properties of the PSF, the real and imaginary parts of the OTF, and the modulation transfer function (MTF) of a system with a circular pupil aberrated by a Zernike circle polynomial aberration are derived. The interferograms and PSFs are illustrated for some typical polynomial aberrations with a sigma value of one wave, and 3D PSFs and MTFs are shown for 0.1 wave. The Strehl ratio is also calculated for polynomial aberrations with a sigma value of 0.1 wave, and shown to be well estimated from the sigma value. The numerical results are compared with the corresponding results in the literature. Because of the same angular dependence of the corresponding annular and circle polynomial aberrations, the symmetry properties of systems with annular pupils aberrated by an annular polynomial aberration are the same as those for a circular pupil aberrated by a corresponding circle polynomial aberration. They are also illustrated with numerical examples.

Radial dynamics of an annular REB plasma

International Nuclear Information System (INIS)

Wilson, A.; Steen, P.G.; Waisman, E.M.

1983-01-01

The authors have examined the dynamics of annular plasma formed by a ring REB. A current is carried by an annular plasma shell and the current returns on two conducting concentric sleeves. The magnetic forces acting on the plasma tend to prevent it from pinching as the unperturbed magnetic field has a different sign on the two free surfaces (sides) of the plasma. Current flows through the plasma from cathode to anode and returns through the concentric inner and outer conductors

An Experimental Study of Swirling Flows as Applied to Annular Combustors

Science.gov (United States)

Seal, Michael Damian, II

1997-01-01

This thesis presents an experimental study of swirling flows with direct applications to gas turbine combustors. Two separate flowfields were investigated: a round, swirling jet and a non-combusting annular combustor model. These studies were intended to allow both a further understanding of the behavior of general swirling flow characteristics, such as the recirculation zone, as well as to provide a base for the development of computational models. In order to determine the characteristics of swirling flows the concentration fields of a round, swirling jet were analyzed for varying amount of swirl. The experimental method used was a light scattering concentration measurement technique known as marker nephelometry. Results indicated the formation of a zone of recirculating fluid for swirl ratios (rotational speed x jet radius over mass average axial velocity) above a certain critical value. The size of this recirculation zone, as well as the spread angle of the jet, was found to increase with increase in the amount of applied swirl. The annular combustor model flowfield simulated the cold-flow characteristics of typical current annular combustors: swirl, recirculation, primary air cross jets and high levels of turbulence. The measurements in the combustor model made by the Laser Doppler Velocimetry technique, allowed the evaluation of the mean and rms velocities in the three coordinate directions, one Reynold's shear stress component and the turbulence kinetic energy: The primary cross jets were found to have a very strong effect on both the mean and turbulence flowfields. These cross jets, along with a large step change in area and wall jet inlet flow pattern, reduced the overall swirl in the test section to negligible levels. The formation of the strong recirculation zone is due mainly to the cross jets and the large step change in area. The cross jets were also found to drive a four-celled vortex-type motion (parallel to the combustor longitudinal axis) near the

Severe Tricuspid Regurgitation Diagnosed 13 Years after a Car Accident: A Case Report

Science.gov (United States)

Acar, Burak; Suleymanoglu, Muhammed; Burak, Cengiz; Demirkan, Burcu Mecit; Guray, Yesim; Tufekcioglu, Omac; Aydogdu, Sinan

2015-01-01

Abstract Blunt chest traumas mostly occur due to car accidents and can cause many cardiac complications such as septal rupture, free-wall rupture, coronary artery dissection or thrombosis, heart failure, arrhythmias, and chordae and papillary muscle rupture. One of the most serious complication is tricuspid regurgitation (TR), which can be simply diagnosed by physical examination and confirmed by echocardiography. We describe a 48-year-old female patient, diagnosed with severe TR 13 years after a blunt chest trauma due to a car accident. TR was diagnosed with transthoracic echocardiography and three dimensional transthoracic echocardiography had defined the exact pathology of the tricuspid valve. The patient underwent successful surgery with bioprosthetic valve implantation and was discharged at 6th postoperative day without any complication. The patient had no problem according to the follow-up one month and six months after operation. PMID:26157464

Two dimensional echocardiography in mitral, aortic and tricuspid valve prolapse - The clinical problem, cardiac nuclear imaging considerations and a proposed standard for diagnosis

International Nuclear Information System (INIS)

Morganroth, J.; Jones, R.H.; Chen, C.C.; Naito, M.; Thomas Jefferson University, Philadelphia, Pa.; Duke University, Medical Center, Durham, N.C.)

1980-01-01

The mitral valve prolapse syndrome may present with a variety of clinical manifestations and has proved to be a common cause of nonspecific cardiac symptoms in clinical practice. Primary and secondary forms must be distinguished. Myxomatous degeneration appears to be the common denominator of the primary form. The diagnostic standard of this form has not previously been defined because the detection of mitral leaflet tissue in the left atrium (prolapse) on physical examination or angiography is nonspecific. M mode echocardiography has greatly enhanced the recognition of this syndrome but has not proved to be the best diagnostic standard because of its limited view of mitral valve motion. The advent of two-dimensional echocardiography has provided the potential means for specific identification of the mitral leaflet motion in systole and can be considered the diagnostic standard for this syndrome. Primary myxomatous degeneration with leaflet prolapse is not localized to the mitral valve. Two-dimensional echocardiography has detected in preliminary studies tricuspid valve prolapse in up to 50% and aortic valve prolapse in about 20% of patients with idiopathic mitral valve prolapse

Ebstein's anomaly with imperforate tricuspid valve. Prenatal diagnosis

Directory of Open Access Journals (Sweden)

Zielinsky Paulo

2000-01-01

Full Text Available Ebstein's anomaly is an uncommon congenital heart defect, with a prevalence of 0.3-0.5%. Its association with an imperforate tricuspid valve is an even more rare situation (less than 10% of cases. Prenatal diagnosis of this association by means of fetal echocardiography has not been reported. We describe here this association diagnosed before birth and confirmed after birth. The diagnostic potential and importance of fetal echocardiography during prenatal evaluation of cardiac malformations allows for adequate perinatal planning and management, with an obvious impact on morbidity and mortality.

Deformation Differences between Tricuspid and Bicuspid Aortic Valves in Vitro

Science.gov (United States)

Szeto, Kai; Rodriguez-Rodriguez, Javier; Pastuszko, Peter; Nigam, Vishal; Lasheras, Juan C.

2011-11-01

It has been shown in clinical studies that patients with congenital bicuspid aortic valves (CBAVs) develop degenerative calcification of the leaflets at young ages compared to patients with the normal tricuspid aortic valves (TAVs). It has been hypothesized that the asymmetrical geometry of the leaflets in CBAVs, flow shear stresses (SS), disturbed flow, and excessive strain rate levels are possible causes for the early calcification and stenosis. Central to the validation of this hypothesis is the need to quantify the differences in strain rate levels between the BAVs and TAVs. We simulate the CBAVs by surgically stitching two of the leaflets of a porcine aortic valve together. To quantify strain differences, we performed in-vitro experiments in both trileaflet and bileaflet valves by tracking the motion of small ink dots marked on each leaflet surface. We then used phase-locked stereo photogrammetry to reconstruct at each instant of time the 3D surface of the leaflets and measure the strain rates in both radial and circumferential directions during the whole cardiac cycle. Our results indicate that the total strain rate of the simulated BAVs is about 15 to 20% higher than the normal leaflets of TAVs at systole. In the BAVs' case, the fused leaflet stretches radially up to 25% higher than the reference length. The excessive stretching in both directions in the fused leaflet results in large changes in the flow patterns and associated wall SS.

Long-term tricuspid valve prosthesis-related complications in patients with congenital heart disease

NARCIS (Netherlands)

van Slooten, Ymkje J.; Freling, Hendrik G.; van Melle, Joost P.; Mulder, Barbara J. M.; Jongbloed, Monique R. M.; Ebels, Tjark; Voors, Adriaan A.; Pieper, Petronella G.

2014-01-01

In patients with acquired valvar disease, morbidity and mortality rates after tricuspid valve replacement (TVR) are high. However, in adult patients with congenital heart disease, though data concerning outcome after TVR are scarce, even poorer results are suggested in patients with Ebstein anomaly.

Long-term tricuspid valve prosthesis-related complications in patients with congenital heart disease

NARCIS (Netherlands)

van Slooten, Ymkje J.; Freling, Hendrik G.; van Melle, Joost P.; Mulder, Barbara J. M.; Jongbloed, Monique R. M.; Ebels, Tjark; Voors, Adriaan A.; Pieper, Petronella G.

OBJECTIVES: In patients with acquired valvar disease, morbidity and mortality rates after tricuspid valve replacement (TVR) are high. However, in adult patients with congenital heart disease, though data concerning outcome after TVR are scarce, even poorer results are suggested in patients with

Development of a coded aperture fuel motion diagnostics system for the ACPR (UPGRADE)

International Nuclear Information System (INIS)

Kelly, J.G.; Stalker, K.T.

1979-01-01

As part of Sandia Laboratories' program to study simulated core disruptive accidents in reactor safety research, a fuel motion detection system based on coded aperture imaging is being developed for the Annular Core Pulsed Reactor (ACPR). Although fuel motion has been observed at the TREAT by the fast neutron hodoscope and with a Vidicon pinhole camera technique, the coded aperture system offers a potential for lower cost, higher spatial resolution, three dimensional imaging, and higher frame rates at lower fluences than either of the other techniques

Hyperthyroidism: Presenting as Isolated Tricuspid Regurgitation and Right Heart Failure

OpenAIRE

Whitner, Tanya E.; Hudson, Christopher J.; Smith, Timothy D.; Littmann, Laszlo

2005-01-01

Although hyperthyroidism has many signs and symptoms, right heart failure can occasionally be the main presenting symptom. We describe the case of a previously healthy 42-year-old woman whose chief complaint was progressive bilateral lower extremity edema. The echocardiogram revealed right atrial dilatation and moderate-to-severe tricuspid regurgitation. Results of laboratory studies were consistent with hyperthyroidism. Thyroid ablation resulted in permanent resolution of symptoms and resolu...

Boundary vapor contentsin an annular channel

International Nuclear Information System (INIS)

Remizov, O.V.; Shurkin, N.G.; Podgornyj, K.K.; Gal'chenko, Eh.F.; Bukhteev, I.S.

1978-01-01

The work is aimed at the experimental investigation of the worsening of the heat transfer in an annular channel. The experiments have been carried out on the annular channel 32x28x3000 mm with the even distribution of the heat flux along the length at pressures of 6.9-19.6 MPa, flow rate of 350-1000 kg/m 2 s, and specific heat fluxes from 0.18 up to 0.6 MW/m 2 . Heating is external, oneside. Water monodistillate of the following composition has been used as a coolant: pH 9; dry residue - 0.8-1.2 mg/kg, oxygen -10-15 mg/kg. It is found out that the change character of the temperature field of the heating surface of the annular channel at the regime with the worsen of heat emission depends on the ratio of regime parameters. At pressures of 6.9-13.7 MPa and flow rate of 350-500 kg/m 2 s the channel wall temperature rises monotoneously, never reaching its maximum. With pressure rise > 13.7 MPa and mass velocity > 500 kg/m 2 s the temperature of the heat emitting surface reaches its maximum, and then slowly falls. At pressures of 6.9-11.8 MPa the boundary vapor content value within the whole range of mass velocities does not depend on the specific heat flux q. At pressures higher than 13.7 MPa and mass velocities of 350-1000 kg/m 2 s the boundary vapor content depends on q. The heating of the external or internal surface of the annular channel affects the value of the boundary vapor content within the whole range of regime parameters' change under investigation

Annular core liquid-salt cooled reactor with multiple fuel and blanket zones

Science.gov (United States)

Peterson, Per F.

2013-05-14

A liquid fluoride salt cooled, high temperature reactor having a reactor vessel with a pebble-bed reactor core. The reactor core comprises a pebble injection inlet located at a bottom end of the reactor core and a pebble defueling outlet located at a top end of the reactor core, an inner reflector, outer reflector, and an annular pebble-bed region disposed in between the inner reflector and outer reflector. The annular pebble-bed region comprises an annular channel configured for receiving pebble fuel at the pebble injection inlet, the pebble fuel comprising a combination of seed and blanket pebbles having a density lower than the coolant such that the pebbles have positive buoyancy and migrate upward in said annular pebble-bed region toward the defueling outlet. The annular pebble-bed region comprises alternating radial layers of seed pebbles and blanket pebbles.

Changes in Mitral Annular Ascent with Worsening Echocardiographic Parameters of Left Ventricular Diastolic Function

Directory of Open Access Journals (Sweden)

Paula M. Hernández Burgos

2016-01-01

Full Text Available Background. While the mitral annular plane systolic excursion (MAPSE has been suggested as a surrogate measurement of left ventricular ejection fraction, less is known about the relative value of mitral annular ascent (MAa. Methods. Our database was queried for complete transthoracic echocardiograms performed for any clinical indication. Baseline echocardiographic measurements were compared to determine any correlation between MAa and traditional Echo-Doppler echocardiographic measures to characterize left ventricular diastolic dysfunction (LVDD. Results. Patients with normal LV diastolic function were younger (41±13 years than patients with LVDD (stage 1: 61±13 years; stage 2: 57±14 years; and stage 3: 66±17 years; p=0.156. LV ejection fraction decreased in patients with stage 2 LVDD (63±17% and was further reduced in patients with stage 3 LVDD (28±21; p=0.003. Discussion. While a vigorous MAa excursion was seen in patients with stage 1 LVDD, MAa significantly decreased in stage 2 and stage 3 LVDD patients. Our results highlight the importance of atrioventricular coupling, as MAa motion seems to reflect changes in left atrial pressure. Additional studies are now required to better examine atrioventricular interactions and electromechanical coupling that might improve our assessment of LV diastolic function.

Pre-conceptual core design of SCWR with annular fuel rods

Energy Technology Data Exchange (ETDEWEB)

Zhao, Chuanqi [Key Laboratory of Thermo-Fluid Science and Engineering of MOE, School of Energy and Power Engineering, Xi’an Jiaotong University, Xi’an, Shaanxi 710049 (China); School of Nuclear Science and Technology, Xi’an Jiaotong University, Xi’an, Shaanxi 710049 (China); Cao, Liangzhi, E-mail: caolz@mail.xjtu.edu.cn [Key Laboratory of Thermo-Fluid Science and Engineering of MOE, School of Energy and Power Engineering, Xi’an Jiaotong University, Xi’an, Shaanxi 710049 (China); School of Nuclear Science and Technology, Xi’an Jiaotong University, Xi’an, Shaanxi 710049 (China); Wu, Hongchun; Zheng, Youqi [School of Nuclear Science and Technology, Xi’an Jiaotong University, Xi’an, Shaanxi 710049 (China)

2014-02-15

Highlights: • Annular fuel with both internal and external cooling is used in supercritical light water reactor (SCWR). • The geometry of the annular fuel has been optimized to achieve better performance for the SCWR. • Based on the annular fuel assembly, an equilibrium core has been designed. • The results show that the equilibrium core has satisfied all the objectives and design criteria. - Abstract: The new design of supercritical light water reactor was proposed using annular fuel assemblies. Annular fuel consists of several concentric rings. Feed water flows through the center and outside of the fuel to give both internal and external cooling. Thanks to this feature, the fuel center temperature and the cladding temperature can be reduced and high power density can be achieved. The water flowing through the center also provides moderation, so there is no need for extra water rods in the assembly. The power distribution can be easily flattened by use of this design. The geometry of the annular fuel has been optimized to achieve better performance for the SCWR. There are 19 fuel pins in an assembly. Burnable poison is utilized to reduce the initial excess reactivity. The fuel reloading pattern and water flow scheme were optimized to achieve more uniform power distribution and lower cladding temperature. An equilibrium core has been designed and analyzed using three dimensional neutronics and thermal-hydraulics coupling calculations. The void reactivity, Doppler coefficient and cold shut down margin were calculated for safety consideration. The present results show that this concept is a promising design for the SCWR.

Portal Annular Pancreas

Science.gov (United States)

Harnoss, Jonathan M.; Harnoss, Julian C.; Diener, Markus K.; Contin, Pietro; Ulrich, Alexis B.; Büchler, Markus W.; Schmitz-Winnenthal, Friedrich H.

2014-01-01

Abstract Portal annular pancreas (PAP) is an asymptomatic congenital pancreas anomaly, in which portal and/or mesenteric veins are encased by pancreas tissue. The aim of the study was to determine the role of PAP in pancreatic surgery as well as its management and potential complication, specifically, postoperative pancreatic fistula (POPF). On the basis of a case report, the MEDLINE and ISI Web of Science databases were systematically reviewed up to September 2012. All articles describing a case of PAP were considered. In summary, 21 studies with 59 cases were included. The overall prevalence of PAP was 2.4% and the patients' mean (SD) age was 55.9 (16.2) years. The POPF rate in patients with PAP (12 pancreaticoduodenectomies and 3 distal pancreatectomies) was 46.7% (in accordance with the definition of the International Study Group of Pancreatic Surgery). Portal annular pancreas is a quite unattended pancreatic variant with high prevalence and therefore still remains a clinical challenge to avoid postoperative complications. To decrease the risk for POPF, attentive preoperative diagnostics should also focus on PAP. In pancreaticoduodenectomy, a shift of the resection plane to the pancreas tail should be considered; in extensive pancreatectomy, coverage of the pancreatic remnant by the falciform ligament could be a treatment option. PMID:25207658

Coexistence of morphea and granuloma annulare: a rare case report

Directory of Open Access Journals (Sweden)

Şenay Ağırgöl

2017-11-01

Full Text Available ABSTRACT CONTEXT: Localized scleroderma (morphea is characterized by fibrosis of skin and subcutaneous tissue. Granuloma annulare is a relatively common disease that is characterized by dermal papules and arciform plaques. CASE REPORT: Here, we present the case of a 42-year-old woman who developed granuloma annulare on the dorsum of her feet and abdominal region, and morphea on the anterior side of her lower limbs. We also discuss the etiological and pathogenetic processes that may cause the rare coexistence of these two diseases. CONCLUSION: Only a few cases in the literature have described coexistence of morphea and granuloma annulare.

Multiresistant-MRSA tricuspid valve infective endocarditis with ancient osteomyelitis locus

Directory of Open Access Journals (Sweden)

Gambarati Gianpaolo

2006-07-01

Full Text Available Abstract Background Methicillin-resistant S. aureus (MRSA with low susceptibility to glycopeptides is uncommon. Case presentation The case of a 50-year-old non-drug addict patient presenting with tricuspid valve infective endocarditis (IE by MRSA resistant to vancomycin and linezolid is presented. There was response only to quinupristin/dalfopristin. He had a motorcycling accident four years before undergoing right above-the-knee amputation and orthopaedic fixation of the left limb. There were multiple episodes of left MRSA-osteomyelitis controlled after surgery and vancomycin therapy. MRSA isolated from the blood at the time of IE presented with the same profile than the isolated four years earlier. Sequential treatment with teicoplanin-cotrimoxazole and Linezolid associated to vancomycin – rifampicin – cotrimoxazole had no improvement. Infection was controlled after 28 days of therapy with quinupristin/dalfopristin. Conclusion The literature presents only a few cases of MRSA IE not susceptible to glycopeptides in not drug addicted patients. This case shows the comparison of a highly-resistant MRSA after previous S. aureus osteomyelitis treated with glycopeptides. This is the first description of successful treatment of resistant-MRSA IE of the tricuspid valve complicated by multiple pulmonary septic infarction with quinupristin/dalfopristin

Thermal Hydraulic Analysis Of Thorium-Based Annular Fuel Assemblies

Energy Technology Data Exchange (ETDEWEB)

Han, Kyu Hyun [Korea Institute of Nuclear Safety, 19, Guseong-dong, Yuseong-gu, Daejeon, 305-338 (Korea, Republic of)

2008-07-01

Thermal hydraulic characteristics of thorium-based fuel assemblies loaded with annular seed pins have been analyzed using AMAP combined with MATRA, and compared with those of the existing thorium-based assemblies. MATRA and AMAP showed good agreements for the pressure drops at the internal sub-channels. The pressure drop generally increased in the cases of the assemblies loaded with annular seed pins due to the larger wetted perimeter, but an exception existed. In the inner sub-channels of the seed pins, mass fluxes were high due to the grid form losses in the outer sub-channels. About 43% of the heat generated from the seed pin flowed into the inner sub-channel and the rest into the outer sub-channel, which implies the inner to outer wall heat flux ratio was approximately 1.2. The maximum temperatures of the annular seed pins were slightly above 500 deg. C. The MDNBRs of the assemblies loaded with annular seed pins were higher than those of the existing assemblies. Due to the fact that inter-channel mixing cannot occur in the inner sub-channels, temperatures and enthalpies were higher in the inner sub-channels. (author)

Perioperative echocardiography-derived right ventricle function parameters and early outcomes after tetralogy of Fallot repair in mid-childhood: a single-center, prospective observational study.

Science.gov (United States)

Raj, Ravi; Puri, Goverdhan Dutt; Jayant, Aveek; Thingnam, Shyam Kumar Singh; Singh, Rana Sandip; Rohit, Manoj Kumar

2016-11-01

Right ventricular (RV) function alterations are invariably present in all patients after tetralogy of Fallot (TOF) repair. Unlike the developed world where most of the patients with TOF are corrected in infancy, average age of presentation and thus surgery for these patients in the developing world may be higher. We aimed to study the correlation between RV function parameters such as tricuspid annular peak systolic excursion (TAPSE), fractional area change (FAC), and tricuspid annular peak systolic velocity (S') with early outcome variables after intracardiac repair for TOF. Fifty patients with a preoperative diagnosis of tetralogy of Fallot scheduled for corrective surgery were included in this single-center, prospective observational study. A preoperative transthoracic echocardiogram was performed to measure RV function parameters (FAC0, TAPSE0, S'0). Transthoracic echocardiography was repeated postoperatively to measure FAC1, TAPSE1, S'1 (day 1) and FAC2, TAPSE2, and S'2 (day 3). The relationship between preoperative and postoperative RV function parameters with in-hospital mortality, duration of mechanical ventilation, and intensive care unit stay was studied. The median age of patients was 6 years (range 1-14 years). Multiple stepwise logistic regression analysis showed RV FAC as best predictor of clinical outcome. Area under the receiver operating characteristic curve for postoperative RV function parameters, that is, FAC, TAPSE, and S' to predict early or delayed recovery was 0.944, 0.875, and 0.655, respectively. Among the RV function parameters studied, RV FAC best predicted the early outcome variables after TOF repair, followed by TAPSE while lateral tricuspid annular velocity S' being the least predictive. © 2016, Wiley Periodicals, Inc.

A bi-annular-gap magnetorheological energy absorber for shock and vibration mitigation

Science.gov (United States)

Bai, Xian-Xu; Wereley, Norman M.; Choi, Young-Tai; Wang, Dai-Hua

2012-04-01

For semi-active shock and vibration mitigation systems using magnetorheological energy absorbers (MREAs), the minimization of the field-off damper force of the MREA at high speed is of particular significance because the damper force due to the viscous damping at high speed becomes too excessive and thus the controllable dynamic force range that is defined by the ratio of the field-on damper force to the field-off damper force is significantly reduced. In this paper, a bi-annular-gap MREA with an inner-set permanent magnet is proposed to decrease the field-off damper force at high speed while keeping appropriate dynamic force range for improving shock and vibration mitigation performance. In the bi-annular-gap MREA, two concentric annular gaps are configured in parallel so as to decrease the baseline damper force and both magnetic activation methods using the electromagnetic coil winding and the permanent magnet are used to keep holding appropriate magnetic intensity in these two concentric annular gaps in the consideration of failure of the electric power supply. An initial field-on damper force is produced by the magnetic field bias generated from the inner-set permanent magnet. The initial damper force of the MREA can be increased (or decreased) through applying positive (or negative) current to the electromagnetic coil winding inside the bi-annular-gap MREA. After establishing the analytical damper force model of the bi-annular-gap MREA using a Bingham-plastic nonlinear fluid model, the principle and magnetic properties of the MREA are analytically validated and analyzed via electromagnetic finite element analysis (FEA). The performance of the bi-annular-gap MREA is also theoretically compared with that of a traditional single-annular- gap MREA with the constraints of an identical volume by the performance matrix, such as the damper force, dynamic force range, and Bingham number with respect to different excitation velocities.

Evaluation of right ventricular volume and function by 2D and 3D echocardiography compared to MRI

DEFF Research Database (Denmark)

Kjaergaard, Jesper; Petersen, Claus Leth; Kjaer, Andreas

2005-01-01

: Thirty-four subjects with (a) prior inferior ST-elevation myocardial infarction (n=17), (b) a history of pulmonary embolism and persistent dyspnea (n=7) or (c) normal subjects (n=10) had 2D and 3D echocardiography, SPECT and MRI within 24h. End-diastolic volume and peak tricuspid regurgitation velocity...... were increased in patients with a history of pulmonary embolism compared to healthy subjects, 130+/-26 ml vs. 94+/-26 ml, P... volume showed significant correlation to RV volumes by MRI. Tricuspid annular plane systolic excursion (TAPSE) had the better correlation to RVEF by MRI, r=0.48, P

A study on the annular leakage-flow-induced vibrations. 1st report. Stability for translational and rotational single-degree-of-freedom systems

International Nuclear Information System (INIS)

Li, Dong-Wei; Kaneko, Shigehiko; Hayama, Shinji

1999-01-01

This study reports the stability of annular leakage-flow-induced vibrations. The pressure distribution of fluid between a fixed outer cylinder and a vibrating inner cylinder was obtained in the case of a translationally and rotationally coupled motion of the inner cylinder. The unsteady fluid force acting on the inner cylinder in the case of translational and rotational single-degree-of-freedom vibrations was then expressed in terms proportional to the acceleration, velocity, and displacement. Then the critical flow rate (at which stability was lost) was determined for an annular leakage-flow-induced vibration. Finally, the stability was investigated theoretically. It is known that instability will occur in the case of a divergent passage, but the critical flow rate depends on the passage increment in a limited range: the eccentricity of the passage and the pressure loss factor at the inlet of the passage lower the stability. (author)

Effect of Granule Size on Diametric Tolerance of Annular Fuel Pellet

International Nuclear Information System (INIS)

Rhee, Young Woo; Kim, Dong Joo; Kim, Jong Hun; Yang, Jae Ho; Kim, Keon Sik; Kang, Ki Won; Song, Kun Woo

2008-01-01

A dual cooled annular fuel has been seriously considered as a favorable option for an extended power uprate of a Pressurized Water Reactor fuel assembly. An annular fuel shows a lot of advantages from the point of a fuel safety and its economy due to its unique configurational merit such as an increased heat transfer area and a thin pellet thickness. From the viewpoint of the fuel pellet fabrication, however, the unique shape of annular fuel pellet causes challenging difficulties to satisfy a diametric tolerance. A sintered cylindrical PWR fuel pellet fabricated by a conventional double-acting press has an hour-glass shape due to an inhomogeneous green density distribution in a powder compact. Thus, a sintered pellet usually undergoes a centerless grinding process in order to secure diametric tolerance specifications. In the case of an annular pellet fabrication using a conventional double-acting press, the same hour-glass shape would probably occur. An inhomogeneous green density distribution in a powder compact is attributed to granule-granule frictions and granule to pressing mold wall frictions. Frictions result in an irregular pressing load distribution in a powder compact. In order to mitigate the frictions, a lot of process variables should be considered such as pre-compaction pressure, lubricant content, granule size and compaction pressure. The purpose of this study is to investigate the effect of a granule size on the amount of deformation after sintering, in other words, the amount of an hour-glassing. The granules with classified size ranges were made to green annular pellets with the same height and diameters. The hour-glassing amounts of the sintered annular pellets were measured and compared with that of the annular pellet made by unclassified granule

An X-band high-impedance relativistic klystron amplifier with an annular explosive cathode

Energy Technology Data Exchange (ETDEWEB)

Zhu, Danni; Zhang, Jun, E-mail: zhangjun@nudt.edu.cn; Zhong, Huihuang; Qi, Zumin [College of Optoelectric Science and Engineering, National University of Defense Technology, Changsha 410073 (China)

2015-11-15

The feasibility of employing an annular beam instead of a solid one in the X-band high-impedance relativistic klystron amplifier (RKA) is investigated in theory and simulation. Small-signal theory analysis indicates that the optimum bunching distance, fundamental current modulation depth, beam-coupling coefficient, and beam-loaded quality factor of annular beams are all larger than the corresponding parameters of solid beams at the same beam voltage and current. An annular beam RKA and a solid beam RKA with almost the same geometric parameters are compared in particle-in-cell simulation. Output microwave power of 100 MW, gain of 50 dB, and power conversion efficiency of 42% are obtained in an annular beam RKA. The annular beam needs a 15% lower uniform guiding magnetic field than the solid beam. Our investigations demonstrate that we are able to use a simple annular explosive cathode immersed in a lower uniform magnetic field instead of a solid thermionic cathode in a complicated partially shielding magnetic field for designing high-impedance RKA, which avoids high temperature requirement, complicated electron-optical system, large area convergence, high current density, and emission uniformity for the solid beam. An equivalent method for the annular beam and the solid beam on bunching features is proposed and agrees with the simulation. The annular beam has the primary advantages over the solid beam that it can employ the immersing uniform magnetic field avoiding the complicated shielding magnetic field system and needs a lower optimum guiding field due to the smaller space charge effect.

A subchannel based annular flow dryout model

International Nuclear Information System (INIS)

Hammouda, Najmeddine; Cheng, Zhong; Rao, Yanfei F.

2016-01-01

Highlights: • A modified annular flow dryout model for subchannel thermalhydraulic analysis. • Implementation of the model in Canadian subchannel code ASSERT-PV. • Assessment of the model against tube CHF experiments. • Assessment of the model against CANDU-bundle CHF experiments. - Abstract: This paper assesses a popular tube-based mechanistic critical heat flux model (Hewitt and Govan’s annular flow model (based on the model of Whalley et al.), and modifies and implements the model for bundle geometries. It describes the results of the ASSERT subchannel code predictions using the modified model, as applied to a single tube and the 28-element, 37-element and 43-element (CANFLEX) CANDU bundles. A quantitative comparison between the model predictions and experimental data indicates good agreement for a wide range of flow conditions. The comparison has resulted in an overall average error of −0.15% and an overall root-mean-square error of 5.46% with tube data representing annular film dryout type critical heat flux, and in an overall average error of −0.9% and an overall RMS error of 9.9% with Stern Laboratories’ CANDU-bundle data.

Experimental typing of the entry efficiency in calm air of an annular slot sampler; Determination experimentale de l'efficacite de captage en air calme d'un echantillonneur a fente annulaire

Energy Technology Data Exchange (ETDEWEB)

Roger, F.; Fabries, J.F.; Gorner, P.; Wrobel, R. [Institut National de Recherche et de Securite, INRS, Lab. de Metrologie de la Pollution par les Aerosols, 54 - Vandoeuvre-Les-Nancy (France); Renoux, A. [Paris-12 Univ., Lab. de Physique des Aerosols et de Transfert des Contaminations, 94 - Creteil (France)

2000-07-01

Aerosol sampling is a complex physical process that depends on many parameters like particle size, wind speed, aspiration velocity and sampler geometry. Inertia has a predominant influence on particle motion in moving air for particle size above 1 {mu}m. In calm air where air movement is mainly induced by the aspiration orifice of the sampler, gravitational settling affects more deeply particle motion and hence sampler performance. The entry efficiency of a sampler with an annular aspiration slot was recently measured for several conditions of aspiration flow rate, wind speed (1 and 3 m s{sup -1}) and geometric parameters of the sampler as a function of particle aerodynamic diameter. Some complementary work was carried out to add new experimental data corresponding to the same sampler in calm air. The results were obtained for 9 configurations, combining several values of disc diameter, aspiration slot width, and aspiration velocity. A semi-empirical model was developed from the data that enables the calculation of particle entry efficiency of the annular sampler in calm air. In addition, a numerical study was carried out to calculate the particle trajectories approaching the annular aspiration slot of the sampler. The results show that particle rebounds on the sampler walls have a significant effect on the entry efficiency of the sampler in calm air. (authors)

Annular pancreas causing extrahepatic biliary obstruction

International Nuclear Information System (INIS)

Ogulin, M.; Jamar, B.

2004-01-01

Background. Annular pancreas is an uncommon congenital abnormality, consisting of a flat band of pancreatic tissue, which encircles duodenum or extrahepatic biliary duct. We present a case of obstructive jaundice, caused by annular pancreas. Case report. A 46 years old female was admitted because of a sudden onset of abdominal pain, vomiting and jaundice. For the last six years she occasionally noticed her skin was light yellow, in the last year she felt distension in the upper abdomen, especially after fatty meals. Conclusions. Two US examinations, the first one six months before the admission, showed dilated hepatic ducts. The reason of dilatation was unclear, even after the endoscopic US examination. At operation an almost complete obstruction of the common hepatic duct was found, caused by a narrow band of pancreatic tissue. (author)

Mitral-aortic annular enlargement: modification of Manouguian's technique

Directory of Open Access Journals (Sweden)

Costa Mario Gesteira

2002-01-01

Full Text Available We hereby present a technical modification for mitral-aortic annular enlargement. The mitral valve is replaced through the retro-septal approach, avoiding patches for left atrial roof closure. We report a mitral-aortic valve replacement in a patient whose original annuli would preclude adequate prostheses. The simultaneous annular enlargement may be necessary for avoiding patient-prosthesis mismatch and for reconstructing destroyed mitral and aortic annuli. The technique may minimize the risk of bleeding and of paravalvular leakage, using an approach well known to cardiac surgeons.

Thermo-acoustic cross-talk between cans in a can-annular combustor

NARCIS (Netherlands)

Farisco, Federica; Panek, Lukasz; Kok, Jim B.W.

2017-01-01

Thermo-acoustic instabilities in gas turbine engines are studied to avoid engine failure. Compared to the engines with annular combustors, the can-annular combustor design should be less vulnerable to acoustic burner-to-burner interaction, since the burners are acoustically coupled only by the

Dismantling the activated annular water tank of the Rheinsberg nuclear power plant

International Nuclear Information System (INIS)

Klietz, Maik; Konitzer, Arnold; Luedeke, Michael

2010-01-01

Acting on behalf of Energiewerke Nord GmbH Lubmin, Anlagen- und Kraftwerksrohrleitungsbau Greifswald GmbH (AKB) planned and built a station for disassembly of the activated annular water tank (RWB) of the decommissioned Rheinsberg nuclear power plant. As part of this demolition step, the annular water tank must be conditioned and disposed of as a component of the reactor facility. This required planning, manufacturing, testing and construction on site of suitable disassembly and handling techniques and the necessary plant and equipment. The client opted for disassembly by means of a diamond cable saw for conditioning the annular water tank into segments fit for shipping, and defined the basic components for the disassembly station in a specification of deliveries and services. The disassembly station serves to divide the annular water tank by means of diamond cable saws into 2 sections in such a way that segment pieces for transport are produced. The existing activation of the annular water tank also entailed the need to plan for the shortest possible time to be spent on handling near the annular water tank, providing radiological protection to the personnel, and performing the sawing steps from a separate operating console assisted by camera surveillance. After works acceptance tests at the manufacturer's, AKB, in October 2009 and February 2010, the disassembly station was delivered to the customer at Rheinsberg KKR free from defects in June 2010. (orig.)

Remarkable case of uncorrected type IC tricuspid atresia with adaptive pulmonary trunk dilatation to allow prolonged survival: Case report and CT fly-through

Directory of Open Access Journals (Sweden)

Zeke J. McKinney

2017-06-01

Full Text Available A remarkable case of a surgically uncorrected Type IC (no great artery transposition, no pulmonary stenosis tricuspid atresia surviving to adulthood is presented. This is a case of an adult female of 30 years of age with an atretic tricuspid valve, an atrial septal defect, a large ventricular septal defect, and a dilated pulmonary trunk. Surgical correction was never conducted on this heart with a significant congenital cardiac defect, and yet the individual survived into a fourth decade. Without surgical correction, survival to adulthood in tricuspid atresia is exceedingly rare. Survival depends on a high degree of ventricular shunting with limited pulmonary outflow obstruction. The resistance of this obstruction must be both low enough to maintain increased pulmonary blood flow and high enough to prevent systemic-level pressures upon the pulmonary vasculature. The unique finding of a significantly dilated pulmonary trunk is described, which presumably allowed this individual to survive to adulthood. This complex physiology is described and augmented with high-resolution images of this cardiac specimen. These were made possible by the application of a plastination process prior to obtaining high-resolution multi-slice computed tomography imaging studies. The result is a study comprised of multiplanar and three-dimensional data detailing the anatomic features of the specimen, which were then used to create reconstructions of the specimen for visualization of the anatomy. An understanding of the development and morphology of tricuspid atresia is essential for successful surgical correction in new patients with this congenital malformation. Keywords: Tricuspid atresia, Pulmonary blood flow, Pulmonary hypertension, Plastination, CT

Tetralogy of Fallot with restrictive ventricular septal defect by accessory tricuspid leaflet tissue

OpenAIRE

Mahipat Raj Soni; Deepak A. Bohara; Ajay U. Mahajan; Pratap J. Nathani

2012-01-01

In tetralogy of Fallot septal defect is usually large because of malalignment of outlet septum, restrictive defect has been reported rarely. We present a case of tetralogy of Fallot with accessory tricuspid leaflet tissue restricting ventricular septal defect. The report includes echocardiographic and catheter images of this rare presentation of tetralogy of Fallot.

Flow Characteristics and Sizing of Annular Seat Valves for Digital Displacement Machines

DEFF Research Database (Denmark)

Nørgård, Christian; Bech, Michael Møller; Andersen, Torben O.

2018-01-01

operating range. To achieve high machine efficiency, the valve flow losses and the required electrical power needed for valve switching should be low. The annular valve plunger geometry, of a valve prototype developed for digital displacement machines, is parametrized by three parameters: stroke length......This paper investigates the steady-state flow characteristics and power losses of annular seat valves for digital displacement machines. Annular seat valves are promising candidates for active check-valves used in digital displacement fluid power machinery which excels in efficiency in a broad...... a valve prototype. Using the simulated maps to estimate the flow power losses and a simple generic model to estimate the electric power losses, both during digital displacement operation, optimal designs of annular seat valves, with respect to valve power losses, are derived under several different...

Standing wave acoustic levitation on an annular plate

Science.gov (United States)

Kandemir, Mehmet Hakan; Çalışkan, Mehmet

2016-11-01

In standing wave acoustic levitation technique, a standing wave is formed between a source and a reflector. Particles can be attracted towards pressure nodes in standing waves owing to a spring action through which particles can be suspended in air. This operation can be performed on continuous structures as well as in several numbers of axes. In this study an annular acoustic levitation arrangement is introduced. Design features of the arrangement are discussed in detail. Bending modes of the annular plate, known as the most efficient sound generation mechanism in such structures, are focused on. Several types of bending modes of the plate are simulated and evaluated by computer simulations. Waveguides are designed to amplify waves coming from sources of excitation, that are, transducers. With the right positioning of the reflector plate, standing waves are formed in the space between the annular vibrating plate and the reflector plate. Radiation forces are also predicted. It is demonstrated that small particles can be suspended in air at pressure nodes of the standing wave corresponding to a particular bending mode.

Impact of Annular Size on Outcomes After Surgical or Transcatheter Aortic Valve Replacement.

Science.gov (United States)

Deeb, G Michael; Chetcuti, Stanley J; Yakubov, Steven J; Patel, Himanshu J; Grossman, P Michael; Kleiman, Neal S; Heiser, John; Merhi, William; Zorn, George L; Tadros, Peter N; Petrossian, George; Robinson, Newell; Mumtaz, Mubashir; Gleason, Thomas G; Huang, Jian; Conte, John V; Popma, Jeffrey J; Reardon, Michael J

2018-04-01

This analysis evaluates the relationship of annular size to hemodynamics and the incidence of prosthesis-patient mismatch (PPM) in surgical aortic valve replacement (SAVR) and transcatheter aortic valve replacement (TAVR) patients. The CoreValve US Pivotal High Risk Trial, described previously, compared TAVR using a self-expanding valve with SAVR. Multislice computed tomography was used to categorize TAVR and SAVR subjects according to annular perimeter-derived diameter: large (≥26 mm), medium (23 to <26 mm), and small (<23 mm). Hemodynamics, PPM, and clinical outcomes were assessed. At all postprocedure visits, mean gradients were significantly lower for TAVR compared with SAVR in small and medium size annuli (p < 0.001). Annular size was significantly associated with mean gradient after SAVR, with small annuli having the highest gradients (p < 0.05 at all timepoints); gradients were similar across all annular sizes after TAVR. In subjects receiving SAVR, the frequency of PPM was significantly associated with annular size, with small annuli having the greatest incidence. No difference in PPM incidence by annular sizing was observed with TAVR. In addition, TAVR subjects had significantly less PPM than SAVR subjects in small and medium annuli (p < 0.001), with no difference in the incidence of PPM between TAVR and SAVR in large annuli (p = 0.10). Annular size has a significant effect on hemodynamics and the incidence of PPM in SAVR subjects, not observed in TAVR subjects. With respect to annular size, TAVR results in better hemodynamics and less PPM for annuli less than 26 mm and should be strongly considered when choosing a tissue valve for small and medium size annuli. Copyright © 2018 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Tropheryma whipplei tricuspid endocarditis: a case report and review of the literature.

Science.gov (United States)

Gabus, Vincent; Grenak-Degoumois, Zita; Jeanneret, Severin; Rakotoarimanana, Riana; Greub, Gilbert; Genné, Daniel

2010-08-04

The main clinical manifestations of Whipple's disease are weight loss, arthropathy, diarrhea and abdominal pain. Cardiac involvement is frequently described. However, endocarditis is rare and is not usually the initial presentation of the disease. To the best of our knowledge, this is the first reported case of a patient with Tropheryma whipplei tricuspid endocarditis without any other valve involved and not presenting signs of arthralgia and abdominal involvement. We report a case of a 50-year-old Caucasian man with tricuspid endocarditis caused by Tropheryma whipplei, showing signs of severe shock and an absence of other more classic clinical signs of Whipple's disease, such as arthralgia, abdominal pain and diarrhea. Tropheryma whipplei was documented by polymerase chain reaction of the blood and pleural fluid. The infection was treated with a combined treatment of doxycycline, hydroxychloroquine and sulfamethoxazole-trimethoprim for one year. Tropheryma whipplei infectious endocarditis should always be considered when facing a blood-culture negative endocarditis particularly in right-sided valves. Although not standardized yet, treatment of Tropheryma whipplei endocarditis should probably include a bactericidal antibiotic (such as doxycycline) and should be given over a prolonged period of time (a minimum of one year).

The Changing “Face” of Endocarditis in Kentucky: A Rise in Tricuspid Cases

Science.gov (United States)

Seratnahaei, Arash; Leung, Steve W.; Charnigo, Richard J.; Cummings, Matthew S.; Sorrell, Vincent L.; Smith, Mikel D.

2015-01-01

Background Advancements in medical technology and increased life expectancy have been described as contributing to the evolution of endocarditis. We sought to determine whether there has been a change in the incidence, demographics, microbiology, complications, and outcomes of infective endocarditis over a ten-year time span. Methods We screened 28,420 transthoracic and transesophageal echocardiogram reports performed at our center for the following indications: fever, masses, emboli (including stroke), sepsis, bacteremia, and endocarditis in two time periods: 1999 through 2000 and 2009 through 2010. Data were collected from diagnosed endocarditis cases. Results Overall, 143 cases of infective endocarditis were analyzed (48 in 1999-2000 and 95 in 2009-2010). The endocarditis incidence per number of admissions remained nearly constant at 0.113% for 1999-2000 and 0.148% for 2009-2010 (p = 0.153). However, tricuspid valve involvement increased markedly from 6% to 36% (p endocarditis at our center has not changed and mortality remains high, but the “face of endocarditis” in Kentucky has evolved with an increased incidence of tricuspid valve involvement, valvular complications, and embolic events. PMID:24769025

Design and simulation of double annular illumination mode for microlithography

Science.gov (United States)

Song, Qiang; Zhu, Jing; Yang, Baoxi; Liu, Lei; Wang, Jun; Huang, Huijie

2013-08-01

Methods of generating various illumination patterns remain as an attractive and important micro-optics research area for the development of resolution enhancement in advanced lithography system. In the current illumination system of lithography machine, off-axis illumination is widely used as an effective approach to enhance the resolution and increase the depth of focus (DOF). This paper proposes a novel illumination mode generation unit, which transform conventional mode to double annular shaped radial polarized (DARP) mode for improving the resolution of micro-lithography. Through LightToolsTM software simulation, double annular shaped mode is obtained from the proposed generation unit. The mathematical expressions of the radius variation of inner and outer rings are deduced. The impacts of conventional and dual concentric annular illumination pattern on critical dimension uniformity were simulated on an isolated line, square hole and corner. Lithography performance was compared between DARP illumination mode and corresponding single annular modes under critical dimension of 45nm. As a result, DARP illumination mode can improve the uniformity of aerial image at 45nm node through pitch varied in 300-500 nm to a certain extent.

Supra-annular Valve-in-Valve implantation reduces blood stasis on the transcatheter aortic valve leaflets.

Science.gov (United States)

Vahidkhah, Koohyar; Azadani, Ali N

2017-06-14

Leaflet thrombosis following transcatheter aortic valve replacement (TAVR) and Valve-in-Valve (ViV) procedures has been increasingly recognized. This study aimed to investigate the effect of positioning of the transcatheter aortic valve (TAV) in ViV setting on the flow dynamics aspect of post-ViV thrombosis by quantifying the blood stasis in the intra-annular and supra-annular settings. To that end, two idealized computational models, representing ViV intra-annular and supra-annular positioning of a TAV were developed in a patient-specific geometry. Three-dimensional flow fields were then obtained via fluid-solid interaction modeling to study the difference in blood residence time (BRT) on the TAV leaflets in the two settings. At the end of diastole, a strip of high BRT (⩾1.2s) region was observed on the TAV leaflets in the ViV intra-annular positioning at the fixed boundary where the leaflets are attached to the frame. Such a high BRT region was absent on the TAV leaflets in the supra-annular positioning. The maximum value of BRT on the surface of non-, right, and left coronary leaflets of the TAV in the supra-annular positioning were 53%, 11%, and 27% smaller compared to the intra-annular positioning, respectively. It was concluded that the geometric confinement of TAV by the leaflets of the failed bioprosthetic valve in ViV intra-annular positioning increases the BRT on the leaflets and may act as a permissive factor in valvular thrombosis. The absence of such a geometric confinement in the ViV supra-annular positioning leads to smaller BRT and subsequently less likelihood of leaflet thrombosis. Copyright © 2017 Elsevier Ltd. All rights reserved.

Monthly rifampicin, ofloxacin, and minocycline therapy for generalized and localized granuloma annulare

Directory of Open Access Journals (Sweden)

Shilpa Garg

2015-01-01

Full Text Available Background: The localized form of granuloma annulare is usually self-limiting, resolving within 2 years. Generalized granuloma annulare, on the other hand, runs a protracted course, with spontaneous resolution being rare. It is also characterized by a later age of onset, an increased incidence of diabetes mellitus, poor response to therapy, and an increased prevalence of HLA Bw35. Objective: To assess the efficacy of monthly pulsed rifampicin, ofloxacin, and minocycline (ROM therapy in the management of granuloma annulare. Methods : Six biopsy proven patients of granuloma annulare were included in the study, five of the generalized variety, and one localized. Three of these patients were resistant to standard modalities of treatment. All six patients were treated with pulses of once monthly ROM till complete resolution of all lesions. Results were analyzed in terms of complete resolution of lesions and side effects. Presence of comorbid conditions was noted. Result: All six patients were successfully treated with 4-8 pulses of monthly ROM. None of the patients reported any adverse effects. Limitations: Small sample size and the lack of a control group are limitations. Conclusion: Treatment with pulses of once monthly ROM caused complete resolution of lesions in both localized and generalized granuloma annulare, even in cases recalcitrant to conventional therapy. There were no side effects in any of the patients. Larger trials are needed to substantiate the efficacy of monthly ROM in granuloma annulare.

Ultrasonographic assessment of the proximal digital annular ligament in the equine forelimb

International Nuclear Information System (INIS)

Dik, K.J.; Boroffka, S.; Stolk, P.

1994-01-01

Ultrasonography was used with 6 normal cadaver forelimbs of Dutch Warmblood horses to delineate the ultrasonographic anatomy of the palmar pastern region, with emphasis on the proximal digital annular ligament. Using a 5.5 MHz sector scanner, the thin proximal digital annular ligament was not visible on offset sonograms. Only if the digital sheath in the normal limb was distended was the distal border of this ligament outlined. In all normal limbs the palmarodistal thickness of the combined skin-proximal digital annular ligament layer in the mid-pastern region was 2 mm. The flexor tendons and distal sesamoidean ligaments were easily identified as hyperechoic structures. Distension of the digital sheath in the normal limbs clearly outlined the anechoic digital sheath pouches. In 4 lame horses ultrasonography aided the diagnosis of functional proximal digital annular ligament constriction. In all 4 diseased forelimbs ultrasonography demonstrated thickening of the skin-proximal digital annular ligament layer and distension of the digital sheath. In one of these limbs the distended digital sheath was also thickened. The flexor tendons and distal sesamoidean ligaments were normal. There was no radiographic evidence of additional bone or joint lesions

Ultrasonographic assessment of the proximal digital annular ligament in the equine forelimb.

Science.gov (United States)

Dik, K J; Boroffka, S; Stolk, P

1994-01-01

Ultrasonography was used with 6 normal cadaver forelimbs of Dutch Warmblood horses to delineate the ultrasonographic anatomy of the palmar pastern region, with emphasis on the proximal digital annular ligament. Using a 5.5 MHz sector scanner, the thin proximal digital annular ligament was not visible on offset sonograms. Only if the digital sheath in the normal limb was distended was the distal border of this ligament outlined. In all normal limbs the palmarodistal thickness of the combined skin-proximal digital annular ligament layer in the mid-pastern region was 2 mm. The flexor tendons and distal sesamoidean ligaments were easily identified as hyperechoic structures. Distension of the digital sheath in the normal limbs clearly outlined the anechoic digital sheath pouches. In 4 lame horses ultrasonography aided the diagnosis of functional proximal digital annular ligament constriction. In all 4 diseased forelimbs ultrasonography demonstrated thickening of the skin-proximal digital annular ligament layer and distension of the digital sheath. In one of these limbs the distended digital sheath was also thickened. The flexor tendons and distal sesamoidean ligaments were normal. There was no radiographic evidence of additional bone or joint lesions.

Maximizing prosthetic valve size with the Top Hat supra-annular aortic valve

DEFF Research Database (Denmark)

Aagaard, Jan; Geha, Alexander S.

2007-01-01

BACKGROUND AND AIM OF THE STUDY: The CarboMedics Top Hat supra-annular aortic valve allows a one-size (and often two-size) increase over the standard intra-annular valve. This advantage should minimize the risk of patient-prosthesis mismatch, where the effective prosthetic valve orifice area....... This study evaluates the authors' clinical experience with Top Hat supra-annular aortic valve size selection, and the technical aspects of implantation. METHODS: Between January 1999 and October 2005, a total of 251 consecutive patients underwent 252 aortic valve replacements with Top Hat supra...... required unplanned coronary bypass, and 30-day mortality was 2.0% (5/251), indicating a good safety profile for the valves implanted in this series. CONCLUSION: The general distribution of implant sizes in the US indicates that cardiac surgeons may be under-sizing the Top Hat supra-annular aortic valve...

Fluid-structure coupling between a vibrating cylinder and a narrow annular flow

International Nuclear Information System (INIS)

Perotin, L.

1994-01-01

This paper presents an analytical investigation of the fluidelastic coupling between an axial annular flow and a flexible vibrating axisymmetrical structure. The model presented is suited to single-phase, incompressible, viscous fluids and to annular flows of variable cross-section, axially symmetrical when the structure is motionless.An experimental validation of this model is presented at the end of the paper: the results obtained with the numerical model are compared with experimental data for an oscillating cylinder free to vibrate under the effect of a variable-cross-section annular flow. ((orig.))

Vibration Analysis of Annular Sector Plates under Different Boundary Conditions

Directory of Open Access Journals (Sweden)

Dongyan Shi

2014-01-01

Full Text Available An analytical framework is developed for the vibration analysis of annular sector plates with general elastic restraints along each edge of plates. Regardless of boundary conditions, the displacement solution is invariably expressed as a new form of trigonometric expansion with accelerated convergence. The expansion coefficients are treated as the generalized coordinates and determined using the Rayleigh-Ritz technique. This work allows a capability of modeling annular sector plates under a variety of boundary conditions and changing the boundary conditions as easily as modifying the material properties or dimensions of the plates. Of equal importance, the proposed approach is universally applicable to annular sector plates of any inclusion angles up to 2π. The reliability and accuracy of the current method are adequately validated through numerical examples.

Periduodenal Tuberculosis masquerading as Annular Pancreas ...

African Journals Online (AJOL)

We report a patient who succumbed to an isolated mid duodenal tuberculosis, diagnosed at laparatomy, whose clinical presentation, endoscopy and computerised tomography scans resembled annular pancreas. The limitations of clinical evaluation, endoscopy and radiology are highlighted as the importance of diagnostic ...

Frequency Equations for the In-Plane Vibration of Circular Annular Disks

Directory of Open Access Journals (Sweden)

S. Bashmal

2010-01-01

Full Text Available This paper deals with the in-plane vibration of circular annular disks under combinations of different boundary conditions at the inner and outer edges. The in-plane free vibration of an elastic and isotropic disk is studied on the basis of the two-dimensional linear plane stress theory of elasticity. The exact solution of the in-plane equation of equilibrium of annular disk is attainable, in terms of Bessel functions, for uniform boundary conditions. The frequency equations for different modes can be obtained from the general solutions by applying the appropriate boundary conditions at the inner and outer edges. The presented frequency equations provide the frequency parameters for the required number of modes for a wide range of radius ratios and Poisson's ratios of annular disks under clamped, free, or flexible boundary conditions. Simplified forms of frequency equations are presented for solid disks and axisymmetric modes of annular disks. Frequency parameters are computed and compared with those available in literature. The frequency equations can be used as a reference to assess the accuracy of approximate methods.

Impact of Tricuspid Valve Surgery at the Time of Left Ventricular Assist Device Insertion on Postoperative Outcomes

OpenAIRE

Dunlay, Shannon M.; Deo, Salil V.; Park, Soon J.

2015-01-01

Tricuspid regurgitation (TR) is common in patients with heart failure undergoing left ventricular assist device (LVAD) implantation. Whether the TR should be surgically managed at the time of LVAD surgery is controversial.

Visualizing the effect of dynamin inhibition on annular gap vesicle formation and fission.

Science.gov (United States)

Nickel, Beth; Boller, Marie; Schneider, Kimberly; Shakespeare, Teresa; Gay, Vernon; Murray, Sandra A

2013-06-15

Although gap junction plaque assembly has been extensively studied, mechanisms involved in plaque disassembly are not well understood. Disassembly involves an internalization process in which annular gap junction vesicles are formed. These vesicles undergo fission, but the molecular machinery needed for these fissions has not been described. The mechanoenzyme dynamin has been previously demonstrated to play a role in gap junction plaque internalization. To investigate the role of dynamin in annular gap junction vesicle fission, immunocytochemical, time-lapse and transmission electron microscopy were used to analyze SW-13 adrenocortical cells in culture. Dynamin was demonstrated to colocalize with gap junction plaques and vesicles. Dynamin inhibition, by siRNA knockdown or treatment with the dynamin GTPase inhibitor dynasore, increased the number and size of gap junction 'buds' suspended from the gap junction plaques. Buds, in control populations, were frequently released to form annular gap junction vesicles. In dynamin-inhibited populations, the buds were larger and infrequently released and thus fewer annular gap junction vesicles were formed. In addition, the number of annular gap junction vesicle fissions per hour was reduced in the dynamin-inhibited populations. We believe this to be the first report addressing the details of annular gap junction vesicle fissions and demonstrating a role of dynamin in this process. This information is crucial for elucidating the relationship between gap junctions, membrane regulation and cell behavior.

Thermohydraulic analysis of smooth and finned annular ducts

International Nuclear Information System (INIS)

Braga, C.V.M.

1987-01-01

The present work is concerned with the turbulent heat transfer and pressure drop in smooth and finned annular ducts overage heat transfer coefficients have been obtained by means of the heat exchanger theory. In addition, friction factors have also been determined. The experiments were performed by utilizing four double-pipe heat exchangers. The flowing fluids, in the heat exchangers, were air and water. The average heat transfer coefficients, for air flowing in the annular section, were determined by measuring the overall heat transfer coefficients of the heat exchangers. In order to attain fully developed conditions, the heat exchangers had a starting length of 30 hydraulic diameters. The thermal boundary conditions consisted of uniform temperature on the inner surface, the outer surface being insulated. The heat transfer coefficients and friction factors are presented in dimensionaless forms, as functions of the Reynolds number of the flow. The results for the smooth and finned annular ducts were compared. The purpose of such comparison was to study the influence of the fins on the pressure drop and heat transfer rate. In the case of the finned nular ducts, it is shown that the fin efficiency has some fluence on the heat transfer rates. The, a two-dimensional at transfer analysis was performed in order to obtain the n efficiency and the annular region efficiency. It is also shown that the overall thermal performance of finned surfaces epends mainly on the Nusselt number and on the region eficiency. These parameters are presented as functions of the Reynolds number of the flow and the geometry of the problem. (author) [pt

Divergent Field Annular Ion Engine, Phase I

Data.gov (United States)

National Aeronautics and Space Administration — The proposed work investigates an approach that would allow an annular ion engine geometry to achieve ion beam currents approaching the Child-Langmuir limit. In this...

Modeling approach for annular-fuel elements using the ASSERT-PV subchannel code

International Nuclear Information System (INIS)

Dominguez, A.N.; Rao, Y.

2012-01-01

The internally and externally cooled annular fuel (hereafter called annular fuel) is under consideration for a new high burn-up fuel bundle design in Atomic Energy of Canada Limited (AECL) for its current, and its Generation IV reactor. An assessment of different options to model a bundle fuelled with annular fuel elements is presented. Two options are discussed: 1) Modify the subchannel code ASSERT-PV to handle multiple types of elements in the same bundle, and 2) coupling ASSERT-PV with an external application. Based on this assessment, the selected option is to couple ASSERT-PV with the thermalhydraulic system code CATHENA. (author)

Annular Internal-External-Expansion Rocket Nozzles for Large Booster Applications

Science.gov (United States)

Connors, James F.; Cubbison, Robert W.; Mitchell, Glenn A.

1961-01-01

For large-thrust booster applications, annular rocket nozzles employing both internal and external expansion are investigated. In these nozzles, free-stream air flows through the center as well as around the outside of the exiting jet. Flaps for deflecting the rocket exhaust are incorporated on the external-expansion surface for thrust-vector control. In order to define nozzle off-design performance, thrust vectoring effectiveness, and external stream effects, an experimental investigation was conducted on two annular nozzles with area ratios of 15 and 25 at Mach 0, 2, and 3 in the Lewis 10- by 10-foot wind tunnel. Air, pressurized to 600 pounds per square inch absolute, was used to simulate the exhaust flow. For a nozzle-pressure-ratio range of 40 to 1000, the ratio of actual to ideal thrust was essentially constant at 0.98 for both nozzles. Compared with conventional convergent-divergent configurations on hypothetical boost missions, the performance gains of the annular nozzle could yield significant orbital payload increases (possibly 8 to 17 percent). A single flap on the external-expansion surface of the area-ratio-25 annular nozzle produced a side force equal to 4 percent of the axial force with no measurable loss in axial thrust.

Quantitative experiments on thermal hydraulic characteristics of an annular tube with twisted fins

International Nuclear Information System (INIS)

Ezato, Koichiro; Dairaku, Masayuki; Taniguchi, Masaki; Sato, Kazuyoshi; Suzuki, Satoshi; Akiba, Masato

2003-11-01

Thermal hydraulic experiments measuring critical heat flux (CHF) and pressure drop of an annular tube with twisted fins, ''annular swirl tube'', has been performed to examine its applicability to the ITER divertor cooling structure. The annular swirl tube consists of two concentric circular tubes, the outer and inner tubes. The outer tube with outer and inner diameters (OD and ID) of 21 mm and 15 mm is made of Cu-alloy that is CuCrZr and oe of candidate materials of the ITER divertor cooling tube. The inner tube with OD of 11 mm and ID of 9 mm is made of stainless steal. It has an external swirl fin with twist ratio (y) of three to enhance its heat transfer performance. In this tube, cooling water flows inside of the inner tube first, and then returns into an annulus between the outer and inner tubes with a swirl flow at an end-return of the cooling tube. The CHF experiments show that no degradation of CHF of the annular swirl tube in comparison with the conventional swirl tube whose dimensions are similar to those of the outer tube of the annular swirl tube. A minimum axial velocity of 7.1 m/s is required to remove the incident heat flux of 28MW/m 2 , the ITER design value. Applicability of the JAERI's correlation for the heat transfer to the annular swirl tube is also demonstrated by comparing the experimental results with those of the numerical analysis. The friction factor correlation for the annular flow with the twisted fins is also proposed for the hydrodynamic design of the ITER vertical target. The least pressure drop at the end-return is obtained by using the hemispherical end-plug. Its radius is the same as that of ID of the outer cooling tube. These results show that thermal-hydraulic performance of the annular swirl tube is promising in application to the cooling structure for the ITER vertical target. (author)

Annular centrifugal contactors for TRPO process test

International Nuclear Information System (INIS)

Duan, W.H.; Wang, J.C.; Chen, J.; Zhou, X.Z.; Zhou, J.Z.; Song, C.L.

2005-01-01

The TRPO process has been developed in China for removing TRU elements from high-level liquid waste (HLLW) since 1980s. Centrifugal contactors have several advantages such as low hold-up volume, short residence time, low solvent degradation, small space requirements and short start-up time. Therefore, they are favored for both the reprocessing of spent fuel and the treatment of HLLW. In order to meet study on the TRPO test, a series of annular centrifugal contactors have been developed in Institute of Nuclear and -New Energy Technology, Tsinghua University, China (INET). In particular, the 10-mm annular centrifugal contactor for the laboratory-scale test has been applied successfully in the cold and hot tests of the TRPO process. The 70-mm annular centrifugal contactor for the industry-scale test has two new design characteristics, namely a modular design and an overflow structure. The modular design makes the contactor to be disassembled and assembled fast by simply moving the modules up and down. With the overflow structure, even though one stage or non-adjacent stages of the multi-stage cascade in operation are ceased to work, the cascade can continue to operate. Both the hydraulic performance and the mass-transfer efficiency of these contactors are excellent, and the extraction stage efficiency is greater than 95% at suitable operating conditions.

Entrainment in vertical annular two-phase flow

International Nuclear Information System (INIS)

Sawant, Pravin; Ishii, Mamoru; Mori, Michitsugu

2009-01-01

Prediction of amount of entrained droplets or entrainment fraction in annular two-phase flow is essential for the estimation of dryout condition and analysis of post dryout heat transfer in light water nuclear reactors and steam boilers. In this study, air-water and organic fluid (Freon-113) annular flow entrainment experiments have been carried out in 9.4 and 10.2 mm diameter test sections, respectively. Both the experiments covered three distinct pressure conditions and wide range of liquid and gas flow conditions. The organic fluid experiments simulated high pressure steam-water annular flow conditions. In each of the experiments, measurements of entrainment fraction, droplet entrainment rate and droplet deposition rate have been performed by using a liquid film extraction method. A simple, explicit and non-dimensional correlation developed by Sawant et al. (2008a) for the prediction of entrainment fraction is further improved in this study in order to account for the existence of critical gas and liquid flow rates below which no entrainment is possible. Additionally, a new correlation is proposed for the estimation of minimum liquid film flow rate at the maximum entrainment fraction condition. The improved correlation successfully predicted the newly collected air-water and Freon-113 entrainment fraction data. Furthermore, the correlations satisfactorily compared with the air-water, helium-water and air-genklene experimental data measured by Willetts (1987). (author)

Increased transcript level of poly(ADP-ribose) polymerase (PARP-1) in human tricuspid compared with bicuspid aortic valves correlates with the stenosis severity

International Nuclear Information System (INIS)

Nagy, Edit; Caidahl, Kenneth; Franco-Cereceda, Anders; Bäck, Magnus

2012-01-01

Highlights: ► Oxidative stress has been implicated in the pathomechanism of calcific aortic valve stenosis. ► We assessed the transcript levels for PARP-1 (poly(ADP-ribose) polymerase), acts as a DNA damage nick sensor in stenotic valves. ► Early stage of diseased tricuspid valves exhibited higher mRNA levels for PARP-1 compared to bicuspid valves. ► The mRNA levels for PARP-1 inversely correlated with the clinical stenosis severity in tricuspid valves. ► Our data demonstrated that DNA damage pathways might be associated with stenosis severity only in tricuspid valves. -- Abstract: Oxidative stress may contribute to the hemodynamic progression of aortic valve stenosis, and is associated with activation of the nuclear enzyme poly(ADP-ribose) polymerase (PARP) 1. The aim of the present study was to assess the transcriptional profile and the topological distribution of PARP-1 in human aortic valves, and its relation to the stenosis severity. Human stenotic aortic valves were obtained from 46 patients undergoing aortic valve replacement surgery and used for mRNA extraction followed by quantitative real-time PCR to correlate the PARP-1 expression levels with the non invasive hemodynamic parameters quantifying the stenosis severity. Primary isolated valvular interstitial cells (VICs) were used to explore the effects of cytokines and leukotriene C 4 (LTC 4 ) on valvular PARP-1 expression. The thickened areas of stenotic valves with tricuspid morphology expressed significantly higher levels of PARP-1 mRNA compared with the corresponding part of bicuspid valves (0.501 vs 0.243, P = 0.01). Furthermore, the quantitative gene expression levels of PARP-1 were inversely correlated with the aortic valve area (AVA) (r = −0.46, P = 0.0469) and AVA indexed for body surface area (BSA) (r = −0.498; P = 0.0298) only in tricuspid aortic valves. LTC 4 (1 nM) significantly elevated the mRNA levels of PARP-1 by 2.38-fold in VICs. Taken together, these data suggest that

Assessment of tricuspid valve annulus size, shape and function using real-time three-dimensional echocardiography

NARCIS (Netherlands)

A.M. Anwar (Ashraf); M.L. Geleijnse (Marcel); F.J. ten Cate (Folkert); F.J. Meijboom (Folkert)

2006-01-01

textabstractTricuspid annulus (TA) evaluation continues to be a major problem in the surgical decision-making process. Obviously, 2-dimensional transthoracic echocardiography (2D TTE) is limited in TA visualization due to its complex 3D shape. The study aimed to determine TA morphology, size and

Patch Type Granuloma Annulare Imitating Cutaneous T-Cell Lymphoma

Directory of Open Access Journals (Sweden)

Şeval Doğruk Kaçar

2015-03-01

Full Text Available Granuloma annulare (GA is a benign inflammatory skin disease with distinct clinical and histopathological findings. Patch type GA is described with erythematous patches beyond the classical clinical appearance and an interstitial pattern is observed without histopathologically granulomas with disseminated histiocytes among collagen bundles and vessels. Here we report 46 year old woman diagnosed as patch type GA after a punch biopsy performed from the annular bordered patches in belly area, which is a classical area for mycosis fungoides (MF evolution, and lesions increasingly spreading out within a 2 year period.

Study on gas-liquid loop reactors with annular bubbling

International Nuclear Information System (INIS)

Fei, L.M.; Wang, S.X.; Wu, X.Q.; Lu, D.W.

1987-01-01

Bubbling column with draft tube is one of nearly developed reactor. On the background of hydrocarbon oxidations and biochemical engineerings, it has been widely used in chemical industry due to the well characteristics of mass and heat transfer. In this paper, the characteristics of fluid flow, such as gas hold-up, backmixing and mass transfer referred to the liquid volume were measured in a gas-liquid loop reactor with annular bubbling. Different materials - water, alcohol and oi l- were used in the study in measuring the gas hold-up in the annular of the reactor

A void fraction model for annular two-phase flow

Energy Technology Data Exchange (ETDEWEB)

Tandon, T.N.; Gupta, C.P.; Varma, H.K.

1985-01-01

An analytical model has been developed for predicting void fraction in two-phase annular flow. In the analysis, the Lockhart-Martinelli method has been used to calculate two-phase frictional pressure drop and von Karman's universal velocity profile is used to represent the velocity distribution in the annular liquid film. Void fractions predicted by the proposed model are generally in good agreement with a available experimental data. This model appears to be as good as Smith's correlation and better than the Wallis and Zivi correlations for computing void fraction.

Idiopathic mitral valve prolapse with tricuspid, aortic and pulmonary valve involvement: An autopsy case report

Directory of Open Access Journals (Sweden)

Heena M Desai

2015-01-01

Full Text Available Mitral valve prolapse (MVP is usually asymptomatic, but can be associated with complications such as infective endocarditis, mitral regurgitation, thromboembolism and sudden cardiac death. It has been very rarely reported to occur in association with other valvular involvement. A 55-year-old male patient was brought dead and at autopsy the mitral valve orifice was stenotic and the leaflets were enlarged, myxoid and bulging suggestive of MVP and chordae tendinae were thickened, stretched and elongated. Similar changes were seen in the tricuspid valve. The pulmonary and aortic valves also showed myxomatous degeneration of their cusps. Myxomatous degeneration is the most common cause of MVP and it can be associated with involvement of the other valves. Concomitant involvement of the aortic valve has been reported, however it is very rare and simultaneous involvement of the pulmonary valve has not been reported in the literature so far. We report a case of MVP associated with myxomatous degeneration of the tricuspid, pulmonary and aortic valves.

Synchronous intra-myocardial ventricular pacing without crossing the tricuspid valve or entering the coronary sinus

Energy Technology Data Exchange (ETDEWEB)

Konecny, Tomas; DeSimone, Christopher V.; Friedman, Paul A.; Bruce, Charles [Department of Medicine, Cardiovascular Diseases, Mayo Clinic, Rochester, MN (United States); Asirvatham, Samuel J., E-mail: asirvatham.samuel@mayo.edu [Department of Medicine, Cardiovascular Diseases, Mayo Clinic, Rochester, MN (United States); Department of Pediatric and Adolescent Medicine, Pediatric Cardiology, Mayo Clinic, Rochester, MN (United States)

2013-05-15

Ventricular pacing is most commonly performed at the right ventricular (RV) apex. This is not without risk as placement requires crossing the tricuspid valve (TV) and may cause valvular dysfunction and dyssynchronous activation of the ventricles. The fact that the tricuspid valve lies more apically than the mitral valve allows for the possibility of pacing the ventricles from the right atrium (RA) via the “atrio-ventricular septum” without crossing the TV or entering the coronary sinus (CS). In order to mitigate far field activation inherent to current pacing technology, we constructed a novel lead in which the cathode and anode are both intra-myocardial. We demonstrate safety and efficacy of this novel lead for ventricular pacing at the atrio-ventricular septum in canines, including improved synchronous activation of both ventricles, improved differentiation in ventricular versus atrial sensing, while providing reliable ventricular capture, opening novel and a potentially safer alternative to human cardiac resynchronization therapy.

A woman with juxta-articular nodules—An uncommon form of subcutaneous granuloma annulare

Directory of Open Access Journals (Sweden)

Lili Wang

2014-06-01

Full Text Available Granuloma annulare is a benign inflammatory dermatosis that is most common in children and young adults. The subcutaneous form of granuloma annulare, which occurs mainly on the extremities in children, is rare. Lesions usually occur as painless subcutaneous nodules without inflammation of the cutaneous surface; the most frequent sites are the legs, buttocks, and scalp. Nevertheless, we present a case of subcutaneous granuloma annulare confined to the dorsa of the hand joints and right knee in a 51-year-old woman.

Thermal Deformation Analysis of the Annular Fuel

International Nuclear Information System (INIS)

Kim, Ju Seong; Kim, Yong Soo; Yang, Yong Sik; Bang, Je Geon

2009-01-01

Recently Korea Atomic Energy Research Institute suggested 12 by 12 annular fuel assembly, claiming that this new design can be applied to PWR reactor of OPR-1000 that are using 16 by 16 assembly, Compared to current fuel system, heat transfer area is enlarged, and thus heat flux is diminished. This design demonstrates that CHF(critical heat flux) restricting the operation power condition. This advanced fuel is believed to many advantages such as lowered fuel temperature, reduced fission gas release, and so forth. Nevertheless, annular geometry has some difficulties in predicting fuel performance behavior. This new design, heat transfer takes place in two directions through inner and outer gap. This heat split ultimately determines the inner and outer gap conductances that are key variables governing the fuel performance

Tropheryma whipplei tricuspid endocarditis: a case report and review of the literature

Directory of Open Access Journals (Sweden)

Greub Gilbert

2010-08-01

Full Text Available Abstract Introduction The main clinical manifestations of Whipple's disease are weight loss, arthropathy, diarrhea and abdominal pain. Cardiac involvement is frequently described. However, endocarditis is rare and is not usually the initial presentation of the disease. To the best of our knowledge, this is the first reported case of a patient with Tropheryma whipplei tricuspid endocarditis without any other valve involved and not presenting signs of arthralgia and abdominal involvement. Case presentation We report a case of a 50-year-old Caucasian man with tricuspid endocarditis caused by Tropheryma whipplei, showing signs of severe shock and an absence of other more classic clinical signs of Whipple's disease, such as arthralgia, abdominal pain and diarrhea. Tropheryma whipplei was documented by polymerase chain reaction of the blood and pleural fluid. The infection was treated with a combined treatment of doxycycline, hydroxychloroquine and sulfamethoxazole-trimethoprim for one year. Conclusion Tropheryma whipplei infectious endocarditis should always be considered when facing a blood-culture negative endocarditis particularly in right-sided valves. Although not standardized yet, treatment of Tropheryma whipplei endocarditis should probably include a bactericidal antibiotic (such as doxycycline and should be given over a prolonged period of time (a minimum of one year.

Annular beam shaping and optical trepanning

Science.gov (United States)

Zeng, Danyong

Percussion drilling and trepanning are two laser drilling methods. Percussion drilling is accomplished by focusing the laser beam to approximately the required diameter of the hole, exposing the material to one or a series of laser pulses at the same spot to melt and vaporize the material. Drilling by trepanning involves cutting a hole by rotating a laser beam with an optical element or an x-y galvo-scanner. Optical trepanning is a new laser drilling method using an annular beam. The annular beams allow numerous irradiance profiles to supply laser energy to the workpiece and thus provide more flexibility in affecting the hole quality than a traditional circular laser beam. Heating depth is important for drilling application. Since there are no good ways to measure the temperature inside substrate during the drilling process, an analytical model for optical trepanning has been developed by considering an axisymmetric, transient heat conduction equation, and the evolutions of the melting temperature isotherm, which is referred to as the melt boundary in this study, are calculated to investigate the influences of the laser pulse shapes and intensity profiles on the hole geometry. This mathematical model provides a means of understanding the thermal effect of laser irradiation with different annular beam shapes. To take account of conduction in the solid, vaporization and convection due to the melt flow caused by an assist gas, an analytical two-dimensional model is developed for optical trepanning. The influences of pulse duration, laser pulse length, pulse repetition rate, intensity profiles and beam radius are investigated to examine their effects on the recast layer thickness, hole depth and taper. The ray tracing technique of geometrical optics is employed to design the necessary optics to transform a Gaussian laser beam into an annular beam of different intensity profiles. Such profiles include half Gaussian with maximum intensities at the inner and outer

The clover technique for the treatment of complex tricuspid valve insufficiency: midterm clinical and echocardiographic results in 66 patients.

Science.gov (United States)

Lapenna, Elisabetta; De Bonis, Michele; Verzini, Alessandro; La Canna, Giovanni; Ferrara, David; Calabrese, Maria Chiara; Taramasso, Maurizio; Alfieri, Ottavio

2010-06-01

This study assesses the results of the 'clover technique' (suturing together the middle point of the free edges of the tricuspid leaflets) for the treatment of tricuspid regurgitation (TR) due to severe prolapse or tethering. From 2001, 66 patients with severe TR due to prolapsing or tethered leaflets underwent 'clover repair'. Annuloplasty was associated in 64 patients (97%). The aetiology of TR was degenerative in 52 cases (79%), post-traumatic in eight (12%) and secondary to dilated cardiomyopathy (DCM) in six (9%). The main mechanism of TR was prolapse/flail of one leaflet in 15 patients (23%), of two leaflets in 31 (47%) and of all three leaflets in 14 (21%). The remaining six patients (9%) presented with severe leaflets' tethering. Four deaths (6%) occurred during hospitalisation and one patient died 3.6 years after surgery. Survival was 91 + or - 4.1% at 5 years. Follow-up of the 62 hospital survivors was 100% complete (mean length 3.5 + or - 1.6 years, range 13 months-7.1 years). At the last echocardiogram, no or mild TR was detected in 55 (88.7%) patients, moderate (2+/4+) in six (9.6%) and severe (4+/4+) in one patient (1.6%). Mean tricuspid valve area and gradient were 4.3 + or - 0.6 cm(2) and 2.8 + or -1.4 mmHg. In six patients, stress echocardiography was performed and no signs of tricuspid stenosis were detected. At the multivariable analysis, the degree of TR at hospital discharge was identified as the only predictor of TR > or = 2+ at follow-up. Midterm clinical and echocardiographic results confirm the role of the 'clover technique' in the surgical treatment of TR due to lesions, which are unlikely to be effectively treatable by annuloplasty alone. Copyright 2010 European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved.

Thermal performance of annular-coated and sphere-pac LWR fuel rod designs

International Nuclear Information System (INIS)

Guenther, R.J.; Hsieh, K.A.; Barner, J.O.; Freshley, M.D.

1980-01-01

Two FCI-resistant UO 2 fuel rod designs are being compared to a reference design in irradiation tests in the Halden Boiling Water Reactor (HBWR) as part of the DOE-sponsored Fuel Performance Improvement Program (FPIP). The primary fuel design (annular-coated-pressurized) incorporates annular pellets, a graphite coating on the inner surface of the Zircaloy cladding, and pressurized helium fill gas. Also being investigated is an 87% smear density sphere-pac design with pressurized helium fill gas. The solid pellet (reference) and annular-coated designs described had helium fill gas at approx. 100 kPa and the sphere-pac rods were pressurized at approx. 455 kPa

A Case of Erythema Annulare Centrifigum with Sjögren Syndrome

Directory of Open Access Journals (Sweden)

İlgen Ertam

2010-03-01

Full Text Available Erythema annulare centrifigum is a dermatose which is frequently seen in adults. It is characterized by erythematous lesions which spread asymmetrically to periphery and have a collarette desquamation. Although infection, tumor, food allergy, drug reaction can play a role in the aetiology, most of the cases are idiopathic. A forty-nine years old, female patient presented to our clinic with erythematous lesions on both of her lower extremities. Six weeks prior to her referral, she treated with quinine for Sjogren syndrome. She had a diagnosis of granuloma annulare in her personal history. There was no significance in her family history. In dermatologic examination; annular erythematous plaques and collarette desquamation were detected on lower extremities. Histopathologic examination of the lesional biopsy specimen revealed focal spongiosis in the epidermis, dermal oedema, vascular proliferation and perivascular infiltration of lymphocytes, eosinophils and histiocytes. In the laboratory examination; blood count, liver and kidney function tests, sedimentation, C-reactive protein was normal. Rheumatoid factor was 30. Antinuclear antibody was 1/640 granular pattern. A case of erythema annulare centrifigum with Sjögren Syndrome is discussed with the other skin findings of the disease.

Balloon Valvuloplasty of Tricuspid Stenosis: A Retrospective Study of 5 Labrador Retriever Dogs.

Science.gov (United States)

Lake-Bakaar, G A; Griffiths, L G; Kittleson, M D

2017-03-01

There are limited reports of severe tricuspid valve stenosis in dogs and limited data regarding treatment and outcome. To evaluate clinical signs, echocardiographic features, and outcome of balloon valvuloplasty (BV) in dogs with severe tricuspid valve stenosis (TVS) in which BV was attempted. Five client-owned dogs with severe TVS. Records were retrospectively reviewed and data collected regarding signalment, clinical signs, diagnostic findings, procedures, and outcome. All dogs were Labrador Retrievers. Presenting complaints included episodic weakness/syncope (4/5), abdominal distension (4/5), lethargy (2/5), and exercise intolerance (2/5). The median and range of measurements before BV were as follows: TV mean velocity 1.5 m/s (range 1.4-1.7 m/s); velocity-time integral (VTI) 79.8 cm (42.4-99.1 cm); and TV maximum velocity 2.9 m/s (2.3-3.2 m/s). Measurements (available for 3 of 5 dogs) after BV were as follows: TV mean velocity 1.15 m/s (0.9-1.4 m/s); VTI 44.95 cm (41.4-54.8 cm); and TV maximum velocity 1.15 m/s (1.9-2.3 m/s). The procedure was attempted in all dogs and completed in 4/5 dogs. The largest balloon diameter ranged from 15 mm to 25 mm, and length ranged from 4 cm to 5 cm. Right atrial pressure decreased in 4/5 dogs. All but 1 dog had clinical improvement after BV, but recurrence of clinical signs occurred (2/5). Tricuspid regurgitation worsened in 1 dog culminating in right heart failure and euthanasia. BV can be an effective treatment; however, clinical signs can recur. Right heart failure due to worsened TR is a potential complication in dogs with pre-existing moderate-to-severe TR. Copyright © 2017 The Authors. Journal of Veterinary Internal Medicine published by Wiley Periodicals, Inc. on behalf of the American College of Veterinary Internal Medicine.

Cirurgia conservadora da endocardite bacteriana aguda da valva tricúspide Conservative operation for bacterial endocardites of the tricuspide valve

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Iseu Affonso da Costa

1988-08-01

Full Text Available É relatado o caso de 1 paciente que apresentou endocardite aguda da valva tricúspide pós-aborto, cujo agente causal era o S. aureus. Como não houvesse resposta favorável ao tratamento antibiótico (gentamicina, vancomicina e oxacilina, optou-se pela intervenção, vinte dias após a internação. Foi praticada excisão de uma vegetação única e do tecido valvar adjacente, na comissura ântero-posterior e plicatura anular. O resultado foi favorável, com cura clínica. O exame ecocardiográfico confirmou a presença da vegetação no pré-operatório e o funcionamento conservado da valva, após a plastia. O tratamento cirúrgico, com retirada do tecido infectado e preservação da valva constitui uma alternativa aplicável a certos casos de endocardite aguda das valvas atrioventriculares.One case of acute bacterial endocarditis of the tricuspid valve caused by S. aureus and following a septic abortion is presented. Surgical treatment was indicated after failure of antibiotics. Operation consisted of excision of a large vegetation adherent to the anterior and posterior cusps at the commisure and of the affected valvar tissue. Annular plicature at the segment corresponding to the posterior cuspid was employed to maintain competence. Clinical result was very satisfactory with resolution of sepsis. Dopplerecocardiography revealed the presence of the vegetation before the operation and showed a small regurgitation after valvoplasty. Conservative operation upon the atrioventricular valves must be kept in mind as an alternative in the treatment of acute bacterial endocarditis.

Percutaneous endoscopic intra-annular subligamentous herniotomy for large central disc herniation: a technical case report.

Science.gov (United States)

Lee, Sang-Ho; Choi, Kyung-Chul; Baek, Oon Ki; Kim, Ho Jin; Yoo, Seung-Hwa

2014-04-01

Technical case report. To describe the novel technique of percutaneous endoscopic herniotomy using a unilateral intra-annular subligamentous approach for the treatment of large centrally herniated discs. Open discectomy for large central disc herniations may have poor long-term prognosis due to heavy loss of intervertebral disc tissue, segmental instability, and recurrence of pain. Six consecutive patients who presented with back and leg pain, and/or weakness due to a large central disc herniation were treated using percutaneous endoscopic herniotomy with a unilateral intra-annular subligamentous approach. The patients experienced relief of symptoms and intervertebral disc spaces were well maintained. The annular defects were noted to be in the process of healing and recovery. Percutaneous endoscopic unilateral intra-annular subligamentous herniotomy was an effective and affordable minimally invasive procedure for patients with large central disc herniations, allowing preservation of nonpathological intradiscal tissue through a concentric outer-layer annular approach.

High Thrust-to-Power Annular Engine Technology

Science.gov (United States)

Patterson, Michael J.; Thomas, Robert E.; Crofton, Mark W.; Young, Jason A.; Foster, John E.

2015-01-01

Gridded ion engines have the highest efficiency and total impulse of any mature electric propulsion technology, and have been successfully implemented for primary propulsion in both geocentric and heliocentric environments with excellent ground/in-space correlation of performance. However, they have not been optimized to maximize thrust-to-power, an important parameter for Earth orbit transfer applications. This publication discusses technology development work intended to maximize this parameter. These activities include investigating the capabilities of a non-conventional design approach, the annular engine, which has the potential of exceeding the thrust-to-power of other EP technologies. This publication discusses the status of this work, including the fabrication and initial tests of a large-area annular engine. This work is being conducted in collaboration among NASA Glenn Research Center, The Aerospace Corporation, and the University of Michigan.

Effects of a 3D segmental prosthetic system for tricuspid valve annulus remodelling on the right coronary artery: a human cadaveric coronary angiography study.

Science.gov (United States)

Riki-Marishani, Mohsen; Gholoobi, Arash; Sazegar, Ghasem; Aazami, Mathias H; Hedjazi, Aria; Sajjadian, Maryam; Ebrahimi, Mahmoud; Aghaii-Zade Torabi, Ahmad

2017-09-01

A prosthetic system to repair secondary tricuspid valve regurgitation was developed. The conceptual engineering of the current device is based on 3D segmental remodelling of the tricuspid valve annulus in lieu of reductive annuloplasty. This study was designed to investigate the operational safety of the current prosthetic system with regard to the anatomical integrity of the right coronary artery (RCA) in fresh cadaveric human hearts. During the study period, from January to April 2016, the current prosthetic system was implanted on the tricuspid valve annulus in fresh cadaveric human hearts that met the study's inclusion criteria. The prepared specimens were investigated via selective coronary angiography of the RCA in the catheterization laboratory. The RCA angiographic anatomies were categorized as normal, distorted, kinked or occluded. Sixteen specimens underwent implantation of the current prosthetic system. The mean age of the cadaveric human hearts was 43.24 ± 15.79 years, with vehicle accident being the primary cause of death (59%). A dominant RCA was noticed in 62.5% of the specimens. None of the specimens displayed any injury, distortion, kinking or occlusion in the RCA due to the implantation of the prostheses. In light of the results of the present study, undertaken on fresh cadaveric human heart specimens, the current segmental prosthetic system for 3D remodelling of the tricuspid valve annulus seems to be safe vis-à-vis the anatomical integrity of the RCA. Further in vivo studies are needed to investigate the functional features of the current prosthetic system with a view to addressing the complex pathophysiology of secondary tricuspid valve regurgitation. © The Author 2017. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

Flow Characteristics and Sizing of Annular Seat Valves for Digital Displacement Machines

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Christian Nørgård

2018-01-01

Full Text Available This paper investigates the steady-state flow characteristics and power losses of annular seat valves for digital displacement machines. Annular seat valves are promising candidates for active check-valves used in digital displacement fluid power machinery which excels in efficiency in a broad operating range. To achieve high machine efficiency, the valve flow losses and the required electrical power needed for valve switching should be low. The annular valve plunger geometry, of a valve prototype developed for digital displacement machines, is parametrized by three parameters: stroke length, seat radius and seat width. The steady-state flow characteristics are analyzed using static axi-symmetric computational fluid dynamics. The pressure drops and flow forces are mapped in the valve design space for several different flow rates. The simulated results are compared against measurements using a valve prototype. Using the simulated maps to estimate the flow power losses and a simple generic model to estimate the electric power losses, both during digital displacement operation, optimal designs of annular seat valves, with respect to valve power losses, are derived under several different operating conditions.

ACPR upgrade fuel motion detection system

International Nuclear Information System (INIS)

Kelly, J.G.; Stalker, K.T.

1976-01-01

Coded aperture imaging techniques are being applied to the problem of fuel motion detection in core disruptive safety experiments in the LMFBR. The upgraded Sandia Annular Core Pulse Reactor will be used for fuel motion studies, and a system is now being developed to image fuel motion through a slot in the core in l- and 7-pin experiments. The γ-rays emitted by the fuel will be modulated by a coded aperture and will form a pseudohologram on a scintillator. This shadowgram will be lens coupled first to an optical image intensifier, and then to a rotating prism framing camera. The goal is to obtain quality images of fuel with approximately 1 mm spatial resolution at about 10 4 frames/sec. Some of the feasibility milestones which have been reached thus far are the following: (1) A fuel pin shaped 252 Cf fission gamma ray source has been imaged through 1.27 cm of steel (simulating reactor containment). (2) A 252 Cf source has been imaged through 1.27 cm of steel with x-ray image intensifier amplification. (3) Collimation and shielding tests indicate that at ACPR it should be possible to obtain adequate signal to noise at the detector when the fuel is observed through a slot in the core

Development of annular targets for 99Mo production

International Nuclear Information System (INIS)

Conner, C.; Lewandowski, E.F.; Snelgrove, J.L.; Liberatore, M.W.; Walker, D.E.; Wiencek, T.C.; McGann, D.J.; Hofman, G.L.; Vandegrift, G.F.

1999-01-01

During 1999, significant progress was made in the development of a low-enriched uranium (LEU) target for production of 99 Mo. Successful conversion requires an inexpensive, reliable target. To keep the target geometry the same when changing from high-enriched uranium (HEU) to LEU targets, a denser form of uranium is required in order to increase the amount of uranium per target by a factor of approximately five. Targets containing LEU in the form of a metal foil are being developed for producing 99 Mo from the fissioning of 235 U. A new annular target was developed this year, and seven targets were irradiated in the Indonesian RSG-GAS reactor. Results of development of this annular target and its performance during irradiation are described. (author)

Diastolic mitral and tricuspid regurgitation by Doppler echocardiography in patients with atrioventricular block: new insight into the mechanism of atrioventricular valve closure.

Science.gov (United States)

Schnittger, I; Appleton, C P; Hatle, L K; Popp, R L

1988-01-01

The purpose of this study was to prospectively determine the incidence of diastolic mitral and tricuspid regurgitation in atrioventricular (AV) block using Doppler echocardiography. The temporal relation between mitral and tricuspid diastolic insufficiency and the diastolic murmur recorded in patients with complete heart block was also investigated. Twenty-two consecutive patients with AV block (referred to the Echo-Doppler laboratory for routine clinical studies), aged 18 to 87 years, were enrolled in the study. Eleven patients had third degree AV block and a ventricular-inhibited (VVI) pacemaker, two patients had second degree AV block, seven patients had first degree AV block, one patient had blocked premature atrial complexes and one patient had atrial flutter with 4:1 AV block. Diastolic mitral regurgitation was detected in 20 patients, and diastolic tricuspid regurgitation in 21. A mid-diastolic murmur was detected in all patients except in the three youngest. The murmur occurred before diastolic regurgitation and coincided with peak forward flow through the AV valve after atrial contraction. M-mode mitral valve echocardiograms obtained in nine patients demonstrated near closure of some portions of the mitral valve after atrial contraction. Effective closure of the valve, however, did not occur unless ventricular systole supervened. In conclusion, diastolic mitral and tricuspid regurgitation are almost universally present in patients with AV block and are associated with a diastolic murmur. The murmur coincides with forward AV valve flow. Diastolic regurgitation is silent. Effective AV valve closure is not established until ventricular systole occurs, as demonstrated by M-mode echocardiographic recording of the mitral valve.

Velocity and phase distribution measurements in vertical air-water annular flows

International Nuclear Information System (INIS)

Vassallo, P.

1997-07-01

Annular flow topology for three air-water conditions in a vertical duct is investigated through the use of a traversing double-sensor hot-film anemometry probe and differential pressure measurements. Near wall measurements of mean and fluctuating velocities, as well as local void fraction, are taken in the liquid film, with the highest turbulent fluctuations occurring for the flow condition with the largest pressure drop. A modified law-of-the-wall formulation for wall shear is presented which, using near wall values of mean velocity and kinetic energy, agrees reasonably well with the average stress obtained from direct pressure drop measurements. The linear profile using wall coordinates in the logarithmic layer is preserved in annular flow; however, the slope and intercept of the profile differ from the single-phase values for the annular flow condition which has a thicker, more turbulent, liquid film

Experimental study on flow pattern and heat transfer of inverted annular flow

International Nuclear Information System (INIS)

Takenaka, Nobuyuki; Akagawa, Koji; Fujii, Terushige; Nishida, Koji

1990-01-01

Experimental results are presented on flow pattern and heat transfer in the regions from inverted annular flow to dispersed flow in a vertical tube using freon R-113 as a working fluid at atmospheric pressure to discuss the correspondence between them. Axial distributions of heat transfer coefficient are measured and flow patterns are observed. The heat transfer characteristics are divided into three regions and a heat transfer characteristics map is proposed. The flow pattern changes from inverted annular flow (IAF) to dispersed flow (DF) through inverted slug flow (ISF) for lower inlet velocities and through agitated inverted annular flow (AIAF) for higher inlet velocities. A flow pattern map is obtained which corresponds well with the heat transfer characteristic map. (orig.)

[A rare form of granuloma annulare].

Science.gov (United States)

Bogdanowski, T; Wygledowska-Kania, M

1995-01-01

We present a four-year-old girl with a doubly rare form of granuloma annulare with non-typical localisation of superficial nodules on the palms and predisposition to ulceration which is very rare in this type of superficial nodules. The diagnosis was proved by histological examination. After the local cryotherapy (ethyl chloride) the lesions almost completely disappeared.

Burnout in the boiling of water and freon-113 on tubes with annular fins

International Nuclear Information System (INIS)

Rubin, I.R.; Pul'kin, I.N.; Roizen, L.I.

1986-01-01

This paper presents the results of numerical calculations of burnout heat flux associated with the boiling of Freon-113 and water on an annular fin of constant thickness which have been approximated by simple analytical relations. These are used to calculate the critical burnout parameters of tubes with an annular fin assembly. The calculated data may be used for the analysis of tubes with an annular fin assembly over a wide range of variation of the thermophysical properties of the material and geometrical parameters of the fin assembly

Experimental study on dryout point of flow boiling in bilaterally heated narrow annular channel

International Nuclear Information System (INIS)

Wu Geping; Wu Aimin; Tian Wenxi; Li Hao; Jia Dounan; Su Guanghui; Qiu Suizheng

2003-01-01

This paper presents and experimental study of the dryout point of flow boiling in bilaterally heated narrow annular channel with 1.5 mm and 2 mm annular gap, respectively. The range of pressure is 2.0-4.0 MPa and that of mass flux is 40-80 kg/m 2 ·s. Kutajilagi equation which is adaptable to tubes is used to deal with the experimental data and an empirical equation is obtained. Again this empirical equation is amended, then an empirical equation of the dryout point suitable for narrow annular channel is obtained

An analytical model for annular flow boiling heat transfer in microchannel heat sinks

International Nuclear Information System (INIS)

Megahed, A.; Hassan, I.

2009-01-01

An analytical model has been developed to predict flow boiling heat transfer coefficient in microchannel heat sinks. The new analytical model is proposed to predict the two-phase heat transfer coefficient during annular flow regime based on the separated model. Opposing to the majority of annular flow heat transfer models, the model is based on fundamental conservation principles. The model considers the characteristics of microchannel heat sink during annular flow and eliminates using any empirical closure relations. Comparison with limited experimental data was found to validate the usefulness of this analytical model. The model predicts the experimental data with a mean absolute error 8%. (author)

Study of natural convection characteristics in a narrow annular gap in (Part 1)

International Nuclear Information System (INIS)

Narahara, Nobuyuki; Uotani, Masaki; Kinoshita, Izumi

1986-01-01

To clarify the characteristics of natural convection in a narrow annular gap at the roof-slab penetrations in pool-type LMFBR, preliminary and visualization experiments were carried out. The results are summarized as follows. (1) In the preliminary experiment having the upper and bottom closed annular space nondimensional circumferential temperature difference increases with gap width decreasing, and decreses with Rayleigh number increasing at the range of rayleigh number 10 10 to 10 11 . (2) In the visualization experiment, which consists the upper and bottom closed annular space type apparatus and the upper-closed bottom-open type apparatus, flow pattern and its effect at temperature distribution are clarified. (author)

Pulmonary arterial pressure and right ventricular dilatation independently determine tricuspid valve insufficiency severity in pre-capillary pulmonary hypertension.

Science.gov (United States)

De Meester, Pieter; Van De Bruaene, Alexander; Delcroix, Marion; Belmans, Ann; Herijgers, Paul; Voigt, Jens-Uwe; Budts, Werner

2012-11-01

Elevated pulmonary artery systolic pressure (PASP) causes functional tricuspid valve insufficiency (TI). However, the differential contribution of pressure load and right ventricular (RV) dilatation is not well established. The study aim was to evaluate both variables in relation to TI. A cross-sectional study was performed of consecutive transthoracic echocardiographic studies of patients with pre-capillary pulmonary hypertension (PH). Both, demographic data and echocardiographic RV parameters were reviewed. TI was graded semi-quantitatively with color Doppler flow imaging. Trend analyses for TI severity (TI grade 0/4, 1/4, 2/4, 3/4, or 4/4) were performed. A proportional odds logistic regression analysis was carried out to identify independent predictors of TI severity. Eighty-one patients (56 females, 25 males; mean age 60 +/- 15 years) with pre-capillary PH were evaluated. Patients with more severe TI had a significantly lower body mass index, a lower mean systemic blood pressure, a shorter pulmonary acceleration time, a higher tricuspid regurgitant gradient, and a more dilated right ventricle. From the echocardiographic parameters, RV dilatation (p = 0.0143) and the tricuspid regurgitant gradient (p = 0.0026) were independently related to the degree of TI. In patients with pre-capillary PH, PASP and RV dilatation were both related to the increasing severity of TI. When focusing on TI to improve the prognosis of patients with pre-capillary PH, both PASP and RV dimensions should be taken into consideration.

Experimental critical parameters of enriched uranium solution in annular tank geometries

International Nuclear Information System (INIS)

Rothe, R.E.

1996-04-01

A total of 61 critical configurations are reported for experiments involving various combinations of annular tanks into which enriched uranium solution was pumped. These experiments were performed at two widely separated times in the 1980s under two programs at the Rocky Flats Plant's Critical Mass Laboratory. The uranyl nitrate solution contained about 370 g of uranium per liter, but this concentration varied a little over the duration of the studies. The uranium was enriched to about 93% [sup 235]U. All tanks were typical of sizes commonly found in nuclear production plants. They were about 2 m tall and ranged in diameter from 0.6 m to 1.5 m. Annular thicknesses and conditions of neutron reflection, moderation, and absorption were such that criticality would be achieved with these dimensions. Only 13 of the entire set of 74 experiments proved to be subcritical when tanks were completely filled with solution. Single tanks of several radial thicknesses were studied as well as small line arrays (1 x 2 and 1 x 3) of annular tanks. Many systems were reflected on four sides and the bottom by concrete, but none were reflected from above. Many experiments also contained materials within and outside the annular regions that contained strong neutron absorbers. One program had such a thick external moderator/absorber combination that no reflector was used at all

Experimental critical parameters of enriched uranium solution in annular tank geometries

Energy Technology Data Exchange (ETDEWEB)

Rothe, R.E.

1996-04-01

A total of 61 critical configurations are reported for experiments involving various combinations of annular tanks into which enriched uranium solution was pumped. These experiments were performed at two widely separated times in the 1980s under two programs at the Rocky Flats Plant`s Critical Mass Laboratory. The uranyl nitrate solution contained about 370 g of uranium per liter, but this concentration varied a little over the duration of the studies. The uranium was enriched to about 93% [sup 235]U. All tanks were typical of sizes commonly found in nuclear production plants. They were about 2 m tall and ranged in diameter from 0.6 m to 1.5 m. Annular thicknesses and conditions of neutron reflection, moderation, and absorption were such that criticality would be achieved with these dimensions. Only 13 of the entire set of 74 experiments proved to be subcritical when tanks were completely filled with solution. Single tanks of several radial thicknesses were studied as well as small line arrays (1 x 2 and 1 x 3) of annular tanks. Many systems were reflected on four sides and the bottom by concrete, but none were reflected from above. Many experiments also contained materials within and outside the annular regions that contained strong neutron absorbers. One program had such a thick external moderator/absorber combination that no reflector was used at all.

Multi-slice CT features of annular pancreas in neonates

International Nuclear Information System (INIS)

He Mingqing; Zhu Youzhi; Hu Kefei; Yin Chuangao; Hu Jun; Wang Song; Li Xu; Lu Zhongbin; Wang Yue; Liu Xiang

2013-01-01

Objective: To investigate the MSCT manifestations and their values in the diagnosis of annular pancreas in neonates. Methods: Retrospective analysis of clinical and CT findings in 27 cases with surgery-proved annular pancreas in neonates was made. The unenhanced and contrast-enhanced CT images were obtained in 20 patients. Two experienced radiologists determined the site and degree of obstruction, the relationship between the head of the pancreas and the obstruction point, and the surrounding tissue structure. Results: The direct signs included the fluid-filled or gas-filled bowel in the head of pancreas in 4 cases, the enhancement of surrounding soft tissue as enhanced pancreas in 17 cases, disappearance of the fat gap between the intestinal wall and the annular pancreas in 17 cases. The indirect signs included intestinal obstruction in 20 cases, 'single-bubble sign' in 2 cases, 'double-bubble sign' in 18 cases, the distal bowel without gas in 5 cases, small amount of gas in the distal bowel in 15 cases. In 12 of 18 cases showing 'double-bubble sign', the ratio of duodenal bubble diameter (Dd) to stomach bubble diameter (Ds)was over 1.0. The site of obstruction was located in the descending duodenum in 20 cases. The form of obstructed point presented with 'nipple sign' in 15 cases, with 'the mouse tail' in 5 cases. The expansion bowel was located in the head of pancreas in 1 case. Gas was found in the pancreatic duct in 1 case, and 'swirl sign' was shown in 2 cases. Conclusions: MSCT combined with three-dimensional reconstruction techniques can clearly demonstrate the annular pancreas' s shape, the site and degree of obstruction and other malformations. It can provide important information for clinical treatment. (authors)

Modelling of Zirconium and Hafnium separation using continuous annular chromatography

International Nuclear Information System (INIS)

Moch-Setyadji; Endang Susiantini

2014-01-01

Nuclear degrees of zirconium in the form of a metal alloy is the main material for fuel cladding of NPP. Zirconium is also used as sheathing UO 2 kernel in the form of ZrC as a substitute of SiC in the fuel elements of High Temperature Reactor (HTR). Difficulty separating hafnium from zirconium because it has a lot of similarities in the chemical properties of Zr and Hf. Annular chromatography is a device that can be used for separating of zirconium and hafnium to obtain zirconium nuclear grade. Therefore, it is necessary to construct the mathematical modelling that can describe the separation of zirconium and hafnium in the annular chromatography containing anion resin dowex-1X8. The aim of research is to perform separation simulation by using the equilibrium model and mass transfer coefficient resulted from research. Zr and Hf feed used in this research were 26 and 1 g/l, respectively. Height of resin (L), angular velocity (ω) and the superficial flow rate (uz) was varied to determine the effect of each parameter on the separation of Zr and Hf. By using Kd and Dv values resulted previous research. Simulation results showed that zirconium and hafnium can be separated using a continuous annular chromatography with high resin (long bed) 50 cm, superficial flow rate of 0.001 cm/s, the rotation speed of 0.006 rad/min and 20 cm diameter annular. In these conditions the results obtained zirconium concentration of 10,303.226 g/m 3 and hafnium concentration of 12.324 g/m 3 (ppm). (author)

Surgical repair of tricuspid valve leaflet tear following percutaneous closure of perimembranous ventricular septal defect using Amplatzer duct occluder I: Report of two cases

Directory of Open Access Journals (Sweden)

Saatchi Mahesh Kuwelker

2017-01-01

Full Text Available Tricuspid valve (TV injury following transcatheter closure of perimembranous ventricular septal defect (PMVSD with Amplatzer ductal occluder I (ADO I, requiring surgical repair, is rare. We report two cases of TV tear involving the anterior and septal leaflets following PMVSD closure using ADO I. In both the patients, the subvalvular apparatus remained unaffected. The patients presented with severe tricuspid regurgitation (TR 6 weeks and 3 months following the device closure. They underwent surgical repair with patch augmentation of the TV leaflets. Postoperatively, both are asymptomatic with a mild residual TR.

Sheet Fluorescence and Annular Analysis of Ultracold Neutral Plasmas

International Nuclear Information System (INIS)

Castro, J.; Gao, H.; Killian, T. C.

2009-01-01

Annular analysis of fluorescence imaging measurements on Ultracold Neutral Plasmas (UNPs) is demonstrated. Spatially-resolved fluorescence imaging of the strontium ions produces a spectrum that is Doppler-broadened due to the thermal ion velocity and shifted due to the ion expansion velocity. The fluorescence excitation beam is spatially narrowed into a sheet, allowing for localized analysis of ion temperatures within a volume of the plasma with small density variation. Annular analysis of fluorescence images permits an enhanced signal-to-noise ratio compared to previous fluorescence measurements done in strontium UNPs. Using this technique and analysis, plasma ion temperatures are measured and shown to display characteristics of plasmas with strong coupling such as disorder induced heating and kinetic energy oscillations.

The analysis of the annular fuel performance in steady state condition by using AFPAC code

International Nuclear Information System (INIS)

He Xiaojun; Ji Songtao; Zhang Yingchao

2012-01-01

The fuel performance code AFPAC v1.0 is used to analyze annular fuel's behavior under steady state conditions, including neutronics, thermal hydraulic, rod deformation, fission gas release and rod internal pressure. The calculation results show that: 1) Annular fuel has a good steady irradiation performance at 150% power level as current LWRs' with burnup up to 50 GWd/t, and all parameters, such as temperature, rod internal pressure and rod deformation, are meet the rod design criteria for current fuel of PWRs: 2) Compared to the solid fuel under the same irradiation condition. annular fuel has lower temperature, smaller deformation, lower fission gas release and lower pressure at EOL. From the point of view of steady irradiation performance, the safety of reactors can significantly improved by u sing the annular fuel. (authors)

Experimental study of inverted-annular-flow hydrodynamics utilizing an adiabatic simulation

International Nuclear Information System (INIS)

De Jarlais, G.

1983-03-01

In experiments, inverted annular flow was simulated adiabatically with turbulent water jets, issuing downward from long aspect nozzles, enclosed in gas annuli. Velocities, diameters, and gas species were varied, and core jet length, shape, break-up mode, and dispersed-core droplet sizes were recorded at approximately 750 data points. Inverted annular flow was observed to develop into inverted slug flow at low relative velocities, and into dispersed droplet flow at high relative velocities. For both of the above transitions from inverted annular flow, correlations for core jet length were developed by extending work done on free liquid jets to include this new, coaxial, jet disintegration phenomenon. Jet break-up length is correlated as a function of jet diameter, jet Reynolds number, jet Weber number, void fraction, and gas Weber number. Correlations for core shape, break-up mechanisms and dispersed core droplet size for the case of transition to inverted slug flow were developed

Is tricuspid annuloplasty increasing surgical mortality and morbidity during mitral valve replacement? A single-centre experience.

Science.gov (United States)

Verdonk, Constance; Darmon, Arthur; Cimadevilla, Claire; Lepage, Laurent; Raffoul, Richard; Nataf, Patrick; Vahanian, Alec; Messika-Zeitoun, David

2017-12-06

Performance of tricuspid annuloplasty (TA) in patients undergoing mitral valve surgery is recommended based on the degree of tricuspid regurgitation and tricuspid annulus size, but is often underused. To evaluate the impact of combined TA on in-hospital outcome in patients undergoing mitral valve replacement (MVR). We selected all consecutive patients who underwent MVR for native valve disease. Clinical, echocardiographic and in-hospital complications were obtained from chart review. We identified 287 patients (mean age 62±17 years; 44% men). Combined TA was performed in 165 patients (57%), who had more rheumatic disease (71% vs. 24%; P<0.0001) and mitral stenosis (55% vs. 22%; P<0.0001), but less endocarditis (4% vs. 31%; P<0.0001), were more often in atrial fibrillation (54% vs. 22%; P<0.0001), were more severely symptomatic (80% vs. 57%; P<0.0001), presented with a higher systolic pulmonary artery pressure (SPAP) (53±16 vs. 45±15mmHg; P=0.0002) and were less likely to have required emergency surgery (17% vs. 38%; P<0.0001). Despite this higher risk profile, in-hospital mortality was slightly lower (5% vs. 13%; P=0.02) and complication rates were similar (redo surgery 22% vs. 16% [P=0.18] and tamponade 20% vs. 15% [P=0.15]). After adjustment for age, sex, functional class, SPAP, emergency surgery and concomitant coronary artery bypass graft or aortic valve replacement surgery, combined TA was not associated with an increased rate of in-hospital death (P=0.08) or major complications (P=0.89). In a consecutive series of patients who underwent MVR, TA did not seem to have a negative impact on immediate outcome. Hence, additional performance of TA at the time of MVR should not be declined on the basis of an increased surgical risk. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

Criticality safety calculations of 'poison tube tank' compared with annular tanks for storing fissile solutions

International Nuclear Information System (INIS)

Gopalakrishnan, C.R.; Joseph, G.

1995-01-01

A comparative study of the shielded area space required for storing fissile solution by the conventional annular tank and by poison tube tank is made. Poison tube tank is similar to commercial heat exchanger. The neutron poisons studied are gadolinium oxide and borax. Variation of multiplication factor for an array of annular tanks containing uranium nitrate or plutonium nitrate solutions are presented for annular widths of 10, 7.5 and 5 cm. It is concluded that for the given concentration, 5 cm annular width tanks are safe at a pitch distance of 120 and 90 cm for uranium and plutonium solutions respectively. Using these, as reference values, it is found that the shielded area saving for the poison tube tank is a factor of 12 and 8 for the given concentration of uranium and plutonium solutions respectively. (author)

Experimental investigation of heat transfer for supercritical pressure water flowing in vertical annular channels

International Nuclear Information System (INIS)

Gang Wu; Bi Qincheng; Yang Zhendong; Wang Han; Zhu Xiaojing; Hao Hou; Leung, L.K.H.

2011-01-01

Highlights: → Two annular test sections were constructed with annular gaps of 4 and 6 mm. → Two heat transfer regions have been observed: normal and deteriorated heat transfer. → The spacer enhances the heat transfer at downstream locations. → The Jackson correlation agrees quite closely with the experimental data. - Abstract: An experiment has recently been completed at Xi'an Jiaotong University (XJTU) to obtain wall-temperature measurements at supercritical pressures with upward flow of water inside vertical annuli. Two annular test sections were constructed with annular gaps of 4 and 6 mm, respectively, and an internal heater of 8 mm outer diameter. Experimental-parameter ranges covered pressures of 23-28 MPa, mass fluxes of 350-1000 kg/m 2 /s, heat fluxes of 200-1000 kW/m 2 , and bulk inlet temperatures up to 400 deg. C. Depending on the flow conditions and heat fluxes, two distinctive heat transfer regimes, referring to as the normal heat transfer and deteriorated heat transfer, have been observed. At similar flow conditions, the heat transfer coefficients for the 6 mm gap annular channel are larger than those for the 4 mm gap annular channel. A strong effect of spiral spacer on heat transfer has been observed with a drastic reduction in wall temperature at locations downstream of the device in the annuli. Two tube-data-based correlations have been assessed against the experimental heat transfer results. The Jackson correlation agrees with the experimental trends and overpredicts slightly the heat transfer coefficients. The Dittus-Boelter correlation is applicable only for the normal heat transfer region but not for the deteriorated heat transfer region.

Deep Granuloma Annulare Mimicking Inflamed Cysts in a Teenager.

Science.gov (United States)

Guo, Emily L; Degesys, Catherine A; Jahan-Tigh, Richard; Chan, Audrey

2017-07-01

We describe deep granuloma annulare (DGA) of the forehead mimicking inflamed cysts. Reactive inflammation and sterile purulent drainage may be an underrecognized feature of DGA. © 2017 Wiley Periodicals, Inc.

Core-annular flow through a horizontal pipe : Hydrodynamic counterbalancing of buoyancy force on core

NARCIS (Netherlands)

Ooms, G.; Vuik, C.; Poesio, P.

2007-01-01

A theoretical investigation has been made of core-annular flow: the flow of a high-viscosity liquid core surrounded by a low-viscosity liquid annular layer through a horizontal pipe. Special attention is paid to the question of how the buoyancy force on the core, caused by a density difference

The hemodynamic basis of exercise intolerance in tricuspid regurgitation

DEFF Research Database (Denmark)

Andersen, Mads Jønsson; Nishimura, Rick a; Borlaug, Barry A

2014-01-01

≥3 TR underwent high-fidelity invasive hemodynamic exercise testing with simultaneous expired gas analysis and were compared with 13 age- and sex-matched controls. At rest, TR subjects had lower pulmonary blood flow (3.6±0.4 versus 5.1±1.9 L/min; P=0.01), increased right atrial pressure (12±5 versus.......001). TR subjects displayed higher pulmonary capillary wedge pressure with exercise, but this was solely because of RA hypertension (27±9 versus 8±3 mm Hg; P......BACKGROUND:Patients with severe tricuspid regurgitation (TR) frequently present with exertional fatigue and dyspnea, but the hemodynamic basis for exercise limitation in people with TR remains unclear. METHODS AND RESULTS:Twelve subjects with normal left ventricular (LV) ejection fraction and grade...

Localized granuloma annulare and autoimmune thyroiditis in a ...

African Journals Online (AJOL)

The association of granuloma annulare (GA) and autoimmune thyroiditis has been documented in the literature in 13 previous cases. However, the pathogenesis of GA remains obscure. Possible pathogenetic factors suggested include: humoral and delayed type hypersensitivity, vascular damage, metabolic disorder, or, ...

Experiment study of the onset of nucleate boiling in narrow annular channel

International Nuclear Information System (INIS)

Wang Jiaqiang; Jia Dounan; Guo Yun

2004-01-01

The onset of nucleate boiling (ONB) was investigated for water flowing in the annular duct which clearance is 1.2 mm at the pressure range from 1.0 to 4.5 MPa. The effect on ONB of some thermodynamics parameters was also analyzed. The available data dealing with sub-cooled boiling initial point of water in narrow annular clearance duct are analyzed by using regression method. The new developed correlation was obtained by considering the bilateral heating factor

Experimental study of neutron streaming through steel-walled annular ducts in reactor shields

International Nuclear Information System (INIS)

Toshimas, M.; Nobuo, S.

1983-01-01

For the purpose of providing experimental data to assess neutron streaming calculations, neutron flux measurements were performed along the axes of the steel-walled annular ducts set up in a water shield of the pool-type reactor JRR-4. An annular duct simulated the air gap around the main coolant pipe. Another duct simulated the streaming path around the primary circulating pump of the integrated-type marine reactor. A 90-deg bend annular duct was also studied. In a set of measurements, the distance Z between the core center and the duct axis and the annular gap width delta were taken as parameters, that is, Z = 0, 80, and 160 cm and delta = 2.2, 4.7, and 10.1 cm. The reaction rates and the fluxes measured by the activation method are given in terms of absolute magnitude within an accuracy of + or - 30%. An empirical formula is derived based on those measured data, which describes the axial distribution of the neutron flux in the steel-walled annular duct in reactor shields. It is expressed by a simple function of the axial distance in units of the square root of the line-of-sight area, S /SUB l/ . The accuracy of the formula is examined by taking into account the duct location with respect to the reactor core, the neutron energy, the steel wall thickness, and the media outside of the steel wall. The accuracy of the formula is, in general, <30% in the axial distance between 3√S /SUB l/ and 30√S /SUB l/

First high-power model of the annular-ring coupled structure for use in the Japan Proton Accelerator Research Complex linac

Directory of Open Access Journals (Sweden)

Hiroyuki Ao

2012-01-01

Full Text Available A prototype cavity for the annular-ring coupled structure (ACS for use in the Japan Proton Accelerator Research Complex (J-PARC linac has been developed to confirm the feasibility of achieving the required performance. This prototype cavity is a buncher module, which includes ten accelerating cells in total. The ACS cavity is formed by the silver brazing of ACS half-cell pieces stacked in a vacuum furnace. The accelerating cell of the ACS is surrounded by a coupling cell. We, therefore, tuned the frequencies of the accelerating and coupling cells by an ultraprecision lathe before brazing, taking into account the frequency shift due to brazing. The prototype buncher module was successfully conditioned up to 600 kW, which corresponds to an accelerating field that is higher than the designed field of 4.1  MV/m by 30%. We describe the frequency-tuning results for the prototype buncher module and its high-power conditioning.

Virtual reality 3D echocardiography in the assessment of tricuspid valve function after surgical closure of ventricular septal defect

NARCIS (Netherlands)

G. Bol-Raap (Goris); A.H.J. Koning (Anton); T.V. Scohy (Thierry); A.D.J. ten Harkel (Arend); F.J. Meijboom (Folkert); A.P. Kappetein (Arie Pieter); P.J. van der Spek (Peter); A.J.J.C. Bogers (Ad)

2007-01-01

textabstractBackground. This study was done to investigate the potential additional role of virtual reality, using three-dimensional (3D) echocardiographic holograms, in the postoperative assessment of tricuspid valve function after surgical closure of ventricular septal defect (VSD). Methods. 12

Augmented of turbulent heat transfer in an annular pipe with abrupt expansion

Directory of Open Access Journals (Sweden)

Togun Hussein

2016-01-01

Full Text Available This paper presents a study of heat transfer to turbulent air flow in the abrupt axisymmetric expansion of an annular pipe. The experimental investigations were performed in the Reynolds number range from 5000 to 30000, the heat flux varied from 1000 to 4000 W/m2, and the expansion ratio was maintained at D/d=1, 1.25, 1.67 and 2. The sudden expansion was created by changing the inner diameter of the entrance pipe to an annular passage. The outer diameter of the inner pipe and the inner diameter of the outer pipe are 2.5 and 10 cm, respectively, where both of the pipes are subjected to uniform heat flux. The distribution of the surface temperature of the test pipe and the local Nusselt number are presented in this investigation. Due to sudden expansion in the cross section of the annular pipe, a separation flow was created, which enhanced the heat transfer. The reduction of the surface temperature on the outer and inner pipes increased with the increase of the expansion ratio and the Reynolds number, and increased with the decrease of the heat flux to the annular pipe. The peak of the local Nusselt number was between 1.64 and 1.7 of the outer and inner pipes for Reynolds numbers varied from 5000 to 30000, and the increase of the local Nusselt number represented the augmentation of the heat transfer rate in the sudden expansion of the annular pipe. This research also showed a maximum heat transfer enhancement of 63-78% for the outer and inner pipes at an expansion ratio of D/d=2 at a Re=30000 and a heat flux of 4000W/m2.

Annular tautomerism: experimental observations and quantum mechanics calculations

Science.gov (United States)

Cruz-Cabeza, Aurora J.; Schreyer, Adrian; Pitt, William R.

2010-06-01

The use of MP2 level quantum mechanical (QM) calculations on isolated heteroaromatic ring systems for the prediction of the tautomeric propensities of whole molecules in a crystalline environment was examined. A Polarisable Continuum Model was used in the calculations to account for environment effects on the tautomeric relative stabilities. The calculated relative energies of tautomers were compared to relative abundances within the Cambridge Structural Database (CSD) and the Protein Data Bank (PDB). The work was focussed on 84 annular tautomeric forms of 34 common ring systems. Good agreement was found between the calculations and the experimental data even if the quantity of these data was limited in many cases. The QM results were compared to those produced by much faster semiempirical calculations. In a search for other sources of the useful experimental data, the relative numbers of known compounds in which prototropic positions were often substituted by heavy atoms were also analysed. A scheme which groups all annular tautomeric transformations into 10 classes was developed. The scheme was designed to encompass a comprehensive set of known and theoretically possible tautomeric ring systems generated as part of a previous study. General trends across analogous ring systems were detected as a result. The calculations and statistics collected on crystallographic data as well as the general trends observed should be useful for the better modelling of annular tautomerism in the applications such as computer-aided drug design, small molecule crystal structure prediction, the naming of compounds and the interpretation of protein—small molecule crystal structures.

Effects of roll waves on annular flow heat transfer at horizontal condenser tube

International Nuclear Information System (INIS)

Kondo, Masaya; Nakamura, Hideo; Anoda, Yoshinari; Sakashita, Akihiro

2002-01-01

Heat removal characteristic of a horizontal in-tube condensation heat exchanger is under investigation to be used for a passive containment cooling system (PCCS) of a next generation-type BWR. Flow regime observed at the inlet of the condenser tube was annular flow, and the local heat transfer rate was ∼20% larger than the prediction by the Dobson-Chato correlation. Roll waves were found to appear on the liquid film in the annular flow. The measured local condensation heat transfer rate was being closely related to the roll waves frequency. Based on these observations, a model is proposed which predicts the condensation heat transfer coefficient for annular flows around the tube inlet. The proposed model predicts well the influences of pressure, local gas-phase velocity and film thickness. (author)

Turbulent Motion of Liquids in Hydraulic Resistances with a Linear Cylindrical Slide-Valve

Directory of Open Access Journals (Sweden)

C. Velescu

2015-01-01

Full Text Available We analyze the motion of viscous and incompressible liquids in the annular space of controllable hydraulic resistances with a cylindrical linear slide-valve. This theoretical study focuses on the turbulent and steady-state motion regimes. The hydraulic resistances mentioned above are the most frequent type of hydraulic resistances used in hydraulic actuators and automation systems. To study the liquids’ motion in the controllable hydraulic resistances with a linear cylindrical slide-valve, the report proposes an original analytic method. This study can similarly be applied to any other type of hydraulic resistance. Another purpose of this study is to determine certain mathematical relationships useful to approach the theoretical functionality of hydraulic resistances with magnetic controllable fluids as incompressible fluids in the presence of a controllable magnetic field. In this report, we established general analytic equations to calculate (i velocity and pressure distributions, (ii average velocity, (iii volume flow rate of the liquid, (iv pressures difference, and (v radial clearance.

Mid-term function and remodeling potential of tissue engineered tricuspid valve

DEFF Research Database (Denmark)

Ropcke, Diana M; Rasmussen, Jonas; Ilkjær, Christine

2018-01-01

. CONCLUSIONS: ECM tricuspid tube grafts were stronger than native leaflet tissue. Histologically, the acellular ECM tube grafts showed evidence of constructive tissue remodeling with endothelialization and connective tissue organization. These findings support the concept of tissue engineering...... at implantation (baseline) compared to native leaflet tissue (0.3 ± 0.02 mg/mm3vs. 0.1 ± 0.03 mg/mm3, p ...). Histologically, ECM valves showed endothelialization, host cell infiltration and structural collagen organization together with elastin generation after six months, indicating tissue remodeling and -engineering together with gradual development of a close-to-native leaflet structure without foreign body response...

Internal fuel motion as an inherent shutdown mechanism for LMFBR accidents: PINEX-3, PINEX-2, and HUT 5-2A experiments

International Nuclear Information System (INIS)

Ferrell, P.C.; Porten, D.R.; Martin, F.J.

1981-01-01

The PINEX-2 experiment verified the concept of axial internal molten fuel motion within annular fuel, representing an inherent shutdown mechanism for hypothetical transient overpower excursions on the order of 5$/s. The PINEX-3 experiment, simulating a 50 cents/s transient overpower, showed that limitations on the effectiveness of fuel motion may arise from freezing of the fuel and blockage of the internal movement. Analysis of these experiments was performed to assess the physical processes that dominate fuel relocation potential and to apply them to prototypic LMFBR pin conditions. Results indicate that internal fuel motion should be reliable as a shutdown mechanism in LMFBR's for a range of reactivity insertion rates beyond presently available experimental data

Study of the diffraction in the microscope: Annular condenser

International Nuclear Information System (INIS)

Ciocci, L; Echarri, R M; Simon, J M

2011-01-01

In this work we study the diffraction in the microscope when an annular condenser is used to illuminate the object. We calculate the point spread function (PSF) for a pinhole in an opaque screen illuminated with an annular condenser, consisting in an 1D array of incoherent point sources. We compare it with the PSF for a self-luminous point object, finding that the central disk of the diffraction pattern is narrower and the first intensity minimum is deeper for illuminated objects. We also analyze the resolution of the system by means of the intensity profile produced by two points objects, finding that two self luminous point objects are better resolved than two illuminated objects at the same distance. This suggests that the correlation introduced in the object diminishes the resolution in the former case.

Annular linear induction pump with an externally supported duct

International Nuclear Information System (INIS)

1980-01-01

An annular linear induction pump of increased efficiency is described, capable of being readily disassembled for repair or replacement of parts, and having one pass flow of the liquid metal through the pump. (U.K.)

All optical detection of picosecond spin-wave dynamics in 2D annular antidot lattice

Science.gov (United States)

Porwal, Nikita; Mondal, Sucheta; Choudhury, Samiran; De, Anulekha; Sinha, Jaivardhan; Barman, Anjan; Datta, Prasanta Kumar

2018-02-01

Novel magnetic structures with precisely controlled dimensions and shapes at the nanoscale have potential applications in spin logic, spintronics and other spin-based communication devices. We report the fabrication of 2D bi-structure magnonic crystal in the form of embedded nanodots in a periodic Ni80Fe20 antidot lattice structure (annular antidot) by focused ion-beam lithography. The spin-wave spectra of the annular antidot sample, studied for the first time by a time-resolved magneto-optic Kerr effect microscopy show a remarkable variation with bias field, which is important for the above device applications. The optically induced spin-wave spectra show multiple modes in the frequency range 14.7 GHz-3.5 GHz due to collective interactions between the dots and antidots as well as the annular elements within the whole array. Numerical simulations qualitatively reproduce the experimental results, and simulated mode profiles reveal the spatial distribution of the spin-wave modes and internal magnetic fields responsible for these observations. It is observed that the internal field strength increases by about 200 Oe inside each dot embedded within the hole of annular antidot lattice as compared to pure antidot lattice and pure dot lattice. The stray field for the annular antidot lattice is found to be significant (0.8 kOe) as opposed to the negligible values of the same for the pure dot lattice and pure antidot lattice. Our findings open up new possibilities for development of novel artificial crystals.

Dynamics of annular bright field imaging in scanning transmission electron microscopy

International Nuclear Information System (INIS)

Findlay, S.D.; Shibata, N.; Sawada, H.; Okunishi, E.; Kondo, Y.; Ikuhara, Y.

2010-01-01

We explore the dynamics of image formation in the so-called annular bright field mode in scanning transmission electron microscopy, whereby an annular detector is used with detector collection range lying within the cone of illumination, i.e. the bright field region. We show that this imaging mode allows us to reliably image both light and heavy columns over a range of thickness and defocus values, and we explain the contrast mechanisms involved. The role of probe and detector aperture sizes is considered, as is the sensitivity of the method to intercolumn spacing and local disorder.

Flow of viscoplastic fluids in eccentric annular geometries

DEFF Research Database (Denmark)

Szabo, Peter; Hassager, Ole

1992-01-01

A classification of flowfields for the flow of a Bingham fluid in general eccentric annular geometries is presented. Simple arguments show that a singularity can exist in the stress gradient on boundaries between zones with yielded and un-yielded fluid respectively. A Finite Element code is used...

Structure of the gas-liquid annular two-phase flow in a nozzle section

International Nuclear Information System (INIS)

Yoshida, Kenji; Kataoka, Isao; Ohmori, Syuichi; Mori, Michitsugu

2006-01-01

Experimental studies on the flow behavior of gas-liquid annular two-phase flow passing through a nozzle section were carried out. This study is concerned with the central steam jet injector for a next generation nuclear reactor. In the central steam jet injector, steam/water annular two-phase flow is formed at the mixing nozzle. To make an appropriate design and to establish the high-performance steam injector system, it is very important to accumulate the fundamental data of the thermo-hydro dynamic characteristics of annular flow passing through a nozzle section. On the other hand, the transient behavior of multiphase flow, in which the interactions between two-phases occur, is one of the most interesting scientific issues and has attracted research attention. In this study, the transient gas-phase turbulence modification in annular flow due to the gas-liquid phase interaction is experimentally investigated. The annular flow passing through a throat section is under the transient state due to the changing cross sectional area of the channel and resultantly the superficial velocities of both phases are changed compared with a fully developed flow in a straight pipe. The measurements for the gas-phase turbulence were precisely performed by using a constant temperature hot-wire anemometer, and made clear the turbulence structure such as velocity profiles, fluctuation velocity profiles. The behavior of the interfacial waves in the liquid film flow such as the ripple or disturbance waves was also observed. The measurements for the liquid film thickness by the electrode needle method were also performed to measure the base film thickness, mean film thickness, maximum film thickness and wave height of the ripple or the disturbance waves. (author)

Axisymmetric annular curtain stability

International Nuclear Information System (INIS)

Ahmed, Zahir U; Khayat, Roger E; Maissa, Philippe; Mathis, Christian

2012-01-01

A temporal stability analysis was carried out to investigate the stability of an axially moving viscous annular liquid jet subject to axisymmetric disturbances in surrounding co-flowing viscous gas media. We investigated in this study the effects of inertia, surface tension, the gas-to-liquid density ratio, the inner-to-outer radius ratio and the gas-to-liquid viscosity ratio on the stability of the jet. With an increase in inertia, the growth rate of the unstable disturbances is found to increase. The dominant (or most unstable) wavenumber decreases with increasing Reynolds number for larger values of the gas-to-liquid viscosity ratio. However, an opposite tendency for the most unstable wavenumber is predicted for small viscosity ratio in the same inertia range. The surrounding gas density, in the presence of viscosity, always reduces the growth rate, hence stabilizing the flow. There exists a critical value of the density ratio above which the flow becomes stable for very small viscosity ratio, whereas for large viscosity ratio, no stable flow appears in the same range of the density ratio. The curvature has a significant destabilizing effect on the thin annular jet, whereas for a relatively thick jet, the maximum growth rate decreases as the inner radius increases, irrespective of the surrounding gas viscosity. The degree of instability increases with Weber number for a relatively large viscosity ratio. In contrast, for small viscosity ratio, the growth rate exhibits a dramatic dependence on the surface tension. There is a small Weber number range, which depends on the viscosity ratio, where the flow is stable. The viscosity ratio always stabilizes the flow. However, the dominant wavenumber increases with increasing viscosity ratio. The range of unstable wavenumbers is affected only by the curvature effect. (paper)

Experimental Observation of Densification Behavior of UO2 Annular Pellet

International Nuclear Information System (INIS)

Kim, Dong-Joo; Rhee, Young-Woo; Kim, Jong-Hun; Yang, Jae-Ho; Kang, Ki-Won; Kim, Keon-Sik

2007-01-01

Recently, in the nuclear industry, one of the major issues is the improvement of a fuel economy. And many efforts have been made to develop a nuclear fuel for a high burnup and extended cycle. In the development of a high performance fuel, in-reactor fuel behavior (fission gas release, pellet-clad interaction, stress corrosion cracking, cladding corrosion, etc.) must be seriously reconsidered. Also, fuel fabrication (high enriched UO 2 powder handling, fuel rod and assembly manufacturing, fabricated fuel rod and assembly storage and transport, etc.) and an enrichment process (5 w/o criticality limit, etc.) must be discussed. A modification and an improvement of the nuclear fuel system will be also required. The typical fuel geometry of a PWR (Pressurized Water Reactor) is composed of a cylindrical pellet with a tubular cladding. And the outer surface of the cladding is cooled with water. However, to allow a substantial increase in the power density, an additional cooling is needed. One of the best ways is the application of the new fuel geometry that is of annular shape and has both internal and external cooling. From this point of view, the double cooled fuel is being developed by KAERI (Korea Atomic Energy Research Institute), and as a part of the project, the development of a fabrication process of a UO 2 annular pellet is now in progress. The dimensional behavior of UO 2 fuel is an important parameter in an irradiation performance. Various investigations (resintering test, model calculation, in-pile dimensional change measuring, etc.) had been performed. In designing a double cooled fuel, the importance of the dimensional behavior of a fuel pellet is higher, because the gap distance between a pellet and cladding can considerably affect on the in reactor fuel performance (gap conductance). And the dimensional behavior of an inner/outer gap is different with a cylindrical pellet, when the pellet shrinks (densification), the inner gap distance decreases and the

Supra-annular valve strategy for an early degenerated transcatheter balloon-expandable heart valve.

Science.gov (United States)

Kamioka, Norihiko; Caughron, Hope; Corrigan, Frank; Block, Peter; Babaliaros, Vasilis

2018-01-23

Currently, there are no recommendations regarding the selection of valve type for a transcatheter heart valve (THV)-in-THV procedure. A supra-annular valve design may be superior in that it results in a larger effective orifice area and may have a lower chance of valve thrombosis after THV-in-THV. In this report, we describe the use of a supra-annular valve strategy for an early degenerated THV. © 2018 Wiley Periodicals, Inc.

Situs inversus totalis associated with subaortic stenosis, restrictive ventricular septal defect, and tricuspid dysplasia in an adult dog.

Science.gov (United States)

Piantedosi, Diego; Cortese, Laura; Meomartino, Leonardo; Di Loria, Antonio; Ciaramella, Paolo

2011-11-01

A rare association between situs inversus totalis (SIT), restrictive ventricular septal defect, severe subaortic stenosis, and tricuspid dysplasia was observed in an adult mixed-breed dog. Primary ciliary dyskinesia and Kartagener's syndrome were excluded. After 15 mo the dog died suddenly. The association between SIT and congenital heart diseases is discussed.

Droplets in annular-dispersed gas-liquid pipe-flows

NARCIS (Netherlands)

Van 't Westende, J.M.C.

2008-01-01

Annular-dispersed gas-liquid pipe-flows are commonly encountered in many industrial applications, and have already been studied for many decades. However, due to the great complexity of this type of flow, there are still many phenomena that are poorly understood. The aim of this thesis is to shed

The limitations on applying classical thin plate theory to thin annular plates clamped on the inner boundary

Directory of Open Access Journals (Sweden)

Daniel W. Zietlow

2012-12-01

Full Text Available The experimentally measured resonance frequencies of a thin annular plate with a small ratio of inner to outer radii and clamped on the inner boundary are compared to the predictions of classical thin-plate (CTP theory and a finite-element (FE model. The results indicate that, contrary to the conclusions presented in a number of publications, CTP theory does not accurately predict the frequencies of a relatively small number of resonant modes at lower frequencies. It is shown that these inaccuracies are attributable to shear deformations, which are thought to be negligible in thin plates and are neglected in CTP theory. Of particular interest is the failure of CTP theory to accurately predict the resonance frequency of the lowest vibrational mode, which was shifted approximately 30% by shear motion at the inner boundary.

Tricuspid valve endocarditis

Science.gov (United States)

Hussain, Syed T.; Witten, James; Shrestha, Nabin K.; Blackstone, Eugene H.

2017-01-01

Right-sided infective endocarditis (RSIE) is less common than left-sided infective endocarditis (IE), encompassing only 5–10% of cases of IE. Ninety percent of RSIE involves the tricuspid valve (TV). Given the relatively small numbers of TVIE cases operated on at most institutions, the purpose of this review is to highlight and discuss the current understanding of IE involving the TV. RSIE and TVIE are strongly associated with intravenous drug use (IVDU), although pacemaker leads, defibrillator leads and vascular access for dialysis are also major risk factors. Staphylococcus aureus is the predominant causative organism in TVIE. Most patients with TVIE are successfully treated with antibiotics, however, 5–16% of RSIE cases eventually require surgical intervention. Indications and timing for surgery are less clear than for left-sided IE; surgery is primarily considered for failed medical therapy, large vegetations and septic pulmonary embolism, and less often for TV regurgitation and heart failure. Most patients with an infected prosthetic TV will require surgery. Concomitant left-sided IE has its own surgical indications. Earlier surgical intervention may potentially prevent further destruction of leaflet tissue and increase the likelihood of TV repair. Fortunately, TV debridement and repair can be accomplished in most cases, even those with extensive valve destruction, using a variety of techniques. Valve repair is advocated over replacement, particularly in IVDUs patients who are young, non-compliant and have a higher risk of recurrent infection and reoperation with valve replacement. Excising the valve without replacing, it is not advocated; it has been reported previously, but these patients are likely to be symptomatic, particularly in cases with septic pulmonary embolism and increased pulmonary vascular resistance. Patients with concomitant left-sided involvement have worse prognosis than those with RSIE alone, due predominantly to greater likelihood of

Droplet sizes, dynamics and deposition in vertical annular flow

International Nuclear Information System (INIS)

Lopes, J.C.B.; Dukler, A.E.

1985-10-01

The role of droplets in vertical upwards annular flow is investigated, focusing on the droplet size distributions, dynamics, and deposition phenomena. An experimental program was performed based on a new laser optical technique developed in these laboratories and implemented here for annular flow. This permitted the simultaneous measurement of droplet size, axial and radial velocity. The dependence of droplet size distributions on flow conditions is analyzed. The Upper-Log Normal function proves to be a good model for the size distribution. The mechanism controlling the maximum stable drop size was found to result from the interaction of the pressure fluctuations of the turbulent flow of the gas core with the droplet. The average axial droplet velocity showed a weak dependence on gas rates. This can be explained once the droplet size distribution and droplet size-velocity relationship are analyzed simultaneously. The surprising result from the droplet conditional analysis is that larger droplet travel faster than smaller ones. This dependence cannot be explained if the drag curves used do not take into account the high levels of turbulence present in the gas core in annular flow. If these are considered, then interesting new situations of multiplicity and stability of droplet terminal velocities are encountered. Also, the observed size-velocity relationship can be explained. A droplet deposition is formulated based on the particle inertia control. This permitted the calculation of rates of drop deposition directly from the droplet size and velocities data

Geometric size optimization and behavior analysis of a dual-cooled annular fuel

International Nuclear Information System (INIS)

Deng Yangbin; Wu Yingwei; Zhang Dalin; Tian Wenxi; Qiu Suizheng; Su Guanghui; Zhang Weixu; Wu Junmei

2014-01-01

The dual-cooled annular fuel is one of the innovative fuel concepts, which allows substantial power density increase while maintaining safety margins comparing with that used in currently operating PWRs. In this study, a thermal-hydraulic calculation code, on the basis of inner and outer cooling balance theory, was independently developed to optimize the geometric size of dual-cooled annular fuel elements. The optimization results show that the fuel element with the optimal geometric sizes presents fantastic symmetry in temperature distribution. The optimized geometric sizes agree well with the sizes obtained by MIT (Massachusetts Institute of Technology), which on the other side validates the code reliability and accuracy as well. In addition, a thermo-mechanical-burnup coupling code was developed to study the thermodynamic and mechanical characteristics of fuel elements with considering the irradiation and burnup effects. This coupling program was applied to perform the behavior analysis of annular fuels. The calculation results show that, when the power density increases on the order of up to 50%, the dual-cooled annular fuel elements have much lower fuel temperature and much less fission gas release comparing with conventional fuel rods. Furthermore, the results indicate that the thicknesses of inner and outer gas gap cannot remain the same with the burnup increasing due to the mechanical deformations of fuel pellets and claddings, which results in significantly asymmetric temperature distribution especially at the last phase of burnup. (author)

Analysis of clad motion during a loss of flow (LOF) accident in a fast sodium cooled reactor

International Nuclear Information System (INIS)

Henkel, P.

1985-10-01

A new model describing clad motion during a Loss of Flow (LOF) accident in a Liquid Metal Cooled Fast (Breeder) Reactor (LMFBR) is presented. Its special features are Clad motion is treated within a fuel pin bundle. The bundle geometry is represented by an equivalent annular geometry which serves as the descriptional basis for the clad motion analysis; Several flow regimes are considered. These include a wave or film flow along the fuel pin surfaces as well as a drop flow within the coolant channels. A new entrainment criterion is successfully applied to describe the entrainment of molten cladding and the coolant flow is modelled as a two-dimensional, monstationary flow. Therefore, radial cross flows in a pin bundle can be calculated. Especially, thermal incoherency effects can be treated consistently. The analysis of clad motion in the two experiments STAR1 and STAR2 using the subsequently presented SANDCMOT model gives good agreement with the experimental data. (orig.) [de

Effect of personalized external aortic root support on aortic root motion and distension in Marfan syndrome patients.

Science.gov (United States)

Izgi, Cemil; Nyktari, Evangelia; Alpendurada, Francisco; Bruengger, Annina Studer; Pepper, John; Treasure, Tom; Mohiaddin, Raad

2015-10-15

Personalized external aortic root support (PEARS) is a novel surgical approach with the aim of stabilizing the aortic root size and decreasing risk of dissection in Marfan syndrome patients. A bespoke polymer mesh tailored to each patient's individual aorta shape is produced by modeling and then surgically implanted. The aim of this study is to assess the mechanical effects of PEARS on the aortic root systolic downward motion (an important determinant of aortic wall stress), aortic root distension and on the left ventricle (LV). A cohort of 27 Marfan patients had a prophylactic PEARS surgery between 2004 and 2012 with 24 having preoperative and follow-up cardiovascular magnetic resonance imaging studies. Systolic downward aortic root motion, aortic root distension, LV volumes/mass and mitral annular systolic excursion before the operation and in the latest follow-up were measured randomly and blinded. After a median follow-up of 50.5 (IQR 25.5-72) months following implantation of PEARS, systolic downward motion of aortic root was significantly decreased (12.6±3.6mm pre-operation vs 7.9±2.9mm latest follow-up, p<0.00001). There was a tendency for a decrease in systolic aortic root distension but this was not significant (median 4.5% vs 2%, p=0.35). There was no significant change in LV volumes, ejection fraction, mass and mitral annular systolic excursion in follow-up. PEARS surgery decreases systolic downward aortic root motion which is an important determinant of longitudinal aortic wall stress. Aortic wall distension and Windkessel function are not significantly impaired in the follow-up after implantation of the mesh which is also supported by the lack of deterioration of LV volumes or mass. Crown Copyright © 2015. Published by Elsevier Ireland Ltd. All rights reserved.

Mechanical deformation and glycosaminoglycan content changes in a rabbit annular puncture disc degeneration model.

Science.gov (United States)

Chan, Deva D; Khan, Safdar N; Ye, Xiaojing; Curtiss, Shane B; Gupta, Munish C; Klineberg, Eric O; Neu, Corey P

2011-08-15

Evaluation of degenerated intervertebral discs from a rabbit annular puncture model by using specialized magnetic resonance imaging (MRI) techniques, including displacement encoding with stimulated echoes and a fast-spin echo (DENSE-FSE) acquisition and delayed gadolinium-enhanced MRI of cartilage (dGEMRIC). To evaluate a rabbit disc degeneration model by using various MRI techniques. To determine the displacements and strains, spin-lattice relaxation time (T1), and glycosaminoglycan (GAG) distribution of degenerated discs as compared to normal and adjacent level discs. Annular puncture of the intervertebral disc produces disc degeneration in rabbits. DENSE-FSE has been previously demonstrated in articular cartilage for the measurement of soft tissue displacements and strains. MRI also can measure the T1 of tissue, and dGEMRIC can quantify GAG concentration in cartilage. METHODS.: In eight New Zealand white rabbits, the annulus fibrosis of a lumbar disc was punctured. After 4 weeks, the punctured and cranially adjacent motion segments were isolated for MRI and histology. MRI was used to estimate the disc volume and map T1. DENSE-FSE was used to determine displacements for the estimation of strains. dGEMRIC was then used to determine GAG distributions. Histology and standard MRI indicated degeneration in punctured discs. Disc volume increased significantly at 4 weeks after the puncture. Displacement of the nucleus pulposus was distinct from that of the annulus fibrosis in most untreated discs but not in punctured discs. T1 was significantly higher and GAG concentration significantly lower in punctured discs compared with untreated adjacent level discs. Noninvasive and quantitative MRI techniques can be used to evaluate the mechanical and biochemical changes that occur with animal models of disc degeneration. DENSE-FSE, dGEMRIC, and similar techniques have potential for evaluating the progression of disc degeneration and the efficacy of treatments.

Some optical properties of one dimensional annular photonic crystal with plasma frequency

Science.gov (United States)

Pandeya, G. N.; Thapa, Khem B.

2018-05-01

This paper presents the reflection bands, photonic band gaps, of the one-dimensional annul photonic crystal (APC) containing double negative (DNG) metamaterials and air. The proposed annular structure consists of the alternate layers of dispersive DNG material and air immersed in free space. The reflectance properties of the APC by employing the transfer matrix method (TMM) in the cylindrical waves for TE polarization is studied theoretically. In addition of this, we have also studied the effect of plasma frequency on the reflection behavior of the considered annular structure.

Tricuspid valve dysplasia and Ebstein's anomaly in dogs: case report Displasia da valva tricúspide e anomalia de Ebstein em cães: relato de caso

Directory of Open Access Journals (Sweden)

M.G. Sousa

2006-10-01

Full Text Available Two cases of tricuspid valve dysplasia are reported. Dogs were presented for evaluation of weakness and ascites. In both cases, echocardiography disclosed tricuspid insufficiency and, in one of them, tricuspid leaflets also were displaced down into the right ventricle, substantiating Ebstein's anomaly. Medical therapy for congestive heart failure was initiated. One of the dogs suddenly died shortly after diagnosis was established. Although the other dog recovered much better initially, sudden death also occurred. Post-mortem examinations showed right atrioventricular enlargement, and thickened tricuspid leaflets. Clinical features, diagnostic methods and medical therapy are discussed in this paper.Dois casos de displasia da valva tricúspide são relatados neste trabalho. Os cães foram avaliados devido à fraqueza e presença de ascite. Em ambos os casos, o exame ecocardiográfico mostrou insuficiência tricúspide e, em um deles, a inserção dos folhetos da valva tricúspide encontrava-se deslocada para baixo do ventrículo direito, caracterizando a anomalia de Ebstein. A terapia medicamentosa para insuficiência cardíaca congestiva foi iniciada, mas um dos animais veio a óbito subitamente alguns dias após o diagnóstico. O outro cão, apesar de inicialmente ter apresentado melhora significativa do quadro clínico, apresentou morte súbita. A necropsia dos animais revelou dilatação atrioventricular direita e folhetos tricúspides espessados. As características clínicas, métodos de diagnóstico e terapia medicamentosa são discutidas neste artigo.

Tc-99m-HMPAO-Labeled leukocyte SPECT/CT in pediatrics: detecting Candida albicans tricuspid endocarditis

Energy Technology Data Exchange (ETDEWEB)

Calais, Jeremie; Edet-Sanson, Agathe; Gaucher, Stephane; Vera, Pierre; Cloirec, Joseph Le [Henri Becquerel Cancer Center and Rouen Univ. Hospital, Rouen (France)

2015-12-15

These results led to performing TEE, which showed tricuspid vegetation. Blood cultures were then positive to Candida albicans. Control blood cultures and TEE performed 6 weeks later after adapted antifungal therapy remained negative. In accordance with the results of Erba and al., this case illustrates the usefulness of late thoracic SPECT-CT acquisition of a WBC scan in a patient with high clinical suspicion of endocarditis and identified risk factors but inconclusive echocardiographic findings.

Tc-99m-HMPAO-Labeled leukocyte SPECT/CT in pediatrics: detecting Candida albicans tricuspid endocarditis

International Nuclear Information System (INIS)

Calais, Jeremie; Edet-Sanson, Agathe; Gaucher, Stephane; Vera, Pierre; Cloirec, Joseph Le

2015-01-01

These results led to performing TEE, which showed tricuspid vegetation. Blood cultures were then positive to Candida albicans. Control blood cultures and TEE performed 6 weeks later after adapted antifungal therapy remained negative. In accordance with the results of Erba and al., this case illustrates the usefulness of late thoracic SPECT-CT acquisition of a WBC scan in a patient with high clinical suspicion of endocarditis and identified risk factors but inconclusive echocardiographic findings

Situs inversus totalis associated with subaortic stenosis, restrictive ventricular septal defect, and tricuspid dysplasia in an adult dog

OpenAIRE

Piantedosi, Diego; Cortese, Laura; Meomartino, Leonardo; Di Loria, Antonio; Ciaramella, Paolo

2011-01-01

A rare association between situs inversus totalis (SIT), restrictive ventricular septal defect, severe subaortic stenosis, and tricuspid dysplasia was observed in an adult mixed-breed dog. Primary ciliary dyskinesia and Kartagener’s syndrome were excluded. After 15 mo the dog died suddenly. The association between SIT and congenital heart diseases is discussed.

Shut-down margin study for the next generation VVER-1000 reactor including 13 x 13 hexagonal annular assemblies

International Nuclear Information System (INIS)

Faghihi, Farshad; Mirvakili, S. Mohammad

2011-01-01

Highlights: → Shut-Down Margin (SDM) for the next generation annular fuel core of typical VVER-1000, 13 x 13 assemblies are calculated. → The MCNP-5 code is run for many cases with different core burn up at various core temperatures. → There is a substantial drop in SDM in the case of annular fuel for the same power level. → SDM for our proposed VVER-1000 annular pins is calculated for specific average fuel burn up values at the BOC, MOC, and EOC. - Abstract: Shut-Down Margin (SDM) for the next generation annular fuel core of typical VVER-1000, 13 x 13 assemblies are calculated as the main aim of the present research. We have applied the MCNP-5 code for many cases with different values of core burn up at various core temperatures, and therefore their corresponding coolant densities and boric acid concentrations. There is a substantial drop in SDM in the case of annular fuel for the same power level. Specifically, SDM for our proposed VVER-1000 annular pins is calculated when the average fuel burn up values at the BOC, MOC, and EOC are 0.531, 11.5, and 43 MW-days/kg-U, respectively.

Supercritical heat transfer in an annular channel with external heating

International Nuclear Information System (INIS)

Remizov, O.V.; Gal'chenko, Eh.F.; Shurkin, N.G.; Sergeev, V.V.

1980-01-01

Results are presented of experimental studies of the burnout heat transfer in a 32x28x3000 mm annular channel with a uniform distribution of a heat flow at pressures of 6.9-19.6 MPa and mass rates of 350-1000 kg/m 2 xs. The heating is electrical, external, one-sided. It is shown that dependencies of the heat-transfer coefficient on rated parameters in the annular channel and tube are similar. An empirical equation has been obtained for the calculation of the burnout heat transfer in the annual channels with external heating in the following range: pressure, 6.9 -13.7 MPa; mass rate 350-700 kg/m 2 xs, and steam content ranging from Xsub(crit) to 1

Annular pigment band on the posterior capsule following blunt ocular trauma: a case report

Directory of Open Access Journals (Sweden)

Harrison Rosalind J

2005-06-01

Full Text Available Abstract Background To report an unusual case of annular pigment band on the posterior capsule following blunt ocular trauma. Case presentation We describe an annular pigment band on the posterior capsule following blunt ocular trauma in a 28-year old male patient. Repeat examinations revealed no evidence of other signs of blunt ocular trauma or pigment dispersion syndrome in either eye. Conclusion The annular pigment band in this case corresponds to the adherence of the hyaloideocapsulare ligament to the posterior capsule and reconfirms its rare visualization in the living eye. This finding may be an isolated sign of blunt ocular trauma and a compromised integrity of the vitreolenticular interface should be strongly suspected. We recommend careful documentation in context of future cataract surgery in these eyes.

Propagating annular modes

Science.gov (United States)

Sheshadri, A.; Plumb, R. A.

2017-12-01

The leading "annular mode", defined as the dominant EOF of surface pressure or of zonal mean zonal wind variability, appears as a dipolar structure straddling the mean midlatitude jet and thus seems to describe north-south wobbling of the jet latitude. However, extratropical zonal wind anomalies frequently tend to migrate poleward. This behavior can be described by the first two EOFs, the first (AM1) being the dipolar structure, and the second (AM2) having a tripolar structure centered on the mean jet. Taken in isolation, AM1 thus describes a north-south wobbling of the jet position, while AM2 describes a strengthening and narrowing of the jet. However, despite the fact that they are spatially orthogonal, and their corresponding time series temporally orthogonal, AM1 and AM2 are not independent, but show significant lag-correlations which reveal the propagation. The EOFs are not modes of the underlying dynamical system governing the zonal flow evolution. The true modes can be estimated using principal oscillation pattern (POP) analysis. In the troposphere, the leading POPs manifest themselves as a pair of complex conjugate structures with conjugate eigenvalues thus, in reality, constituting a single, complex, mode that describes propagating anomalies. Even though the principal components associated with the two leading EOFs decay at different rates, each decays faster than the true mode. These facts have implications for eddy feedback and the susceptibility of the mode to external perturbations. If one interprets the annular modes as the modes of the system, then simple theory predicts that the response to steady forcing will usually be dominated by AM1 (with the longest time scale). However, such arguments should really be applied to the true modes. Experiments with a simplified GCM show that climate response to perturbations do not necessarily have AM1 structures. Implications of these results for stratosphere-troposphere interactions are explored. The POP

An iterative method for the solution of nonlinear systems using the Faber polynomials for annular sectors

Energy Technology Data Exchange (ETDEWEB)

Myers, N.J. [Univ. of Durham (United Kingdom)

1994-12-31

The author gives a hybrid method for the iterative solution of linear systems of equations Ax = b, where the matrix (A) is nonsingular, sparse and nonsymmetric. As in a method developed by Starke and Varga the method begins with a number of steps of the Arnoldi method to produce some information on the location of the spectrum of A. This method then switches to an iterative method based on the Faber polynomials for an annular sector placed around these eigenvalue estimates. The Faber polynomials for an annular sector are used because, firstly an annular sector can easily be placed around any eigenvalue estimates bounded away from zero, and secondly the Faber polynomials are known analytically for an annular sector. Finally the author gives three numerical examples, two of which allow comparison with Starke and Varga`s results. The third is an example of a matrix for which many iterative methods would fall, but this method converges.

Isolated native tricuspid valve endocarditis presenting as PUO in a young adult male without any risk factors

Directory of Open Access Journals (Sweden)

Piyush Ranjan

2015-01-01

Full Text Available A 28-year-old male presented to our hospital with high-grade fever and weight loss for 4 months. Clinical examination was non-contributory and there was no history of any high-risk behavior or prolonged skin or dental infections. Native tricuspid-valve endocarditis may rarely present in these settings and high index of suspicion is essential for early diagnosis.

Hydrodynamics of adiabatic inverted annular flow: an experimental study

International Nuclear Information System (INIS)

De Jarlais, G.; Ishii, M.

1983-01-01

For low-quality film boiling in tubes or rod bundles, the flow pattern may consist of a liquid jet-like core surrounded by a vapor annulus, i.e., inverted annular flow. The stability, shape, and break-up mechanisms of this liquid core must be understood in order to model correctly this regime and to develop appropriate interfacial transfer correlations. This paper reports on a study in which inverted annular flow was simulated in an adiabatic system. Turbulent water jets, issuing downward from long-aspect nozzles were enclosed within cocurrent gas annuli. Jet-core diameter and velocity, and gas-annulus diameter, velocity, and species were varied, yielding liquid Reynolds numbers up to 33,000, void fractions from 0.29 to 0.95, and relative velocities from near zero to over 80 m/s. Jet-core break-up lengths and secondarily, core break-up mechanisms, were observed visually, using strobe lighting

Echocardiographic assessment of right ventricular functions in healthy subjects who migrated from the sea level to a moderate altitude.

Science.gov (United States)

Arısoy, Arif; Topçu, Selim; Demirelli, Selami; Altunkaş, Fatih; Karayakalı, Metin; Çelik, Ataç; Tanboğa, İbrahim Halil; Aksakal, Enbiya; Sevimli, Serdar; Gürlertop, Hanefi Yekta

2015-11-25

The aim of this study was to evaluate right ventricle (RV) functions using echocardiography in healthy subjects who migrated from the sea level to moderate altitude (1890 m). The prospective observational in this study population consisted of 33 healthy subjects (23 men; mean age 20.4±3.2 years) who migrated from the sea level to a moderate altitude (Erzurum city centre, 1890 m above sea level) for long-term stay. Subjects underwent echocardiographic evaluation within the first 48 h of exposure to the moderate altitude and at the sixth month of arrival. Conventional echocardiographic parameters such as RV sizes and areas, systolic, and diastolic functional indices [fractional area change (FAC), tricuspid flow velocities, myocardial performance index (MPI), and tricuspid annular plane systolic excursion (TAPSE)] were obtained. Systolic (S) and diastolic (E', A') velocities were acquired from the apical fourchamber view using tissue Doppler imaging. Kolmogorov-Smirnov test, student's t-test, Wilcoxon test, and chi-square test were used in this study. There were no significant changes in RV size, FAC, MPI, TAPSE, inferior inspiratory vena cava collapse, tricuspid E velocity, and tricuspid annulus E' velocity. Compared with the baseline, there was a significant increase in mean pulmonary artery pressure (p=0.001); RV end systolic area (p=0.014); right atrial end diastolic area (p=0.021); tricuspid A velocity (p=0.013); tricuspid annulus S and A' velocity (p=0.031 and p=0.006, respectively); and RV free wall S, E', and A' velocity (p=0.007, pa significant decrease in tricuspid E/A ratio (1.61±0.3 vs. 1.45±0.2, p=0.038) and tricuspid annulus E'/A' ratio (1.52±0.5 vs. 1.23±0.4, p=0.002) at the sixth month. Our study revealed that right ventricular diastolic function was altered while the systolic function was preserved in healthy subjects who migrated from the sea level to a moderate altitude.

Concordance and reproducibility between M-mode, tissue Doppler imaging, and two-dimensional strain imaging in the assessment of mitral annular displacement and velocity in patients with various heart conditions

DEFF Research Database (Denmark)

de Knegt, Martina Chantal; Biering-Sorensen, Tor; Sogaard, Peter

2014-01-01

AIMS: Mitral annular (MA) displacement reflects longitudinal left ventricular (LV) deformation and systolic velocity measurements reflect the rate of contraction; both are valuable in the diagnosis and prognosis of cardiac disease. The aim of this study was to test the agreement and reproducibility...... between motion mode (M-mode), colour tissue Doppler imaging (TDI), and two-dimensional strain imaging (2DSI) when measuring MA displacement and systolic velocity. METHODS AND RESULTS: Using GE Healthcare Vivid 7 and E9 and Echopac BT11 software, MA displacement and velocity measurements by 2DSI, TDI...

Modeling of Focused Acoustic Field of a Concave Multi-annular Phased Array Using Spheroidal Beam Equation

Science.gov (United States)

Yu, Li-Li; Shou, Wen-De; Hui, Chun

2012-02-01

A theoretical model of focused acoustic field for a multi-annular phased array on concave spherical surface is proposed. In this model, the source boundary conditions of the spheroidal beam equation (SBE) for multi-annular phased elements are studied. Acoustic field calculated by the dynamic focusing model of SBE is compared with numerical results of the O'Neil and Khokhlov—Zabolotskaya—Kuznetsov (KZK) model, respectively. Axial dynamic focusing and the harmonic effects are presented. The results demonstrate that the dynamic focusing model of SBE is good valid for a concave multi-annular phased array with a large aperture angle in the linear or nonlinear field.

Laser Doppler velocimeter measurements and laser sheet imaging in an annular combustor model. M.S. Thesis, Final Report

Science.gov (United States)

Dwenger, Richard Dale

1995-01-01

An experimental study was conducted in annular combustor model to provide a better understanding of the flowfield. Combustor model configurations consisting of primary jets only, annular jets only, and a combination of annular and primary jets were investigated. The purpose of this research was to provide a better understanding of combustor flows and to provide a data base for comparison with computational models. The first part of this research used a laser Doppler velocimeter to measure mean velocity and statistically calculate root-mean-square velocity in two coordinate directions. From this data, one Reynolds shear stress component and a two-dimensional turbulent kinetic energy term was determined. Major features of the flowfield included recirculating flow, primary and annular jet interaction, and high turbulence. The most pronounced result from this data was the effect the primary jets had on the flowfield. The primary jets were seen to reduce flow asymmetries, create larger recirculation zones, and higher turbulence levels. The second part of this research used a technique called marker nephelometry to provide mean concentration values in the combustor. Results showed the flow to be very turbulent and unsteady. All configurations investigated were highly sensitive to alignment of the primary and annular jets in the model and inlet conditions. Any imbalance between primary jets or misalignment of the annular jets caused severe flow asymmetries.

Generation of annular, high-charge electron beams at the Argonne wakefield accelerator

Science.gov (United States)

Wisniewski, E. E.; Li, C.; Gai, W.; Power, J.

2013-01-01

We present and discuss the results from the experimental generation of high-charge annular(ring-shaped)electron beams at the Argonne Wakefield Accelerator (AWA). These beams were produced by using laser masks to project annular laser profiles of various inner and outer diameters onto the photocathode of an RF gun. The ring beam is accelerated to 15 MeV, then it is imaged by means of solenoid lenses. Transverse profiles are compared for different solenoid settings. Discussion includes a comparison with Parmela simulations, some applications of high-charge ring beams,and an outline of a planned extension of this study.

Generation of annular, high-charge electron beams at the Argonne wakefield accelerator

Science.gov (United States)

Wisniewski, E. E.; Li, C.; Gai, W.; Power, J.

2012-12-01

We present and discuss the results from the experimental generation of high-charge annular(ring-shaped)electron beams at the Argonne Wakefield Accelerator (AWA). These beams were produced by using laser masks to project annular laser profiles of various inner and outer diameters onto the photocathode of an RF gun. The ring beam is accelerated to 15 MeV, then it is imaged by means of solenoid lenses. Transverse profiles are compared for different solenoid settings. Discussion includes a comparison with Parmela simulations, some applications of high-charge ring beams,and an outline of a planned extension of this study.

The influence of thickness and viscosity of liquid annular layer on dynamic behavior of cylindrical shell

International Nuclear Information System (INIS)

Kuzelka, V.; Neuman, F.; Pecinka, L.

1983-01-01

This paper presents the results of experiments concerning the influence of thickness and viscosity of inner and outer annular layers of a liquid on the dynamic behaviour of a cylindrical shell, and a mathematical model of the problem based on acoustic approach is formulated to compare experimental and theoretical results. The measurements of natural frequencies and of damping ratios of a cylindrical shell were carried out with water and with two kinds of mineral oils of different viscosities. The results point towards the fact that with a decreasing thickness of the liquid layer the influence of the added liquid mass increases and the frequency drop is higher. On the other hand there is a certain relative magnitude of the surrounding medium at which the system behaves as an unlimited one. This magnitude depends on the mode order. The statement that the lesser is the thickness of the annular liquid layer the more important is its influence and the larger is the added liquid mass holds up to a certain thickness of the gap, comparable with the thickness of the thin liquid layer on the surface of the shell in which there has not yet been formed a transverse wave. The flowing in this layer is not potential. The governing equation for the description of this problem then is not Euler equation but Stokes's and Helmholtz's theorems for whirling motion. The thickness of the surface layer depends on the viscosity of the liquid. The frequencies measured for the least gap for water were well identified, while for both the mineral oils were chaotical, without any conspicuous resonances. (orig./GL)

Numerical simulation and experimental research for the natural convection in an annular space in LMFBR

International Nuclear Information System (INIS)

Wang Zhou; Luo Rui; Yang Xianyong; Liang Taofeng

1999-01-01

In a pool fast reactor, the roof structure is penetrated by a number of pumps and heat exchanger units to form some annular spaces with various sizes. The natural convection of argon gas happens in the pool sky and the small annular gaps between those components and the roof containment due to thermosiphonic effects. The natural convection is studied experimentally and numerically to predict the temperature distributions inside the annular space and its surrounding structure. Numerical simulation is performed by using LVEL turbulence model and extending computational domain to the entire pool sky. The predicted results are in fair agreement with the experimental data. In comparison with commonly used k-ε model, LVEL model has better accuracy for the turbulent flow in a gap space

Study on application of two-fluid model in narrow annular channel

International Nuclear Information System (INIS)

Chen Jun; Yang Yanhua; Zhao Hua

2007-01-01

The Chexal-Harrison two-phase wall and inter-phase friction models developed by EPRI newly and the simple two-phase wall and inter-phase heat transfer models put forward by the paper are used to set up the two-fluid model which is fitted for boiling heat transfer and flow in narrow annular channel. On the base of the two-fluid model, a thermal hydraulic code-THYME is accomplished. Then the thermal hydraulic characteristic of narrow annular channel is analyzed by RELAP5/MOD3.2 code and THYME code. Compared with experimental data, RELAP5/MOD3.2 underestimates the outlet steam, and the results of THYME is agreed with the experimental data. (authors)

Investigations on post-dryout heat transfer in bilaterally heated annular channels

International Nuclear Information System (INIS)

Tian, W.X.; Qiu, S.Z.; Jia, D.N.

2006-01-01

Post-dryout heat transfer in bilaterally heated vertical narrow annular channels with 1.0, 1.5 and 2.0 mm gap size has been experimentally investigated with deionized water under the condition of pressure ranging from 1.38 to 5.9 MPa and low mass flow rate from 42.9 to 150.2 kg/m 2 s. The experimental data was compared with well known empirical correlations including Groeneveld, Mattson, etc., and none of them gave an ideal prediction. Theoretical investigations were also carried out on post-dryout heat transfer in annular channels. Based on analysis of heat exchange processes arising among the droplets, the vapor and two tube walls of annular channel, a non-equilibrium mechanistic heat transfer model was developed. Comparison indicated that the present model prediction showed a good agreement with our experimental data. Theoretical calculation result showed that the forced convective heat transfer between the heated wall and vapor dominate the overall heat transfer. The heat transfer caused by the droplets direct contact to the wall and the interfacial convection/evaporation of droplets in superheated vapors also had an indispensable contribution. The radiation heat transfer would be neglected because of its small contribution (less than 0.11%) to the total heat transfer

Time evolution of propagating nonpremixed flames in a counterflow, annular slot burner under AC electric fields

KAUST Repository

Tran, Vu Manh

2016-06-19

The mechanism behind improved flame propagation speeds under electric fields is not yet fully understood. Although evidence supports that ion movements cause ionic wind, how this wind affects flame propagation has not been addressed. Here, we apply alternating current electric fields to a gap between the upper and lower parts of a counterflow, annular slot burner and present the characteristics of the propagating nonpremixed edge-flames produced. Contrary to many other previous studies, flame displacement speed decreased with applied AC voltage, and, depending on the applied AC frequency, the trailing flame body took on an oscillatory wavy motion. When flame displacement speeds were corrected using measured unburned flow velocities, we found no significant difference in flame propagation speeds, indicating no thermal or chemical effects by electric fields on the burning velocity. Thus, we conclude that the generation of bidirectional ionic wind is responsible for the impact of electric fields on flames and that an interaction between this bidirectional ionic wind and the flame parameters creates visible and/or measurable phenomenological effects. We also explain that the presence of trailing flame bodies is a dynamic response to an electric body force on a reaction zone, an area that can be considered to have a net positively charged volume. In addition, we characterize the wavy motion of the transient flame as a relaxation time independent of mixture strength, strain rate, and Lewis number.

A Compact Annular Ring Microstrip Antenna for WSN Applications

Directory of Open Access Journals (Sweden)

Daihua Wang

2012-06-01

Full Text Available A compact annular ring microstrip antenna was proposed for a wireless sensor network (WSN application in the 2.4 GHz band. In this paper the major considerations of the conformal antenna design were the compact size and the impact on antenna’s performance of a steel installation base. By using a chip resistor of large resistance (120 Ω the antenna size was reduced to 38% of that a conventional annular ring patch antenna. With the addition of the steel installation base the resonant frequency of the antenna increases about 4.2% and the bandwidth reduces from 17.5% to 11.7% by adjusting the load resistance simultaneously. Several key parameters were discussed and optimized, and the antenna was fabricated and its performance measured. The antenna is well matched at 2.4 GHz with 34.2 dB return loss and –2.5 dBi peak gain. Meanwhile, it exhibits excellent radiation patterns with very low cross-polarization levels.

Deep local and regional hyperthermia with annular phased array

International Nuclear Information System (INIS)

Uehara, S.; Omagari, J.; Hata, K.

1989-01-01

33 refractory tumors mainly located in the pelvic cavity after definitive treatment were treated by loco-regional hyperthermia alone (n = 11) or by heat in combination with radiotherapy (n = 22) by annular phased array (APA) manufactured by BSD Corp. Tumors were heated up to more than 42 0 C in 78% of 347 total heat sessions with induction time 22 ± 1 (S.D.) minutes during which those of intra-pelvic organs were elevated up to between 41 and 42 0 C. Tumor response was CR 18%, PR 50% by heat (11.2 ± 1.5 S.D. fractions) combined with radiotherapy (43.8 ± 12.5 S.D. Gy) and by heat alone (8.6 ± 1.3 S.D. fractions) CR 18%, PR 9%. In all heat sessions superficial pain 36%, skin burn (grade 1-2) 12% inside annular array and slight to moderate systemic heat stress 100% were the main adverse reactions we experienced. (orig.)

Modeling of Focused Acoustic Field of a Concave Multi-annular Phased Array Using Spheroidal Beam Equation

International Nuclear Information System (INIS)

Yu Lili; Shou Wende; Hui Chun

2012-01-01

A theoretical model of focused acoustic field for a multi-annular phased array on concave spherical surface is proposed. In this model, the source boundary conditions of the spheroidal beam equation (SBE) for multi-annular phased elements are studied. Acoustic field calculated by the dynamic focusing model of SBE is compared with numerical results of the O'Neil and Khokhlov-Zabolotskaya-Kuznetsov (KZK) model, respectively. Axial dynamic focusing and the harmonic effects are presented. The results demonstrate that the dynamic focusing model of SBE is good valid for a concave multi-annular phased array with a large aperture angle in the linear or nonlinear field. (electromagnetism, optics, acoustics, heat transfer, classical mechanics, and fluid dynamics)

Axicon-based annular laser trap for studies on sperm activity

Science.gov (United States)

Shao, Bing; Vinson, Jaclyn M.; Botvinick, Elliot L.; Esener, Sadik C.; Berns, Michael W.

2005-08-01

As a powerful and noninvasive tool, laser trapping has been widely applied for the confinement and physiological study of biological cells and organelles. Researchers have used the single spot laser trap to hold individual sperm and quantitatively evaluated the motile force generated by a sperm. Early studies revealed the relationship between sperm motility and swimming behavior and helped the investigations in medical aspects of sperm activity. As sperm chemotaxis draws more and more interest in fertilization research, the studies on sperm-egg communication may help to explain male or female infertility and provide exciting new approaches to contraception. However, single spot laser trapping can only be used to investigate an individual target, which has limits in efficiency and throughput. To study the chemotactic response of sperm to eggs and to characterize sperm motility, an annular laser trap with a diameter of several hundred microns is designed, simulated with ray tracing tool, and implemented. An axicon transforms the wavefront such that the laser beam is incident on the microscope objective from all directions while filling the back aperture completely for high efficiency trapping. A trapping experiment with microspheres is carried out to evaluate the system performance. The power requirement for annular sperm trapping is determined experimentally and compared with theoretical calculations. With a chemo-attractant located in the center and sperm approaching from all directions, the annular laser trapping could serve as a speed bump for sperm so that motility characterization and fertility sorting can be performed efficiently.

Neutronic evaluation of annular fuel rods to assemblies 13 x 13, 14 x 14 and 15 x 15

International Nuclear Information System (INIS)

Silva, Raphael H.M.; Ramos, Mario C.; Velasquez, Carlos E.; Silva, Clarysson A.M. da; Pereira, Cláubia; Costa, Antonella L.

2017-01-01

Research and development in nuclear reactor field has been proposed a new concept of fuel rod such as annular shape. The design of the annular fuel rods allows the coolant flow through the inner and outer side of it. Such project was proposed as an alternative to the traditional fuel rods used in LWR reactors. This new geometry allows an increase in power density in the reactor core with greater heat transfer from the fuel to the coolant which reduces the temperature in central region of the rod, in which a better configuration and dimension of fuel elements are aimed due to improvement of cooling in possible replacement of PWR traditional rods for annular rods. The aim of this work is to evaluate the neutronic parameters of fuel element with annular fuel rods where three configurations were studied: 13 x 13, 14 x 14 and 15 x 15. The goal is compare the neutronic between the advanced and the standard fuel assembly 16 x 16. In these studies, the external dimension and the moderator to fuel volume ratio (V M /V F ) of standard 16 x 16 is the same in all annular fuels assemblies. The MCNPX 2.6.0 (Monte Carlo N-Particle eXtended – version 2.6.0) code was used in all simulations. After all procedures, the annular fuel assemblies 13 have obtained greater neutronics parameters and were selected to more neutronics simulations. (author)

Neutronic evaluation of annular fuel rods to assemblies 13 x 13, 14 x 14 and 15 x 15

Energy Technology Data Exchange (ETDEWEB)

Silva, Raphael H.M.; Ramos, Mario C.; Velasquez, Carlos E.; Silva, Clarysson A.M. da; Pereira, Cláubia; Costa, Antonella L., E-mail: rapha.galo@hotmail.com, E-mail: marc5663@gmail.com, E-mail: carlosvelcab@hotmail.com, E-mail: clarysson@nuclear.ufmg.br, E-mail: claubia@nuclear.ufmg.br, E-mail: antonella@nuclear.ufmg.br [Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG (Brazil). Departamento de Engenharia Nuclear

2017-07-01

Research and development in nuclear reactor field has been proposed a new concept of fuel rod such as annular shape. The design of the annular fuel rods allows the coolant flow through the inner and outer side of it. Such project was proposed as an alternative to the traditional fuel rods used in LWR reactors. This new geometry allows an increase in power density in the reactor core with greater heat transfer from the fuel to the coolant which reduces the temperature in central region of the rod, in which a better configuration and dimension of fuel elements are aimed due to improvement of cooling in possible replacement of PWR traditional rods for annular rods. The aim of this work is to evaluate the neutronic parameters of fuel element with annular fuel rods where three configurations were studied: 13 x 13, 14 x 14 and 15 x 15. The goal is compare the neutronic between the advanced and the standard fuel assembly 16 x 16. In these studies, the external dimension and the moderator to fuel volume ratio (V{sub M}/V{sub F}) of standard 16 x 16 is the same in all annular fuels assemblies. The MCNPX 2.6.0 (Monte Carlo N-Particle eXtended – version 2.6.0) code was used in all simulations. After all procedures, the annular fuel assemblies 13 have obtained greater neutronics parameters and were selected to more neutronics simulations. (author)

Prevalence of annular tears and disc herniations on MR images of the cervical spine in symptom free volunteers

International Nuclear Information System (INIS)

Ernst, C.W.; Stadnik, T.W.; Peeters, E.; Breucq, C.; Osteaux, M.J.C.

2005-01-01

Study design: Prospective MR analysis of the cervical spine of 30 asymptomatic volunteers. Objectives: To evaluate the prevalence of annular tears, bulging discs, disc herniations and medullary compression on T2-weighted and gadolinium-enhanced T1-weighted magnetic resonance (MR) images of the cervical spine in symptom free volunteers. Summary of background data: Few studies have reported the prevalence of cervical disc herniations in asymptomatic people, none have reported the prevalence of cervical annular tears on MR images of symptom free volunteers. Materials and methods: Thirty symptom-free volunteers (no history or symptoms related to the cervical spine) were examined using sagittal T2-weighted fast spin-echo (SE), sagittal gadolinium-enhanced T1-weighted SE imaging and axial T2 * -weighted gradient echo (GRE). The prevalence of bulging discs, focal protrusions, extrusions, nonenhancing or enhancing annular tears and medullary compression were assessed. Results: The prevalence of bulging disk and focal disk protrusions was 73% (22 volunteers) and 50% (15 volunteers), respectively. There was one extrusion (3%). Eleven volunteers had annular tears at one or more levels (37%) and 94% of the annular tears enhanced after contrast injection. Asymptomatic medullary compression was found in four patients (13%). Conclusion: Annular tears and focal disk protrusions are frequently found on MR imaging of the cervical spine, with or without contrast enhancement, in asymptomatic population. The extruded disk herniation and medullary compression are unusual findings in a symptom-free population

Numerical Investigation of Effect of Parameters on Hovering Efficiency of an Annular Lift Fan Aircraft

Directory of Open Access Journals (Sweden)

Yun Jiang

2016-10-01

Full Text Available The effects of various parameters on the hovering performance of an annular lift fan aircraft are investigated by using numerical scheme. The pitch angle, thickness, aspect ratio (chord length, number of blades, and radius of duct inlet lip are explored to optimize the figure of merit. The annular lift fan is also compared with a conventional circular lift fan of the same features with the same disc loading and similar geometry. The simulation results show that the pitch angle of 27°, the thickness of 4% chord length, the aspect ratio of 3.5~4.0, 32 blades, and the radius of inlet lip of 4.7% generate the maximum figure of merit of 0.733. The optimized configuration can be used for further studies of the annular lift fan aircraft.

CFD Study of an Annular-Ducted Fan Lift System for VTOL Aircraft

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Yun Jiang

2015-09-01

Full Text Available The present study aimed at assessing a novel annular-ducted fan lift system for VTOL aircraft through computational fluid dynamics (CFD simulations. The power and lift efficiency of the lift fan system in hover mode, the lift and drag in transition mode, the drag and flight speed of the aircraft in cruise mode and the pneumatic coupling of the tip turbine and jet exhaust were studied. The results show that the annular-ducted fan lift system can have higher lift efficiency compared to the rotor of the Apache helicopter; the smooth transition from vertical takeoff to cruise flight needs some extra forward thrust to overcome a low peak of drag; the aircraft with the lift fan system enclosed during cruise flight theoretically may fly faster than helicopters and tiltrotors based on aerodynamic drag prediction, due to the elimination of rotor drag and compressibility effects on the rotor blade tips; and pneumatic coupling of the tip turbine and jet exhaust of a 300 m/s velocity can provide enough moment to spin the lift fan. The CFD results provide insight for future experimental study of the annular-ducted lift fan VTOL aircraft.

Insuficiência tricúspide pós trauma associada a agnesia de músculo papilar anterior Post-traumatic tricuspid insufficiency associated with agenesis of the anterior papillary muscle

Directory of Open Access Journals (Sweden)

Ronaldo Ducceschi FONTES

2000-09-01

Full Text Available Relatamos o caso de paciente do sexo masculino com 36 anos de idade com sinais e sintomas de insuficiência cardíaca direita. A história revelou trauma torácico há aproximadamente cinco anos. Submetido a operação para tratamento de insuficiência tricúspide, notou-se ausência do músculo papilar anterior da valva tricúspide, fenda na cúspide anterior e dilatação do anel tricuspídeo. Foi realizada sutura da fenda localizada na cúspide anterior e feita sua sustentação utilizando-se tira de pericárdio bovino fixada na face atrial e base do músculo papilar posterior. A operação foi completada com anuloplastia de Revuelta. O paciente obteve nítida melhora dos sintomas no pós-operatório imediato, mantendo-se em classe funcional I (NYHA, após 22 meses de evolução.Tricuspid regurgitation arising from chest trauma five years earlier was successfully corrected by valve reconstruction in a 36 year-old man. During correction a fissure of the anterior leaflet, absence of the anterior papillary muscle, chordae tendineae and tricuspid annulus dilatation were found. Tricuspid valvuloplasty was feasible using an anchored suture of the anterior leaflet fissure, artificial bovine chordae, pericardium implantation and Revuelta ring annuloplasty. There were no complications and no early or late mortality. At 22 months follow-up tricuspid valve function has remained with mild regurgitation. The patient is in good clinical condition.

Study on the annular leakage-flow-induced vibrations. 1st Report. Stability for translational and rotational single-degree-of-freedom systems; Kanjo sukimaryu reiki shindo ni kansuru kenkyu. 1. Heishin oyobi kaiten 1 jiyudokei no anteise

Energy Technology Data Exchange (ETDEWEB)

Li, D.W. [Hitachi, Ltd., Tokyo (Japan); Kaneko, S. [The University of Tokyo, Tokyo (Japan); Hayama, S. [Toyama Prefectural University, Toyama (Japan)

1999-07-25

This study reports the stability of annular leakage-flow-induced vibrations. The pressure distribution of fluid between a fixed outer cylinder and a vibrating inner cylinder was obtained in the case of a translationally and rotationally coupled motion of the inner cylinder. The unsteady fluid force acting on the inner cylinder in the case of translational and rotational single-degree-of-freedom vibrations was then expressed in terms proportional to the acceleration, velocity, and displacement. Then the critical flow rate (at which stability was lost) was determined for an annular leakage-flow-induced vibration. Finally, the stability was investigated theoretically. It is known that instability will occur in the case of a divergent passage, but the critical flow rate depends on the passage increment in a limited range: the eccentricity of the passage and the pressure loss factor at the inlet of the passage lower the stability. (author)

Hydrodynamic stability of inverted annular flow in an adiabatic simulation

International Nuclear Information System (INIS)

De Jarlais, G.; Ishii, M.; Linehan, J.

1986-01-01

Inverted annular flow was simulated adiabatically with turbulent water jets, issuing downward from large aspect ratio nozzles, enclosed in gas annuli. Velocities, diameters, and gas species were varied, and core jet length, shape, breakup mode, and dispersed core droplet sizes were recorded at approximately 750 data points. Inverted annular flow destabilization led to inverted slug flow at low relative velocities, and to dispersed droplet flow, core breakup length correlations were developed by extending work on free liquid jets to include this coaxial, jet disintegration phenomenon. The results show length dependence upon D/sub J/, Re/sub J/, We/sub J/, α, and We/sub G/,rel. Correlations for core shape, breakup mechanisms, and dispersed core droplet size were also developed, by extending the results of free jet stability, roll wave entrainment, and churn turbulent droplet stability studies

A New Annular Shear Piezoelectric Accelerometer

DEFF Research Database (Denmark)

Liu, Bin; Kriegbaum, B.

2000-01-01

This paper describes the construction and performance of a recently introduced Annular Shear piezoelectric accelerometer, Type 4511. The design has insulated and double-shielded case. The accelerometer housing is made of stainless steel, AISI 316L. Piezoceramic PZ23 is used. The seismic mass...... prototype. Reasonable agreement between the experimental results of the physical prototype and the simulation results is achieved. The design becomes more efficient. In addition, Type 4511 has a built in DeltaTronâ charge amplifier with ID and complies with IEEE-P1451.4 standard, which is a smart transducer...

Investigation of free vibration analysis of functionally graded annular piezoelectric plate using COMSOL

Science.gov (United States)

Sharma, Trivendra Kumar; Parashar, Sandeep Kumar

2018-05-01

In the present age functionally graded piezoelectric materials (FGPM) are increasingly being used as actuators and sensors. In spite of the fact that the piezoelectric coupling coefficient for shear d15 has much higher value in comparison to d31 or d33, it is far less utilized for the applications due to complex nature of the shear induced vibrations. In this work three dimensional free vibration analysis of functionally graded piezoelectric material annular plates with free-free boundary conditions is presented. The annular FGPM plate is polarized along the radial direction while the electric field is applied along the thickness direction inducing flexural vibrations of the plate due to d15 effect of functionally graded piezoelectric materials. The material properties are assumed to have a power law variation along the thickness. COMSOL Multiphysics is used to obtain the natural frequencies and modeshapes. Detailed numerical study is performed to ascertain the effect of variation in power law index and various geometrical parameters. The results presented shall be helpful in optimizing the existing applications and developing the new ones utilizing the FGPM annular plates.

Flow visualization study of inverted annular flow of post dryout heat transfer region

International Nuclear Information System (INIS)

Ishii, M.; De Jarlais, G.

1987-01-01

The inverted annular flow is important in the area of LWR accident analysis in terms of the maximum cladding temperature and effectiveness of the emergency core cooling. However, the inverted annular flow thermal-hydraulics is not well understood due to its special heat transfer condition of film boiling. In view of this, the inverted flow is studied in detail experimentally. A new experimental apparatus has been constructed in which film boiling heat transfer can be established in a transparent test section. Data on liquid core stability, core break-up mechanism, and dispersed-core liquid slug and droplet sizes are obtained using F 113 as a test fluid. Both high speed movies and flash photographs are used. The inlet section consists of specially designed coaxial nozzles for gas and liquid such that the ideal inverted annular flow can be generated. The roll wave formation, droplet entrainment from wave crests, agitated sections with large interfacial areas, classical sinuous jet instability, jet break-up into multiple liquid ligaments and drop formation from liquid ligaments have been observed in detail. (orig.)

Unsteady fluid flow in a slightly curved annular pipe: The impact of the annulus on the flow physics

Science.gov (United States)

Messaris, Gerasimos A. T.; Karahalios, George T.

2017-02-01

The motivation of the present study is threefold. Mainly, the etiological explanation of the Womersley number based on physical reasoning. Next, the extension of a previous work [Messaris, Hadjinicolaou, and Karahalios, "Unsteady fluid flow in a slightly curved pipe: A comparative study of a matched asymptotic expansions solution with a single analytical solution," Phys. Fluids 28, 081901 (2016)] to the annular pipe flow. Finally, the discussion of the effect of the additional stresses generated by a catheter in an artery and exerted on the arterial wall during an in vivo catheterization. As it is known, the square of the Womersley number may be interpreted as an oscillatory Reynolds number which equals to the ratio of the inertial to the viscous forces. The adoption of a modified Womersley number in terms of the annular gap width seems therefore more appropriate to the description of the annular flow than an ordinary Womersley number defined in terms of the pipe radius. On this ground, the non-dimensional equations of motion are approximately solved by two analytical methods: a matched asymptotic expansions method and a single. In the first method, which is valid for very large values of the Womersley number, the flow region consists of the main core and the two boundary layers formed at the inner and outer boundaries. In the second, the fluid is considered as one region and the Womersley number can vary from finite values, such that they fit to the blood flow in the aorta and the main arteries, to infinity. The single solution predicts increasing circumferential and decreasing axial stresses with increasing catheter radius at a prescribed value of the Womersley parameter in agreement with analogous results from other theoretical and numerical solutions. It also predicts the formation of pinches on the secondary flow streamlines and a third boundary layer, additional to those formed at the boundary walls. Finally, we show that the insertion of a catheter in an

Annular gap measurement between pressure tube and calandria tube by eddy current technique

International Nuclear Information System (INIS)

Bhole, V.M.; Rastogi, P.K.; Kulkarni, P.G.

1992-01-01

In pressurised heavy water reactor (PHWR) major distinguishing feature is that there are number of identical fuel channels in the reactor core. Each channel consists of pressure tube of Zr-2.5 Nb or zircaloy-2 through which high temperature, high pressure primary coolant is passing. The pressure tube contains fuel. Surrounding the pressure tube there is low pressure, cool heavy water (moderator). The moderator is thermally separated from coolant by the tube which is nominally concentric with pressure tube called calandria tube. There are four garter springs in the annular gap between pressure tube and calandria tube. During the life of the reactor there are number of factors by which the pressure tube sags, most important factors are irradiation creep, thermal creep, fuel load etc. Because of the sag of pressure tube it can touch the calandria tube resulting in formation of cold spot. This leads to hydrogen concentration at that spot by which the material at that place becomes brittle and can lead to catastrophic failure of pressure tube. There is no useful access for measurement of annular gap either through the gas annular space or from exterior of calandria tube. So the annular gap was measured from inside surface of pressure tube which is accessible. Eddy current technique was used for finding the gap. The paper describe the details of split coil design of bobbin probe, selection of operating point on normalised impedance diagram by choosing frequency. Experimental results on full scale mock up, and actual gap measurement in reactor channel, are also given. (author). 7 figs

The Hydraulic Test Report for Non-instrumented Irradiation Test Rig of DUO-Cooled Annular Pellet

International Nuclear Information System (INIS)

Kim, Dae Ho; Lee, Kang Hee; Shin, Chang Hwan; Yang, Yong Sik; Kim, Sun Ki; Bang, Je Geon; Song, Kun Woo

2007-08-01

This report presents the results of pressure drop test and vibration test for non-instrumented rig of Advanced PWR DUO-Fuel Annular Pellet which were designed and fabricated by KAERI. From the pressure drop test results, it is noted that the flow velocity across the non-instrumented rig of Advanced PWR DUO-Fuel Annular Pellet corresponding to the pressure drop of 200 kPa is measured to be about 8.30 kg/sec. Vibration frequency results for the non-instrumented rig at the pump spin frequency ranges from 19.0 to 32.0 Hz, RMS(Root Mean Square) displacement for the non-instrumented rig of Advanced PWR DUO-Fuel Annular Pellet is less than 7.25 m, and the maximum displacement is less than 31.27 μm. This test was performed at the FIVPET facility

Right ventricular longitudinal strain and right ventricular stroke work index in patients with severe heart failure: left ventricular assist device suitability for transplant candidates.

Science.gov (United States)

Cameli, M; Bernazzali, S; Lisi, M; Tsioulpas, C; Croccia, M G; Lisi, G; Maccherini, M; Mondillo, S

2012-09-01

Right ventricular (RV) systolic function has a critical role in determining the clinical outcome and the success of using left ventricular assist devices in patients with refractory heart failure. RV deformation analysis by speckle tracking echocardiography (STE) has recently allowed the analysis of RV longitudinal function. Using cardiac catheterization as the reference standard, this study aimed to explore the correlation between RV longitudinal function by STE and RV stroke work index (RVSWI) among patients referred for cardiac transplantation. Right heart catheterization and transthoracic echo-Doppler were simultaneously performed in 47 patients referred for cardiac transplant assessment due to refractory heart failure (ejection fraction 25.1 ± 4.5%). Thermodilution RV stroke volume and invasive pulmonary pressures were used to obtain RVSWI. RV longitudinal strain (RVLS) by STE was assessed averaging RV free-wall segments (free-wall RVLS). We also calculated. Tricuspid S' and tricuspid annular plane systolic excursion (TAPSE). No significant correlation was observed for TAPSE on tricuspid S' with RV stroke volume (r = 0.14 and r = 0.06, respectively). A close negative correlation between free-wall RVLS and RVSWI was found (r = -0.82; P rights reserved.

Direct right ventricular puncture for hemodynamic evaluation of a mechanical tricuspid valve prosthesis: a new indication for an old procedure.

Science.gov (United States)

Gibson, M A; Carell, E S

1997-11-01

The advent of transvenous right heart catheterization has relegated direct transthoracic right ventricular puncture largely to the role of "interesting historical footnote." However, in the case of a right ventricle that is "protected" by a mechanical tricuspid valve prosthesis, direct right ventricular puncture represents a reasonable alternative for obtaining accurate hemodynamic information.

Anesthetic implication of tricuspid valve replacement in a patient with acute intermittent porphyria

Directory of Open Access Journals (Sweden)

Kianoush Saberi

2016-01-01

Full Text Available Facing a patient with acute intermittent porphyria (AIP, there is narrow safety margin which circumscribe all the therapeutic actions including choice of drugs. This would become even more complicated when it comes to a stressful and drug-dependent process like a cardiopulmonary bypass. According to author′s researches, no specific AIP case of tricuspid valve (TV replacement is reported recently. Furthermore, fast-track anesthesia was safely used in this 37-year-old male known the case of AIP, who was a candidate for TV replacement and removing the port catheter. The patient was extubated subsequently, only 3 h after entering the Intensive Care Unit.

Eigensolutions of Annular-Like Elastic Disks with Intentionally Removed or Added Material

Science.gov (United States)

Vinayak, H.; Singh, R.

1996-05-01

Many examples of elastic, isotropic, stationary annular-like disks are studied analytically and experimentally for free-free and clamped-free boundary conditions. Natural frequencies and deformation shapes of the first few flexural modes including repeated roots are examined and tabulated. Disks with large circular holes or annular holes or annular slots within the disk body with a volume or mass ratio Γ of 5 to 15% are studied with particular emphasis on mode shapes as they deviate from the regular annular plate modes. Material removal cases via incisions or minor cuts at the disk rim, hub or within the body are not considered in this investigation. Material addition cases are simulated by thickening the outer rim or inner hub regions, for Γvalues up to 60%. The final example considers a gear from a helicopter tail rotor gearbox; it has 8 holes and thick rim and hub. A bi-orthogonal polynomial-trigonometrical shape function series is proposed in the Ritz minimization scheme that employs both classical thin and Mindlin's thick plate theories. The effect of number of terms is evaluated by examining an expansion of the linearly independent basis function and by calculating an overall root mean square (rms) error associated with the prediction of a mode shape. The clamped inner edge is described by 4 alternate models and the impedance boundary condition described was found to be the most satisfactory. Predictions of the semi-analytical Ritz method closely match with measured eigensolutions and results yielded by finite element models. The Ritz method is especially attractive because of significant computational savings in addition to the ease with which it can be integrated within a component mode synthesis or multi-body dynamics framework for forced response or system design studies.

Sodium flow rate measurement method of annular linear induction pump

International Nuclear Information System (INIS)

Araseki, Hideo

2011-01-01

This report describes a method for measuring sodium flow rate of annular linear induction pumps arranged in parallel and its verification result obtained through an experiment and a numerical analysis. In the method, the leaked magnetic field is measured with measuring coils at the stator end on the outlet side and is correlated with the sodium flow rate. The experimental data and the numerical result indicate that the leaked magnetic field at the stator edge keeps almost constant when the sodium flow rate changes and that the leaked magnetic field change arising from the flow rate change is small compared with the overall leaked magnetic field. It is shown that the correlation between the leaked magnetic field and the sodium flow rate is almost linear due to this feature of the leaked magnetic field, which indicates the applicability of the method to small-scale annular linear induction pumps. (author)

Temperature Calculation of Annular Fuel Pellet by Finite Difference Method

Energy Technology Data Exchange (ETDEWEB)

Yang, Yong Sik; Bang, Je Geon; Kim, Dae Ho; Kim, Sun Ki; Lim, Ik Sung; Song, Kun Woo [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

2009-10-15

KAERI has started an innovative fuel development project for applying dual-cooled annular fuel to existing PWR reactor. In fuel design, fuel temperature is the most important factor which can affect nuclear fuel integrity and safety. Many models and methodologies, which can calculate temperature distribution in a fuel pellet have been proposed. However, due to the geometrical characteristics and cooling condition differences between existing solid type fuel and dual-cooled annular fuel, current fuel temperature calculation models can not be applied directly. Therefore, the new heat conduction model of fuel pellet was established. In general, fuel pellet temperature is calculated by FDM(Finite Difference Method) or FEM(Finite Element Method), because, temperature dependency of fuel thermal conductivity and spatial dependency heat generation in the pellet due to the self-shielding should be considered. In our study, FDM is adopted due to high exactness and short calculation time.

Impact of tricuspid valve surgery at the time of left ventricular assist device insertion on postoperative outcomes.

Science.gov (United States)

Dunlay, Shannon M; Deo, Salil V; Park, Soon J

2015-01-01

Tricuspid regurgitation (TR) is common in patients with heart failure undergoing left ventricular assist device (LVAD) implantation. Whether the TR should be surgically managed at the time of LVAD surgery is controversial. We searched SCOPUS, Web of Science, Ovid EMBASE, and Ovid MEDLINE (through May 10, 2014) for randomized controlled trials and observational studies comparing postoperative outcomes in patients treated with LVAD with concomitant tricuspid valve surgery (TVS) compared with LVAD alone. Six observational studies including 3,249 patients compared outcomes following LVAD + TVS versus LVAD. Four studies were single-center and most did not adjust for potential confounders. Addition of TVS prolonged cardiopulmonary bypass times by an average of 31 minutes (three studies, 95% CI 20-42). There was no difference in need for right ventricular assist device (six studies, HR 1.42, 95% CI 0.54-3.76), acute renal failure (four studies, HR 1.07, 95% CI 0.55-2.10), or early mortality (six studies, HR 1.28, 95% CI 0.78-2.08) in patients treated with LVAD + TVS versus LVAD alone. TVS prolongs cardiopulmonary bypass times, but available data demonstrate no significant association with early postoperative outcomes. However, differences in baseline risk of patients treated with TVS versus not limit our ability to draw conclusions.

Effect of Mitral Annular Calcium on Left Ventricular Diastolic Parameters.

Science.gov (United States)

Codolosa, Jose N; Koshkelashvili, Nikoloz; Alnabelsi, Talal; Goykhman, Igor; Romero-Corral, Abel; Pressman, Gregg S

2016-03-01

Assessment of left ventricular (LV) diastolic function by Doppler flow imaging and tissue Doppler is an integral part of the echocardiographic examination. Mitral annular calcium (MAC) is frequently encountered on echocardiography. The aim of this study was to assess the impact of MAC, quantitatively measured by computed tomography scan, on echocardiographic LV diastolic parameters. We included 155 patients aged ≥65 years. Computed tomography reconstructions of the mitral annulus were created, and calcium identified and quantified by Agatston technique. Calcium locations were assigned using an overlaid template depicting the annular segments in relation to surrounding anatomic structures. Echocardiographic assessment of diastolic function was performed in standard fashion. Mean age was 77 years; 49% were men; and 43% were black. Patients with MAC had lower septal e' (p = 0.003), lateral e' (p = 0.04), and average e' (p = 0.01) compared with those without MAC. They also had a higher E-wave velocity (p = 0.01) and E/e' ratio (p <0.001). When evaluated by severity of MAC, and after adjustment for multiple clinical factors, there was a graded (inverse) relation between MAC severity and septal e' (p = 0.01), lateral e' (p = 0.01), and average e' (p = 0.01). In conclusion, LV diastolic parameters, as measured by Doppler echocardiography, are altered in the presence of MAC. This could be due to direct effects of MAC on annular function or might reflect truly reduced diastolic function. Interpretation of diastolic parameters in patients with MAC should be performed with caution. Copyright © 2016 Elsevier Inc. All rights reserved.

Measurement of aspheric surfaces using an improved annular subaperture stitching interferometry (IASSI)

International Nuclear Information System (INIS)

Wen, Yongfu; Cheng, Haobo

2014-01-01

An improved annular subaperture stitching interferometry (IASSI) is proposed for testing aspheric surfaces in the stage of precision polishing. It includes a reasonable stitching model and an automatic positioning operation. In the testing process, a series of optical path difference (OPD) data of annular subapertures is obtained as the interferometer is gradually shifted relative to the tested aspheric surface. Then these OPD data can be analyzed by the automatic positioning operation to get the key stitching parameters, and can be stitched together based on a reasonable mathematical model. To verify its validity, we study the applicability of the method to subaperture stitching tests of two conic aspheric surfaces. The stitching results agreed with the full-aperture test results. (paper)

The quantum spectral analysis of the two-dimensional annular billiard system

International Nuclear Information System (INIS)

Yan-Hui, Zhang; Ji-Quan, Zhang; Xue-You, Xu; Sheng-Lu, Lin

2009-01-01

Based on the extended closed-orbit theory together with spectral analysis, this paper studies the correspondence between quantum mechanics and the classical counterpart in a two-dimensional annular billiard. The results demonstrate that the Fourier-transformed quantum spectra are in very good accordance with the lengths of the classical ballistic trajectories, whereas spectral strength is intimately associated with the shapes of possible open orbits connecting arbitrary two points in the annular cavity. This approach facilitates an intuitive understanding of basic quantum features such as quantum interference, locations of the wavefunctions, and allows quantitative calculations in the range of high energies, where full quantum calculations may become impractical in general. This treatment provides a thread to explore the properties of microjunction transport and even quantum chaos under the much more general system. (general)

Spectroscopy of annular drums and quantum rings: Perturbative and nonperturbative results

International Nuclear Information System (INIS)

Alvarado, Carlos; Amore, Paolo

2011-01-01

We obtain systematic approximations to the states (energies and wave functions) of quantum rings (annular drums) of arbitrary shape by conformally mapping the annular domain to a simply connected domain. Extending the general results of Amore [J. Math. Phys. 51, 052105 (2010)], we obtain an analytical formula for the spectrum of quantum ring of arbitrary shape: for the cases of a circular annulus and of an asymmetric annulus considered here this formula is remarkably simple and precise. We also obtain precise variational bounds for the ground state of different quantum rings. Finally, we extend the conformal collocation method of Amore [J. Math. Phys. 51, 052105 (2010); J. Phys. A 41, 265206 (2008)] to the class of problems considered here and calculate precise numerical solutions for a large number of states (≅2000).

The impacts of the atmospheric annular mode on the AMOC and its feedback in an idealized experiment

Science.gov (United States)

Santis, Wlademir; Aimola, Luis; Campos, Edmo J. D.; Castellanos, Paola

2018-03-01

The interdecadal variability of the atmospheric and oceanic meridional overturning circulation is studied, using a coupled model with two narrow meridional barriers representing the land and a flat bottomed Aquaplanet. Empirical orthogonal function (EOF) analysis are used in the atmospheric and oceanic meridional overturning cells, revealing the atmospheric interdecadal variability is dominated by an annular mode, in both hemispheres, which introduces in the ocean a set of patterns of variability. The most energetic EOFs in the ocean are the barotropic responses from the annular mode. The interaction between the heat anomalies, due to the barotropic response, and the thermohaline circulation of each basin leads to a resonance mechanism that feeds back to the atmospheric forcing, modulating the annular mode spectrum. Besides the barotropic response, the annular mode introduces anomalies of salinity and temperature in the subtropical Atlantic that affects its upper buoyancy. These anomalies are incorporated within the ocean circulation and advected until the areas of deep sinking in the northern Atlantic, impacting on its overturning circulation as well.

Dismantling the activated annular water tank of the Rheinsberg nuclear power plant; Zerlegung des aktivierten Ringwasserbehaelters des Kernkraftwerks Rheinsberg

Energy Technology Data Exchange (ETDEWEB)

Klietz, Maik; Konitzer, Arnold; Luedeke, Michael [Anlagen- und Kraftwerksrohrleitungsbau GmbH, Greifswald (Germany)

2010-10-15

Acting on behalf of Energiewerke Nord GmbH Lubmin, Anlagen- und Kraftwerksrohrleitungsbau Greifswald GmbH (AKB) planned and built a station for disassembly of the activated annular water tank (RWB) of the decommissioned Rheinsberg nuclear power plant. As part of this demolition step, the annular water tank must be conditioned and disposed of as a component of the reactor facility. This required planning, manufacturing, testing and construction on site of suitable disassembly and handling techniques and the necessary plant and equipment. The client opted for disassembly by means of a diamond cable saw for conditioning the annular water tank into segments fit for shipping, and defined the basic components for the disassembly station in a specification of deliveries and services. The disassembly station serves to divide the annular water tank by means of diamond cable saws into 2 sections in such a way that segment pieces for transport are produced. The existing activation of the annular water tank also entailed the need to plan for the shortest possible time to be spent on handling near the annular water tank, providing radiological protection to the personnel, and performing the sawing steps from a separate operating console assisted by camera surveillance. After works acceptance tests at the manufacturer's, AKB, in October 2009 and February 2010, the disassembly station was delivered to the customer at Rheinsberg KKR free from defects in June 2010. (orig.)

Thermo-acoustic coupling in can-annular combustors : A numerical investigation

NARCIS (Netherlands)

Farisco, Federica; Panek, Lukasz; Kok, Jim B.W.; Pent, Jared; Rajaram, Rajesh

2015-01-01

Thermo-acoustic instabilities in modern, high power density gas turbines need to be predicted and understood in order to avoid unexpected damage and engine failure. While the annular combustor design is expected to suffer from the occurrence of transverse waves and burner-to-burner acoustic

Electrostatic Analysis of Annular Holes Penetrated by Shorted-Cable

Energy Technology Data Exchange (ETDEWEB)

Choo, Jae Yul; Kim, Hyung Tae; Park, Hyun Shin; Cho, Young Sik [KINS, Daejeon (Korea, Republic of)

2016-05-15

The cabinet has an important role to protect the contained cables and digital modules for the safety function from the external electromagnetic (EM) source. Thus the immunity of an open cabinet against electromagnetic interference (EMI) numerically has been investigated using mode-matching method in. Another path for the external EM source to impinge on inner cables and digital modules is the bottom hole of the cabinet that is penetrated by various cables. Especially the EMI can detrimentally influence on the digital modules through annular space caused by sealing the bottom hole of the cabinet incompletely. Thus it is recently required that the electromagnetic interpretation in the annular hole is performed to remedy electromagnetic problems. Based on the mode-matching method, we solved the electrostatic boundary-value problem for holes penetrating shorted-cable at the bottom of a digital I and C cabinet. The Weber transform and the Hankel transform were applied to formulate the electrostatic potential. The capacitance and potential distribution generated near the penetrating shorted-cable were computed and compared with the result from the previous study.

Nonparaxial propagation and focusing properties of azimuthal-variant vector fields diffracted by an annular aperture.

Science.gov (United States)

Gu, Bing; Xu, Danfeng; Pan, Yang; Cui, Yiping

2014-07-01

Based on the vectorial Rayleigh-Sommerfeld integrals, the analytical expressions for azimuthal-variant vector fields diffracted by an annular aperture are presented. This helps us to investigate the propagation behaviors and the focusing properties of apertured azimuthal-variant vector fields under nonparaxial and paraxial approximations. The diffraction by a circular aperture, a circular disk, or propagation in free space can be treated as special cases of this general result. Simulation results show that the transverse intensity, longitudinal intensity, and far-field divergence angle of nonparaxially apertured azimuthal-variant vector fields depend strongly on the azimuthal index, the outer truncation parameter and the inner truncation parameter of the annular aperture, as well as the ratio of the waist width to the wavelength. Moreover, the multiple-ring-structured intensity pattern of the focused azimuthal-variant vector field, which originates from the diffraction effect caused by an annular aperture, is experimentally demonstrated.

Ross sea ice motion, area flux, and deformation

Science.gov (United States)

kwok, Ron

2005-01-01

The sea ice motion, area export, and deformation of the Ross Sea ice cover are examined with satellite passive microwave and RADARSAT observations. The record of high-resolution synthetic aperture radar (SAR) data, from 1998 and 2000, allows the estimation of the variability of ice deformation at the small scale (10 km) and to assess the quality of the longer record of passive microwave ice motion. Daily and subdaily deformation fields and RADARSAT imagery highlight the variability of motion and deformation in the Ross Sea. With the passive microwave ice motion, the area export at a flux gate positioned between Cape Adare and Land Bay is estimated. Between 1992 and 2003, a positive trend can be seen in the winter (March-November) ice area flux that has a mean of 990 x 103 km2 and ranges from a low of 600 x 103 km2 in 1992 to a peak of 1600 x 103 km2 in 2001. In the mean, the southern Ross Sea produces almost twice its own area of sea ice during the winter. Cross-gate sea level pressure (SLP) gradients explain 60% of the variance in the ice area flux. A positive trend in this gradient, from reanalysis products, suggests a 'spinup' of the Ross Sea Gyre over the past 12 yr. In both the NCEP-NCAR and ERA-40 surface pressure fields, longer-term trends in this gradient and mean SLP between 1979 and 2002 are explored along with positive anomalies in the monthly cross-gate SLP gradient associated with the positive phase of the Southern Hemisphere annular mode and the extrapolar Southern Oscillation.

CFD model of diabatic annular two-phase flow using the Eulerian–Lagrangian approach

International Nuclear Information System (INIS)

Li, Haipeng; Anglart, Henryk

2015-01-01

Highlights: • A CFD model of annular two-phase flow with evaporating liquid film has been developed. • A two-dimensional liquid film model is developed assuming that the liquid film is sufficiently thin. • The liquid film model is coupled to the gas core flow, which is represented using the Eulerian–Lagrangian approach. - Abstract: A computational fluid dynamics (CFD) model of annular two-phase flow with evaporating liquid film has been developed based on the Eulerian–Lagrangian approach, with the objective to predict the dryout occurrence. Due to the fact that the liquid film is sufficiently thin in the diabatic annular flow and at the pre-dryout conditions, it is assumed that the flow in the wall normal direction can be neglected, and the spatial gradients of the dependent variables tangential to the wall are negligible compared to those in the wall normal direction. Subsequently the transport equations of mass, momentum and energy for liquid film are integrated in the wall normal direction to obtain two-dimensional equations, with all the liquid film properties depth-averaged. The liquid film model is coupled to the gas core flow, which currently is represented using the Eulerian–Lagrangian technique. The mass, momentum and energy transfers between the liquid film, gas, and entrained droplets have been taken into account. The resultant unified model for annular flow has been applied to the steam–water flow with conditions typical for a Boiling Water Reactor (BWR). The simulation results for the liquid film flow rate show favorable agreement with the experimental data, with the potential to predict the dryout occurrence based on criteria of critical film thickness or critical film flow rate

Adjoint Optimisation of the Turbulent Flow in an Annular Diffuser

DEFF Research Database (Denmark)

Gotfredsen, Erik; Agular Knudsen, Christian; Kunoy, Jens Dahl

2017-01-01

In the present study, a numerical optimisation of guide vanes in an annular diffuser, is performed. The optimisation is preformed for the purpose of improving the following two parameters simultaneously; the first parameter is the uniformity perpen-dicular to the flow direction, a 1/3 diameter do...

Plasma myostatin levels are related to the extent of right ventricular dysfunction in exacerbation of chronic obstructive pulmonary disease.

Science.gov (United States)

Ju, Chun-Rong; Zhang, Jian-Heng; Chen, Miao; Chen, Rong-Chang

To investigate the relationship between plasma myostatin levels and right ventricle (RV) dysfunction (RVD) in acute exacerbation of chronic obstructive pulmonary disease (AECOPD). The study recruited 84 patients with AECOPD. Plasma myostatin was analyzed and tricuspid annular plane systolic excursion (TAPSE) myostatin levels were significantly higher in 47 patients with RVD than 37 ones without (P myostatin levels correlated significantly with TAPSE values and RV myocardial performance index (p myostatin is a potential biomarker for improving diagnosis of RVD in AECOPD.

Flow visualization study of inverted annular flow of post dryout heat transfer region

International Nuclear Information System (INIS)

Ishii, M.; De Jarlais, G.

1985-01-01

The inverted annular flow is important in the area of LWR accident analysis in terms of the maximum cladding temperature and effectiveness of the emergency core cooling. However, the inverted annular flow thermal-hydraulics is not well understood due to its special heat transfer condition of film boiling. The review of existing data indicates further research is needed in the areas of basic hydrodynamics related to liquid core disintegration mechanisms, slug and droplet formation, entrainment, and droplet size distributions. In view of this, the inverted flow is studied in detail experimentally. A new experimental apparatus has been constructed in which film boiling heat transfer can be established in a transparent test section. The test section consists of two coaxial quartz tubes. The annular gap between these two tubes is filled with a hot, clear fluid (syltherm 800) so as to maintain film boiling temperatures and heat transfer rates at the inner quartz tube wall. Data on liquid core stability, core break-up mechanism, and dispersed-core liquid slug and droplet sizes are obtained using F 113 as a test fluid. Both high speed movies and flash photographs (3 μsec) are used

Optical description and design method with annularly stitched aspheric surface.

Science.gov (United States)

Cheng, De-Wen; Chen, Xue-Jiao; Xu, Chen; Hu, Yuan; Wang, Yong-Tian

2015-12-01

The relentless pressure for designs with new optical functions, small volume, and light weight has greatly increased the importance of aspheric surfaces. In this paper, we propose an annularly stitched aspheric surface (ASAS) description method to increase the freedom and flexibility of imaging system design. The rotationally symmetric ASAS consists of a circular central zone and one or more annular zones. Two neighboring zones are constrained to have the same derivatives on their joint curve, and this means the ASAS is C1 continuous. This finding is proved and verified by the mathematical deduction of the surface formulas. Two optimization strategies and two design methods with the C1 continuous constraints are also discussed. This surface can greatly facilitate the design and even achieve some previously impossible designs without increasing the fabrication difficulty. Two different systems with the proposed ASAS are optimized and the results are presented. The design results verified the practicability of the ASAS.

Electroosmotic flow and Joule heating in preparative continuous annular electrochromatography.

Science.gov (United States)

Laskowski, René; Bart, Hans-Jörg

2015-09-01

An openFOAM "computational fluid dynamic" simulation model was developed for the description of local interaction of hydrodynamics and Joule heating in annular electrochromatography. A local decline of electrical conductivity of the background eluent is caused by an electrokinetic migration of ions resulting in higher Joule heat generation. The model equations consider the Navier-Stokes equation for incompressible fluids, the energy equation for stationary temperature fields, and the mass transfer equation for the electrokinetic flow. The simulations were embedded in commercial ANSYS Fluent software and in open-source environment openFOAM. The annular gap (1 mm width) contained an inorganic C8 reverse-phase monolith as stationary phase prepared by an in situ sol-gel process. The process temperature generated by Joule heating was determined by thermal camera system. The local hydrodynamics in the prototype was detected by a gravimetric contact-free measurement method and experimental and simulated values matched quite well. © 2015 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

A systematic method for using 3D echocardiography to evaluate tricuspid valve insufficiency in hypoplastic left heart syndrome

OpenAIRE

Mart, Christopher Robin; Eckhauser, Aaron Wesley; Murri, Michael; Su, Jason Thomas

2014-01-01

With surgical palliation of hypoplastic left heart syndrome (HLHS), the tricuspid valve (TV) becomes the systemic atrioventricular valve and moderate/severe TV insufficiency (TVI), an adverse risk factor for survival to Fontan, has been reported in up to 35% of patients prior to stage I palliation. Precise echocardiographic identification of the mechanism of TVI cannot be determined by two-dimensional echocardiography. Three-dimensional echocardiography (3DE) can provide significant insight i...

Studies on turbulence structure and liquid film behavior in annular two-phase flow flowing in a throat section

International Nuclear Information System (INIS)

Yoshida, Kenji; Miyabe, Masaya; Matsumoto, Tadayoshi; Kataoka, Isao; Ohmori, Shuichi; Mori, Michitsugu

2004-01-01

Experimental studies on turbulence structure and liquid film behavior in annular two-phase flow were carried out concerned with the steam injector systems for a next-generation nuclear reactor. In the steam injector, steam/water annular two-phase flow is formed at the mixing nozzle. To make an appropriate design for high-performance steam injector system, it is very important to accumulate the fundamental data of thermo-hydro dynamic characteristics of annular flow in the steam injector. Especially, the turbulence modification in multi-phase flow due to the phase interaction is one of the most important phenomena and has attracted research attention. In this study, the liquid film behavior and the resultant turbulence modification due to the phase interaction were investigated. The behavior of the interfacial waves on liquid film flow such as the ripple or disturbance waves were observed to make clear the interfacial velocity and the special structure of the interfacial waves by using the high-speed video camera and the digital camera. The measurements for gas-phase velocity profiles and turbulent intensity in annular flow passing through the throat section were precisely performed to investigate quantitatively the turbulent modification in annular flow by using the constant temperature hot-wire anemometer. The measurements for liquid film thickness by the electrode needle method were also carried out. (author)

Hydrodynamic model experiments for stabilized liquid liners with annular piston drive

International Nuclear Information System (INIS)

Burton, R.L.; Turchi, P.J.; Jenkins, D.J.; Cooper, A.L.

1977-01-01

The achievement of megagauss-level magnetic fields by flux compression using controlled liquid liner implosions will be studied in the LINUS-O experiments. This paper reports on experimental studies of the rotating liquid liner at lower energy density, using a one-third scale model with water as the liner material. Radial implosion of the free inside surface of the liquid is achieved by axial displacement of an annular piston, driven by helium. Azimuthally symmetric, repetitive implosion-reexpansion cycles have been demonstrated, with area compressions of over a hundred. The apparatus has also been used to investigate other problems inherent in the annular piston geometry, including piston guidance, seals, z-dependence of the imploding free surface trajectory, and Rayleigh-Taylor instability of the free surface. Methods for r-z plane tailoring of the free surface to provide three-dimensional payload compression are considered

Annular flow of cement slurries; Escoamento anular de pastas de cimento

Energy Technology Data Exchange (ETDEWEB)

Silva, Maria das Gracas Pena; Martins, Andre Leibsohn; Oliveira, Antonio Augusto J. de [PETROBRAS, Rio de Janeiro (Brazil). Centro de Pesquisas. Setor de Tecnologia de Perfuracao

1990-12-31

This paper considers the analysis of laminar, transitory and turbulent flow regimes of cement slurries of various compositions flowing in annular sections. It is an experimental study to evaluate the performance of dozens of equations found in the literature that reflect the rheological behavior of non-Newtonian fluids, the dimensioning of annular sections, the delimitation of the transitory zone and the estimative of friction losses in the turbulent flow regime. A large-scale physical simulator (SHS-Surface Hydraulic Simulator), was designed and constructed at the PETROBRAS Research Center in order to obtain flow parameters. A computer program capable of analysing and drawing conclusions from the behavior of non-Newtonian fluids flowing in different geometries and energetic conditions was also developed. These were considered as essential stages for the development of the project. (author) 17 refs., 9 figs., 18 tabs.

Annular electromagnetic pumps-construction and testing-theory, and comparison with experimental results

International Nuclear Information System (INIS)

Cambillard, E.P.; Schwab, B.L.

1964-01-01

This report consists of three sections. The first is concerned with the description of different pumps which have been constructed, tests on these which have been completed and the results obtained. The second section presents a theoretical method for the determination of the coefficients, taking in account the break of the magnetic circuit. It is shown that the preliminary design calculations of the annular pumps can be made, neglecting the break of the magnetic circuit, by further assigning essential magnitudes (pressure, losses) with easily calculated coefficients. The third section of this report uses the theoretical bases exposed in the second section, and develop a new annular pump calculation method which takes-into account both the current out of balance and any type of winding. (authors) [fr

Improved annular centrifugal contactor for solvent extraction reprocessing of nuclear reactor fuel

International Nuclear Information System (INIS)

Bernstein, G.J.; Leonard, R.A.; Ziegler, A.A.; Steindler, M.J.

1978-01-01

An improved annular centrifugal contactor has been developed for solvent extraction reprocessing of spent nuclear reactor fuel. The design is an extension of a contactor developed several years ago at Argonne National Laboratory. Its distinguishing features are high throughput, high stage efficiency and the ability to handle a broad range of aqueous-to-organic phase flow ratios and density ratios. Direct coupling of the mixing and separating rotor to a motorized spindle simplifies the design and makes the contactor particularly suitable for remote maintenance. A unit that is critically safe by geometry is under test and a larger unit is being fabricated. Multi-stage miniature contactors operating on the annular mixing principle are being used for laboratory flow sheet studies. 8 figures

[Remote results of plastic operations on the tricuspid valve in patients with cardiac insufficiency at terminal stage].

Science.gov (United States)

Habriielian, A V; Smorzhevs'kyĭ, V I; Onishchenko, V F; Beleĭovych, V V; Topchu, Ie I; Domans'kyĭ, T M; Myroniuk, O I

2011-07-01

Comparative analysis of the results of plastic operations performance on a tricuspid valve (TV) in patients, suffering cardiac insufficiency in terminal stage, was conducted. In late postoperative period the indices of intracardial hemodynamics (cardiac output fraction, regurgitation on TV) and clinical features (severity of symptoms, quality of life) after plastic operations, using a support ring, have differed significantly from those after performance of a sutured plasty. The valve function during five years was secured in 91.1% of patients.

Droplet behavior analysis in consideration of droplet entrainment from liquid film in annular dispersed flow

International Nuclear Information System (INIS)

Matsuura, Keizo; Otake, Hiroshi; Kataoka, Isao; Serizawa, Akimi

2000-01-01

A method of droplet behavior simulation in an annular dispersed flow has been developed. In this method, both droplet deposition and entrainment from liquid film are considered. The Lagrangian method and stochastic model are used to analyze droplet diffusion and deposition behavior in a turbulent flow, and droplet entrainment from liquid film is calculated by an entrainment correlation. For the verification of this method, Gill's experiment is analyzed, in which the transition from annular flow with no entrainment to equilibrium annular dispersed flow was observed. Analysis results can also show the similar transition tendency. The experimental results of radial distribution of droplet mass flux are compared with analysis results. The agreement is good for low liquid flow rate, but entrainment rate must be adjusted for high liquid flow rate, in which gas turbulence is thought to be modified by high droplet density. In future work the effect of high droplet density on turbulence should be considered. (author)

Elastic Stress Analysis of Rotating Functionally Graded Annular Disk of Variable Thickness Using Finite Difference Method

Directory of Open Access Journals (Sweden)

Mohammad Hadi Jalali

2018-01-01

Full Text Available Elastic stress analysis of rotating variable thickness annular disk made of functionally graded material (FGM is presented. Elasticity modulus, density, and thickness of the disk are assumed to vary radially according to a power-law function. Radial stress, circumferential stress, and radial deformation of the rotating FG annular disk of variable thickness with clamped-clamped (C-C, clamped-free (C-F, and free-free (F-F boundary conditions are obtained using the numerical finite difference method, and the effects of the graded index, thickness variation, and rotating speed on the stresses and deformation are evaluated. It is shown that using FG material could decrease the value of radial stress and increase the radial displacement in a rotating thin disk. It is also demonstrated that increasing the rotating speed can strongly increase the stress in the FG annular disk.

Critical bed shear stress and threshold of motion of maerl biogenic gravel

Science.gov (United States)

Joshi, Siddhi; Duffy, Garret Patrick; Brown, Colin

2017-07-01

A determination of the critical bed shear stress of maerl is a prerequisite for quantifying its mobility, rate of erosion and deposition in conservation management. The critical bed shear stress for incipient motion has been determined for the first time for samples from biogenic free-living maerl beds in three contrasting environments (open marine, intertidal and beach) in Galway Bay, west of Ireland. The bed shear stress was determined using two methods, Law of the Wall and Turbulent Kinetic Energy, in a rotating annular flume and in a linear flume. The velocity profile of flowing water above a bed of natural maerl grains was measured in four runs of progressively increasing flow velocity until the flow exceeded the critical shear stress of grains on the bed. The critical Shields parameter and the mobility number are estimated and compared with the equivalent curves for natural quartz sand. The critical Shields parameters for the maerl particles from all three environments fall below the Shields curve. Along with a previously reported correlation between maerl grain shape and settling velocity, these results suggest that the highly irregular shapes also allow maerl grains to be mobilised more easily than quartz grains with the same sieve diameter. The intertidal beds with the roughest particles exhibit the greatest critical shear stress because the particle thalli interlock and resist entrainment. In samples with a high percentage of maerl and low percentage of siliciclastic sand, the lower density, lower settling velocity and lower critical bed shear stress of maerl results in its preferential transport over the siliciclastic sediment. At velocities ∼10 cm s-1 higher than the threshold velocity of grain motion, rarely-documented subaqueous maerl dunes formed in the annular flume.

A phenomenological prediction of dryout based on the churn-to-annular flow transition criterion in uniformly heated vertical tubes

International Nuclear Information System (INIS)

Hong, Sung-Deok; Chun, Se-Young; Yang, Sun-Kyu; Chung, Moon-Ki; Lashgari, Farbod

2000-01-01

A phenomenological model is proposed to predict dryout in uniformly heated vertical tubes. The major point of the study was refining the initial conditions at the onset of annular flow location that starts the liquid film dryout process. The void fraction at the onset of the annular flow location has been derived from the vapor superficial velocity obtained by the churn-to-annular flow criterion with the help of the void-quality relationship. The thermodynamic equilibrium quality calculated through the iteration of flow quality using the profile-fit model to find the accurate starting point of the annular-flow in a tube. The present method was validated by worldwide data covering wide parametric ranges, a diameter of 5.1-37.5, exit quality over 10%, a flow rate of 183-5261 kg/m 2 -s and a system pressure of 0.5-17.7 MPa. The churn-to-annular flow transition criterion of Taitel et al.'s shows better prediction results than the other transition criteria. The present model improved the CHF prediction capability as a mean of 0.97 and root mean square error of 11% for the 3883 experimental data and extended the applicable range to the relatively low quality region. (author)

Observed linkages between the northern annular mode/North Atlantic Oscillation, cloud incidence, and cloud radiative forcing

Science.gov (United States)

Li, Ying; Thompson, David W. J.; Huang, Yi; Zhang, Minghong

2014-03-01

The signature of the northern annular mode/North Atlantic Oscillation (NAM/NAO) in the vertical and horizontal distribution of tropospheric cloudiness is investigated in CloudSat and CALIPSO data from June 2006 to April 2011. During the Northern Hemisphere winter, the positive polarity of the NAM/NAO is marked by increases in zonally averaged cloud incidence north of ~60°N, decreases between ~25 and 50°N, and increases in the subtropics. The tripolar-like anomalies in cloud incidence associated with the NAM/NAO are largest over the North Atlantic Ocean basin/Middle East and are physically consistent with the NAM/NAO-related anomalies in vertical motion. Importantly, the NAM/NAO-related anomalies in tropospheric cloud incidence lead to significant top of atmosphere cloud radiative forcing anomalies that are comparable in amplitude to those associated with the NAM/NAO-related temperature anomalies. The results provide observational evidence that the most prominent pattern of Northern Hemisphere climate variability is significantly linked to variations in cloud radiative forcing. Implications for two-way feedback between extratropical dynamics and cloud radiative forcing are discussed.

NWIS Measurements for uranium metal annular castings

International Nuclear Information System (INIS)

Mattingly, J.K.; Valentine, T.E.; Mihalczo, J.T.

1998-01-01

This report describes measurements performed with annular uranium metal castings of different enrichments to investigate the use of 252 Cf-source-driven noise analysis measurements as a means to quantify the amount of special nuclear material (SNM) in the casting. This work in FY 97 was sponsored by the Oak Ridge Y-12 Plant and the DOE Office of Technology Development Programs. Previous measurements and calculational studies have shown that many of the signatures obtained from the source-driven measurement are very sensitive to fissile mass. Measurements were performed to assess the applicability of this method to standard annular uranium metal castings at the Oak Ridge Y-12 plant under verification by the International Atomic Energy Agency (IAEA) using the Nuclear Weapons Identification System (NWIS) processor. Before the measurements with different enrichments, a limited study of source-detector-casting moderator configurations was performed to enhance the correlated information. These configurations consisted of a casting with no reflector and with various thicknesses of polyethylene reflectors up to 10.16 cm in 2.54 cm steps. The polyethylene moderator thickness of 7.62 cm was used for measurements with castings of different enrichments reported here. The sensitivity of the measured parameters to fissile mass was investigated using four castings each with a different enrichment. The high sensitivity of this measurement method to fissile mass and to other material and configurations provides some advantages over existing safeguards methods

Six-month outcome after transcatheter edge-to-edge repair of severe tricuspid regurgitation in patients with heart failure.

Science.gov (United States)

Orban, Mathias; Besler, Christian; Braun, Daniel; Nabauer, Michael; Zimmer, Marion; Orban, Martin; Noack, Thilo; Mehilli, Julinda; Hagl, Christian; Seeburger, Joerg; Borger, Michael; Linke, Axel; Thiele, Holger; Massberg, Steffen; Ender, Joerg; Lurz, Philipp; Hausleiter, Jörg

2018-06-01

Severe tricuspid regurgitation (TR) is common in patients with right-sided heart failure (HF) and causes substantial morbidity and mortality. Treatment options beyond medical therapy are limited for high-risk patients. Transcatheter edge-to-edge tricuspid valve (TV) repair showed procedural safety and short-term efficacy. Impact on mid-term outcome is unclear. This dual-centre observational study evaluates the mid-term safety, efficacy and clinical outcome after edge-to-edge TV repair for severe TR in patients with HF. Overall, 50 patients with right-sided HF and severe TR were treated with the transcatheter edge-to-edge repair technique; 14 patients were treated for isolated TR and 36 patients for combined mitral regurgitation (MR) and TR. At 6-month follow-up (available for 98% of patients), a persistent reduction of at least one echocardiographic TR grade was achieved in 90% of patients and New York Heart Association class improved in 79% of patients. The 6-minute walk distance increased by 44% (+84 m, P edge-to-edge TV repair for severe TR is safe and effective in reducing TR. It appears to be associated with improved clinical outcome in the majority of patients. © 2018 The Authors. European Journal of Heart Failure © 2018 European Society of Cardiology.

Numerical Investigation of Effect of Parameters on Hovering Efficiency of an Annular Lift Fan Aircraft

OpenAIRE

Yun Jiang; Bo Zhang

2016-01-01

The effects of various parameters on the hovering performance of an annular lift fan aircraft are investigated by using numerical scheme. The pitch angle, thickness, aspect ratio (chord length), number of blades, and radius of duct inlet lip are explored to optimize the figure of merit. The annular lift fan is also compared with a conventional circular lift fan of the same features with the same disc loading and similar geometry. The simulation results show that the pitch angle of 27°, the th...

An annular laser for penetrating radiations

International Nuclear Information System (INIS)

Marie, G.R.P.

1974-01-01

Description is given of an annular laser generating an emission of X rays or gamma rays, from a pumping beam provided by a light wave or infra-red laser and applied to an active substance. Said laser essentially comprises a semi toroidal metal groove wherein is placed said active substance. That substance is illuminated by the pumping beam after reflection of the latter on a mirror provided with an opening through which pass X rays or gamma rays after several reflections on the groove bottom. The pumping-beam uses a revolution symmetry mode, the electric field lines of which are circles coaxial with said beam [fr

Subchannel analysis of sodium-cooled reactor fuel assemblies with annular fuel pins

International Nuclear Information System (INIS)

Memmott, Matthew; Buongiorno, Jacopo; Hejzlar, Pavel

2009-01-01

Using a RELAP5-3D subchannel analysis model, the thermal-hydraulic behavior of sodium-cooled fuel assemblies with internally and externally cooled annular fuel rods was investigated, in an effort to enhance the economic performance of sodium-fast reactors by increasing the core power density, decreasing the core pressure drop, and extending the fuel discharge burnup. Both metal and oxide fuels at high and low conversion ratios (CR=0.25 and CR=1.00) were investigated. The externally and internally cooled annular fuel design is most beneficial when applied to the low CR core, as clad temperatures are reduced by up to 62.3degC for the oxide fuel, and up to 18.5degC for the metal fuel. This could result in a power uprates of up to ∼44% for the oxide fuel, and up to ∼43% for the metal fuel. The use of duct ribs was explored to flatten the temperature distribution at the core outlet. Subchannel analyses revealed that no fuel melting would occur in the case of complete blockage of the hot interior-annular channel for both metal and oxide fuels. Also, clad damage would not occur for the metal fuel if the power uprate is 38% or less, but would indeed occur for the oxide fuel. (author)

Tricuspid but not Mitral Regurgitation Determines Mortality After TAVI in Patients With Nonsevere Mitral Regurgitation.

Science.gov (United States)

Amat-Santos, Ignacio J; Castrodeza, Javier; Nombela-Franco, Luis; Muñoz-García, Antonio J; Gutiérrez-Ibanes, Enrique; de la Torre Hernández, José M; Córdoba-Soriano, Juan G; Jiménez-Quevedo, Pilar; Hernández-García, José M; González-Mansilla, Ana; Ruano, Javier; Tobar, Javier; Del Trigo, María; Vera, Silvio; Puri, Rishi; Hernández-Luis, Carolina; Carrasco-Moraleja, Manuel; Gómez, Itziar; Rodés-Cabau, Josep; San Román, José A

2018-05-01

Many patients undergoing transcatheter aortic valve implantation (TAVI) have concomitant mitral regurgitation (MR) of moderate grade or less. The impact of coexistent tricuspid regurgitation (TR) remains to be determined. We sought to analyze the impact of moderate vs none-to-mild MR and its trend after TAVI, as well as the impact of concomitant TR and its interaction with MR. Multicenter retrospective study of 813 TAVI patients treated through the transfemoral approach with MR ≤ 2 between 2007 and 2015. The mean age was 81 ± 7 years and the mean Society of Thoracic Surgeons score was 6.9% ± 5.1%. Moderate MR was present in 37.3% of the patients, with similar in-hospital outcomes and 6-month follow-up mortality to those with MR 2 post-TAVI. The presence of concomitant moderate/severe TR was associated with in-hospital and follow-up mortality rates of 13% and 34.1%, respectively, regardless of MR grade. Moderate-severe TR was independently associated with mortality (HR, 18.4; 95%CI, 10.2-33.3; P < .001). The presence of moderate MR seemed not to impact short- and mid-term mortality post-TAVI, but was associated with more rehospitalizations. The presence of moderate or severe TR was associated with higher mortality. This suggests that a thorough evaluation of the mechanisms underlying concomitant mitral and tricuspid valve regurgitation should be performed to determine the best strategy for avoiding TAVI-related futility. Copyright © 2018 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved.

Atrial and ventricular septal defect with pulmonary and tricuspid valvular anomalies in a dog

International Nuclear Information System (INIS)

Ishikawa, Y.; Wakao, Y.; Watanabe, T.; Minami, T.; Muto, M.; Suzuki, T.; Takahashi, M.; Une, Y.; Nomura, Y.; Ichioka, N.

1989-01-01

A 15-month-old male boxer dog weighing 22 kg was referred to Azabu University Animal Hospital for evaluation of the syncopal attack. There was no cardiac murmur, but electrocardiograms revealed an atrial fibrillation. Thoracic radiograph revealed enlargement of the right and left atrial regions. The medical treatment with digitalis and captopril was made for conversion from the atrial fibrillation to the sinus rhythm. By cardiac catheterization, atrial and ventricular septal defect with pulmonary stenosis was demonstrated. The patient died at 20 months from the first medical examination. At autopsy, there were severe enlargement of both atria, atrial defect, and pulmonary and tricuspid valvular anomalies. (author)

Atrial and ventricular septal defect with pulmonary and tricuspid valvular anomalies in a dog

Energy Technology Data Exchange (ETDEWEB)

Ishikawa, Y. [Azabu Univ., Sagamihara, Kanagawa (Japan); Wakao, Y.; Watanabe, T.; Minami, T.; Muto, M.; Suzuki, T.; Takahashi, M.; Une, Y.; Nomura, Y.; Ichioka, N.

1989-12-15

A 15-month-old male boxer dog weighing 22 kg was referred to Azabu University Animal Hospital for evaluation of the syncopal attack. There was no cardiac murmur, but electrocardiograms revealed an atrial fibrillation. Thoracic radiograph revealed enlargement of the right and left atrial regions. The medical treatment with digitalis and captopril was made for conversion from the atrial fibrillation to the sinus rhythm. By cardiac catheterization, atrial and ventricular septal defect with pulmonary stenosis was demonstrated. The patient died at 20 months from the first medical examination. At autopsy, there were severe enlargement of both atria, atrial defect, and pulmonary and tricuspid valvular anomalies. (author)

Active Control of Fan Noise: Feasibility Study. Volume 6; Theoretical Analysis for Coupling of Active Noise Control Actuator Ring Sources to an Annular Duct with Flow

Science.gov (United States)

Kraft, R. E.

1996-01-01

The objective of this effort is to develop an analytical model for the coupling of active noise control (ANC) piston-type actuators that are mounted flush to the inner and outer walls of an annular duct to the modes in the duct generated by the actuator motion. The analysis will be used to couple the ANC actuators to the modal analysis propagation computer program for the annular duct, to predict the effects of active suppression of fan-generated engine noise sources. This combined program will then be available to assist in the design or evaluation of ANC systems in fan engine annular exhaust ducts. An analysis has been developed to predict the modes generated in an annular duct due to the coupling of flush-mounted ring actuators on the inner and outer walls of the duct. The analysis has been combined with a previous analysis for the coupling of modes to a cylindrical duct in a FORTRAN computer program to perform the computations. The method includes the effects of uniform mean flow in the duct. The program can be used for design or evaluation purposes for active noise control hardware for turbofan engines. Predictions for some sample cases modeled after the geometry of the NASA Lewis ANC Fan indicate very efficient coupling in both the inlet and exhaust ducts for the m = 6 spinning mode at frequencies where only a single radial mode is cut-on. Radial mode content in higher order cut-off modes at the source plane and the required actuator displacement amplitude to achieve 110 dB SPL levels in the desired mode were predicted. Equivalent cases with and without flow were examined for the cylindrical and annular geometry, and little difference was found for a duct flow Mach number of 0.1. The actuator ring coupling program will be adapted as a subroutine to the cylindrical duct modal analysis and the exhaust duct modal analysis. This will allow the fan source to be defined in terms of characteristic modes at the fan source plane and predict the propagation to the

Failure to unmask pseudonormal diastolic function by a valsalva maneuver: tricuspid insufficiency is a major factor.

Science.gov (United States)

Hu, Kai; Liu, Dan; Niemann, Markus; Hatle, Liv; Herrmann, Sebastian; Voelker, Wolfram; Ertl, Georg; Bijnens, Bart; Weidemann, Frank

2011-11-01

For the clinical assessment of patients with dyspnea, the inversion of the early (E) and late (A) transmitral flow during Valsalva maneuver (VM) frequently helps to distinguish pseudonormal from normal filling pattern. However, in an important number of patients, VM fails to reveal the change from dominant early mitral flow velocity toward larger late velocity. From December 2009 to October 2010, we selected consecutive patients with abnormal filling with (n=25) and without E/A inversion (n=25) during VM. Transmitral, tricuspid, and pulmonary Doppler traces were recorded and the degree of insufficiency was estimated. After evaluating all standard echocardiographic morphological, functional, and flow-related parameters, it became evident that the failure to unmask the pseudonormal filling pattern by VM was related to the degree of the tricuspid insufficiency (TI). TI was graded as mild in 24 of 25 patients in the group with E/A inversion during VM, whereas TI was graded as moderate to severe in 24 of the 25 patients with pseudonormal diastolic function without E/A inversion during VM. Our data suggest that TI is a major factor to prevent E/A inversion during a VM in patients with pseudonormal diastolic function. This probably is due to a decrease in TI resulting in an increase in forward flow rather than the expected decrease during the VM. Thus, whenever a pseudonormal diastolic filling pattern is suspected, the use of a VM is not an informative discriminator in the presence of moderate or severe TI.

Experimental investigation on Heat Transfer Performance of Annular Flow Path Heat Pipe

International Nuclear Information System (INIS)

Kim, In Guk; Kim, Kyung Mo; Jeong, Yeong Shin; Bang, In Cheol

2015-01-01

Mochizuki et al. was suggested the passive cooling system to spent nuclear fuel pool. Detail analysis of various heat pipe design cases was studied to determine the heat pipes cooling performance. Wang et al. suggested the concept PRHRS of MSR using sodium heat pipes, and the transient performance of high temperature sodium heat pipe was numerically simulated in the case of MSR accident. The meltdown at the Fukushima Daiichi nuclear power plants alarmed to the dangers of station blackout (SBO) accident. After the SBO accident, passive decay heat removal systems have been investigated to prevent the severe accidents. Mochizuki et al. suggested the heat pipes cooling system using loop heat pipes for decay heat removal cooling and analysis of heat pipe thermal resistance for boiling water reactor (BWR). The decay heat removal systems for pressurized water reactor (PWR) were suggested using natural convection mechanisms and modification of PWR design. Our group suggested the concept of a hybrid heat pipe with control rod as Passive IN-core Cooling System (PINCs) for decay heat removal for advanced nuclear power plant. Hybrid heat pipe is the combination of the heat pipe and control rod. In the present research, the main objective is to investigate the effect of the inner structure to the heat transfer performance of heat pipe containing neutron absorber material, B 4 C. The main objective is to investigate the effect of the inner structure in heat pipe to the heat transfer performance with annular flow path. ABS pellet was used instead of B 4 C pellet as cylindrical structures. The thermal performances of each heat pipes were measured experimentally. Among them, concentric heat pipe showed the best performance compared with others. 1. Annular evaporation section heat pipe and annular flow path heat pipe showed heat transfer degradation. 2. AHP also had annular vapor space and contact cooling surface per unit volume of vapor was increased. Heat transfer coefficient of

Improved lumped parameter for annular fuel element thermohydraulic analysis

International Nuclear Information System (INIS)

Duarte, Juliana Pacheco; Su, Jian; Alvim, Antonio Carlos Marques

2011-01-01

Annular fuel elements have been intensively studied for the purpose of increasing power density in light water reactors (LWR). This paper presents an improved lumped parameter model for the dynamics of a LWR core with annular fuel elements, composed of three sub-models: the fuel dynamics model, the neutronics model, and the coolant energy balance model. The transient heat conduction in radial direction is analyzed through an improved lumped parameter formulation. The Hermite approximation for integration is used to obtain the average temperature of the fuel and cladding and also to obtain the average heat flux. The volumetric heat generation in fuel rods was obtained with the point kinetics equations with six delayed neutron groups. The equations for average temperature of fuel and cladding are solved along with the point kinetic equations, assuming linear reactivity and coolant temperature in cases of reactivity insertion. The analytical development of the model and the numeric solution of the ordinary differential equation system were obtained by using Mathematica 7.0. The dynamic behaviors for average temperatures of fuel, cladding and coolant in transient events as well as the reactor power were analyzed. (author)

Flow visualization study of inverted annular flow of post dryout heat transfer region

International Nuclear Information System (INIS)

Ishii, M.; De Jarlais, G.

1985-01-01

The inverted annular flow is important in the area of LWR accident analysis in terms of the maximum cladding temperature and effectiveness of the emergency core cooling. However, the inverted annular flow thermal-hydraulics is not well understood due to its special heat transfer condition of film boiling. In view of this, the inverted flow is studied in detail experimentally. A new experimental apparatus has been constructed in which film boiling heat transfer can be established in a transparent test section. Data on liquid core stability, core break-up mechanism, and dispersed-core liquid slug and droplet sizes are obtained using F 113 as a test fluid. Both high speed movies and flash photographs are used

An experimental study of heat transfer characteristics of single and two-phase flows in an annular tube with external vibrations

International Nuclear Information System (INIS)

Zaki, Adel M.; Abou El-Kassem, S.K.; Abdalla Hanafi

2003-01-01

An experimental study of the external vibration effect on the heat transfer characteristics of single and two-phase flows in an annular tube is carried out. An experimental set-up was constructed to study the heat transfer in a stationary, as well as, in oscillating annular tube. The annular tube was heated electrically through the inner surface, which is a stainless steel tube (St 304) 13 mm outer diameter, while the outer tube, of 3.7 cm inner diameter, made from a glass. The experimental set-up was equipped with a vibrating system to excite the annular tube in the frequency range of 0 up to 134 Hz. Several sensors for measuring wall and fluid temperatures, heat fluxes and volume flow rates of both phases were used. The obtained results show that the heat transfer coefficient can be significantly increased by vibration of the test section. (author)

Flow-Field Characteristics of High-Temperature Annular Buoyant Jets and Their Development Laws Influenced by Ventilation System

OpenAIRE

Wang, Yi; Huang, Yanqiu; Liu, Jiaping; Wang, Hai; Liu, Qiuhan

2013-01-01

The flow-field characteristics of high-temperature annular buoyant jets as well as the development laws influenced by ventilation system were studied using numerical methods to eliminate the pollutants effectively in this paper. The development laws of high-temperature annular buoyant jets were analyzed and compared with previous studies, including radial velocity distribution, axial velocity and temperature decay, reattachment position, cross-section diameter, volumetric flow rate, and veloc...

Response of an annular electrostatic probe for a right cylindrical spacer

DEFF Research Database (Denmark)

Johansson, Torben; MacAllister, I. W.

2002-01-01

The response of an annular electrostatic probe mounted in an electrode is examined with reference to a right cylindrical spacer. The study involves using the probe λ function to derive characteristic parameters. These parameters enable the response of the probe to different charge distributions...

Experimental investigation of three-dimensional flow structures in annular swirling jets

NARCIS (Netherlands)

Percin, M.; Vanierschot, M.; Van Oudheusden, B.W.

2015-01-01

Annular jet flows are of practical interest in view of their occurrence in many industrial applications in the context of bluff-body combustors [1]. They feature different complex flow characteristics despite their simple geometry: a central recirculation zone (CRZ) as a result of flow separation

Analysis of the pressure fields in a swirling annular jet flow

NARCIS (Netherlands)

Perçin, M.; Vanierschot, M.; van Oudheusden, B.W.

2017-01-01

In this paper, we investigate the flow structures and pressure fields of a free annular swirling jet flow undergoing vortex breakdown. The flow field is analyzed by means of time-resolved tomographic particle image velocimetry measurements, which enable the reconstruction of the three-dimensional

Geometry optimization of linear and annular plasma synthetic jet actuators

International Nuclear Information System (INIS)

Neretti, G; Seri, P; Taglioli, M; Borghi, C A; Shaw, A; Iza, F

2017-01-01

The electrohydrodynamic (EHD) interaction induced in atmospheric air pressure by a surface dielectric barrier discharge (DBD) actuator has been experimentally investigated. Plasma synthetic jet actuators (PSJAs) are DBD actuators able to induce an air stream perpendicular to the actuator surface. These devices can be used in the field of aerodynamics to prevent or induce flow separation, modify the laminar to turbulent transition inside the boundary layer, and stabilize or mix air flows. They can also be used to enhance indirect plasma treatment effects, increasing the reactive species delivery rate onto surfaces and liquids. This can play a major role in plasma processing and chemical kinetics modelling, where often only diffusive mechanisms are considered. This paper reports on the importance that different electrode geometries can have on the performance of different PSJAs. A series of DBD aerodynamic actuators designed to produce perpendicular jets has been fabricated on two-layer printed circuit boards (PCBs). Both linear and annular geometries were considered, testing different upper electrode distances in the linear case and different diameters in the annular one. An AC voltage supplied at a peak of 11.5 kV and a frequency of 5 kHz was used. Lower electrodes were connected to the ground and buried in epoxy resin to avoid undesired plasma generation on the lower actuator surface. Voltage and current measurements were carried out to evaluate the active power delivered to the discharges. Schlieren imaging allowed the induced jets to be visualized and gave an estimate of their evolution and geometry. Pitot tube measurements were performed to obtain the velocity profiles of the PSJAs and to estimate the mechanical power delivered to the fluid. The optimal values of the inter-electrode distance and diameter were found in order to maximize jet velocity, mechanical power or efficiency. Annular geometries were found to achieve the best performance. (paper)

Sodium flow rate measurement method of annular linear induction pumps

International Nuclear Information System (INIS)

Araseki, Hideo; Kirillov, Igor R.; Preslitsky, Gennady V.

2012-01-01

Highlights: ► We found a new method of flow rate monitoring of electromagnetic pump. ► The method is very simple and does not require a large space. ► The method was verified with an experiment and a numerical analysis. ► The experimental data and the numerical results are in good agreement. - Abstract: The present paper proposes a method for measuring sodium flow rate of annular linear induction pumps. The feature of the method lies in measuring the leaked magnetic field with measuring coils near the stator end on the outlet side and in correlating it with the sodium flow rate. This method is verified through an experiment and a numerical analysis. The data obtained in the experiment reveals that the correlation between the leaked magnetic field and the sodium flow rate is almost linear. The result of the numerical analysis agrees with the experimental data. The present method will be particularly effective to sodium flow rate monitoring of each one of plural annular linear induction pumps arranged in parallel in a vessel which forms a large-scale pump unit.

Linear and nonlinear stability of periodic orbits in annular billiards

Science.gov (United States)

Dettmann, Carl P.; Fain, Vitaly

2017-04-01

An annular billiard is a dynamical system in which a particle moves freely in a disk except for elastic collisions with the boundary and also a circular scatterer in the interior of the disk. We investigate the stability properties of some periodic orbits in annular billiards in which the scatterer is touching or close to the boundary. We analytically show that there exist linearly stable periodic orbits of an arbitrary period for scatterers with decreasing radii that are located near the boundary of the disk. As the position of the scatterer moves away from a symmetry line of a periodic orbit, the stability of periodic orbits changes from elliptic to hyperbolic, corresponding to a saddle-center bifurcation. When the scatterer is tangent to the boundary, the periodic orbit is parabolic. We prove that slightly changing the reflection angle of the orbit in the tangential situation leads to the existence of Kolmogorov-Arnold-Moser islands. Thus, we show that there exists a decreasing to zero sequence of open intervals of scatterer radii, along which the billiard table is not ergodic.

DETERMINATION OF TEMPERATURE DISTRIBUTION FOR ANNULAR FINS WITH TEMPERATURE DEPENDENT THERMAL CONDUCTIVITY BY HPM

Directory of Open Access Journals (Sweden)

Davood Domairry Ganji

2011-01-01

Full Text Available In this paper, homotopy perturbation method has been used to evaluate the temperature distribution of annular fin with temperature-dependent thermal conductivity and to determine the temperature distribution within the fin. This method is useful and practical for solving the nonlinear heat transfer equation, which is associated with variable thermal conductivity condition. The homotopy perturbation method provides an approximate analytical solution in the form of an infinite power series. The annular fin heat transfer rate with temperature-dependent thermal conductivity has been obtained as a function of thermo-geometric fin parameter and the thermal conductivity parameter describing the variation of the thermal conductivity.

Reversible tricuspid valve stenosis due to a metastatic dissemination of a noncardiac sarcoma.

Science.gov (United States)

Uribe-Etxebarria, Naia; Voces, Roberto; Rodriguez, Miguel Angel; Llorente, Alberto; Perez, Pedro; Aramendi, Jose I

2005-07-01

Malignant disease is present in the pericardium of 1.5% to 20.6% of patients dying of malignant diseases as was examined postmortem. We present a case of a 57-year-old man with a history of Hodgkin's disease and a sarcoma of gluteus who presented with tachypnea, generalized weakness, and anasarca for 7 days. The echocardiogram revealed the presence of a significant pericardial thickening and localized pericardial effusion resulting from a tricuspid stenosis. A right anterior thoracotomy was performed, and a pericardiectomy (4 x 4 cm) was done. The histologic examination of the pericardium revealed the presence of a metastatic dissemination from a sarcoma. The cause for the clinical presentation and the treatment of malignant pericardial disease are discussed.

Bifurcation and chaos in a dc-driven long annular Josephson junction

DEFF Research Database (Denmark)

Grnbech-Jensen, N.; Lomdahl, Peter S.; Samuelsen, Mogens Rugholm

1991-01-01

Simulations of long annular Josephson junctions in a static magnetic field show that in large regions of bias current the system can exhibit a period-doubling bifurcation route to chaos. This is in contrast to previously studied Josephson-junction systems where chaotic behavior has primarily been...

Annular MHD Physics for Turbojet Energy Bypass

Science.gov (United States)

Schneider, Steven J.

2011-01-01

The use of annular Hall type MHD generator/accelerator ducts for turbojet energy bypass is evaluated assuming weakly ionized flows obtained from pulsed nanosecond discharges. The equations for a 1-D, axisymmetric MHD generator/accelerator are derived and numerically integrated to determine the generator/accelerator performance characteristics. The concept offers a shockless means of interacting with high speed inlet flows and potentially offers variable inlet geometry performance without the complexity of moving parts simply by varying the generator loading parameter. The cycle analysis conducted iteratively with a spike inlet and turbojet flying at M = 7 at 30 km altitude is estimated to have a positive thrust per unit mass flow of 185 N-s/kg. The turbojet allowable combustor temperature is set at an aggressive 2200 deg K. The annular MHD Hall generator/accelerator is L = 3 m in length with a B(sub r) = 5 Tesla magnetic field and a conductivity of sigma = 5 mho/m for the generator and sigma= 1.0 mho/m for the accelerator. The calculated isentropic efficiency for the generator is eta(sub sg) = 84 percent at an enthalpy extraction ratio, eta(sub Ng) = 0.63. The calculated isentropic efficiency for the accelerator is eta(sub sa) = 81 percent at an enthalpy addition ratio, eta(sub Na) = 0.62. An assessment of the ionization fraction necessary to achieve a conductivity of sigma = 1.0 mho/m is n(sub e)/n = 1.90 X 10(exp -6), and for sigma = 5.0 mho/m is n(sub e)/n = 9.52 X 10(exp -6).

Early Clinical Outcomes of Tricuspid Valve Repair with a Tri-Ad Annuloplasty Ring in Comparison with the Outcomes Using an MC³ Ring

Directory of Open Access Journals (Sweden)

Woohyun Jung

2018-04-01

Full Text Available Background: We evaluated the early clinical outcomes of tricuspid valve annuloplasty (TAP with the Tri-Ad annuloplasty ring for functional tricuspid regurgitation (TR. Methods: From January 2015 to March 2017, 36 patients underwent TAP with a Tri-Ad ring for functional TR. To evaluate the early clinical outcomes of TAP with the Tri-Ad ring, we conducted a propensity score-matched analysis comparing the Tri-Ad and MC³ tri-cuspid annuloplasty rings (n=34 in each group. The follow-up duration was 11.0±7.07 months. Results: There was 1 case of operative mortality (2.8% and no cases of late mortality. Postoperative complications occurred in 15 patients (41%, including acute kidney injury in 6 patients (16%, bleeding requiring reoperation in 4 patients (11%, and low cardiac output syndrome in 4 patients (11%. There were no ring-related complications, such as atrioventricular block or ring dehiscence. The TR grade decreased significantly (from 2.03±1.06 to 1.18±0.92, p<0.01, as did the systolic pulmonary artery pressure (from 43.53±13.84 to 38.00±9.72 mm Hg, p=0.03. There were no cases of severe residual TR, but moderate TR was observed in 3 patients, all of whom had severe TR preoperatively. Severe preoperative TR was also associated with moderate in the univariate analysis (p<0.01. In the propensity score-matched analysis comparing the Tri-Ad and MC³ rings, there was no significant difference in early clinical outcomes. Conclusion: TAP with the Tri-Ad ring corrected functional TR effectively and provided good early clinical and echocardiographic results without ring-related complications. However, severe preoperative TR was associated with moderate or severe residual TR in the immediate postoperative period. A follow-up study is necessary to confirm the stability of this procedure.

Annular shape silver lined proportional counter for on-line pulsed neutron yield measurement

International Nuclear Information System (INIS)

Dighe, P.M.; Das, D.

2015-01-01

An annular shape silver lined proportional counter is developed to measure pulsed neutron radiation. The detector has 314 mm overall length and 235 mm overall diameter. The central cavity of 150 mm diameter and 200 mm length is used for placing the neutron source. Because of annular shape the detector covers >3π solid angle of the source. The detector has all welded construction. The detector is developed in two halves for easy mounting and demounting. Each half is an independent detector. Both the halves together give single neutron pulse calibration constant of 4.5×10 4 neutrons/shot count. The detector operates in proportional mode which gives enhanced working conditions in terms of dead time and operating range compared to Geiger Muller based neutron detectors

Double-well potential in annular Josephson junction

International Nuclear Information System (INIS)

Shaju, P.D.; Kuriakose, V.C.

2004-01-01

A double-well potential suitable for quantum-coherent vortex tunnelling can be created in an annular Josephson junction by inserting a microshort in the junction and by applying an in-plane dc magnetic field. Analysis shows that the intensity of the magnetic field determines the depth of the potential well and the strength of the microshort controls the potential barrier height while a dc bias across the junction tilts the potential well. At milli-Kelvin temperatures, the system is expected to behave as a quantum two-level system and may be useful in designing vortex qubits

The Short-Term Effects of Ketogenic Diet on Cardiac Ventricular Functions in Epileptic Children.

Science.gov (United States)

Doksöz, Önder; Çeleğen, Kübra; Güzel, Orkide; Yılmaz, Ünsal; Uysal, Utku; İşgüder, Rana; Çeleğen, Mehmet; Meşe, Timur

2015-09-01

Our primary aim was to determine the short-term effects of a ketogenic diet on cardiac ventricular function in patients with refractory epilepsy. Thirty-eight drug-resistant epileptic patients who were treated with a ketogenic diet were enrolled in this prospective study. Echocardiography was performed on all patients before beginning the ketogenic diet and after the sixth month of therapy. Two-dimensional, M-mode, color flow, spectral Doppler, and pulsed-wave tissue Doppler imaging measurements were performed on all patients. The median age of the 32 patients was 45.5 months, and 22 (57.8%) of them were male. Body weight, height, and body mass index increased significantly at the sixth month of therapy when compared with baseline values (P 0.05). Doppler flow indices of mitral annulus and tricuspid annulus velocity of patients at baseline and month 6 showed no significant differences (P > 0.05). Tricuspid annular E/A ratio was lower at month 6 (P 0.05), there was a decrease in Ea velocity and Ea/Aa ratio gathered from tricuspid annulus at month 6 compared with baseline (P ketogenic diet does not impair left ventricular functions in children with refractory epilepsy; however, it may be associated with a right ventricular diastolic dysfunction. Copyright © 2015 Elsevier Inc. All rights reserved.

Pressure loss of the annular air-liquid flow in vertical tufes

Energy Technology Data Exchange (ETDEWEB)

Schmal, M [Rio de Janeiro Univ. (Brazil). Coordenacao dos Programas de Pos-graduacao de Engenharia; Cantalino, A [Rio de Janeiro Univ. (Brazil). Dept. de Engenharia Quimica

1976-01-01

In this work the pressure loss of the annular air-liquid flow in vertical tubes has been determined. Correlations are presented for the frictional pressure drop. The dimensional analysis and the following fluid systems were used for this determination: air-water, air-alcohol solutions and air-water and surfactants.

Double helix vortex breakdown in a turbulent swirling annular jet flow

NARCIS (Netherlands)

Vanierschot, M.; Perçin, M.; van Oudheusden, B.W.

2018-01-01

In this paper, we report on the structure and dynamics of double helix vortex breakdown in a turbulent annular swirling jet. Double helix breakdown has been reported previously for the laminar flow regime, but this structure has rarely been observed in turbulent flow. The flow field is

IBEX - annular beam propagation experiment

International Nuclear Information System (INIS)

Mazarakis, M.G.; Miller, R.B.; Shope, S.L.; Poukey, J.W.; Ramirez, J.J.; Ekdahl, C.A.; Adler, R.J.

1983-01-01

IBEX is a 4-MV, 100-kA, 20-ns cylindrical isolated Blumlein accelerator. In the experiments reported here, the accelerator is fitted with a specially designed foilless diode which is completely immersed in a uniform magnetic field. Several diode geometries have been studied as a function of magnetic field strength. The beam propagates a distance of 50 cm (approx. 10 cyclotron wavelengths) in vacuum before either striking a beam stop or being extracted through a thin foil. The extracted beam was successfully transported 60 cm downstream into a drift pipe filled either with 80 or 640 torr air. The main objectives of this experiment were to establish the proper parameters for the most quiescent 4 MV, 20 to 40 kA annular beam, and to compare the results with available theory and numerical code simulations

The influence of Thomson effect in the energy and exergy efficiency of an annular thermoelectric generator

International Nuclear Information System (INIS)

Kaushik, S.C.; Manikandan, S.

2015-01-01

Highlights: • Exergy analysis in the annular thermoelectric generator (ATEG) system is proposed. • Analytical expressions for the power output, exergy efficiency of an ATEG is derived. • The effects of S r , R L , and θ in P out and exergy efficiency of an ATEG is studied. • The influence of Thomson effect in P out and exergy efficiency of an ATEG is studied. - Abstract: The exoreversible thermodynamic model of an annular thermoelectric generator (ATEG) considering Thomson effect in conjunction with Peltier, Joule and Fourier heat conduction has been investigated using exergy analysis. New expressions for optimum current at the maximum power output and maximum energy, exergy efficiency conditions, and dimensionless irreversibilities in the ATEG are derived. The modified expression for figure of merit of a thermoelectric generator considering the Thomson effect has also been obtained. The results show that the power output, energy and exergy efficiency of the ATEG is lower than the flat plate thermoelectric generator. The effects of annular shape parameter (S r = r 2 /r 1 ), load resistance (R L ), dimensionless temperature ratio (θ = T h /T c ) and the thermal and electrical contact resistances in power output, energy/exergy efficiency of the ATEG have been studied. It has also been proved that because of the influence of Thomson effect, the power output and energy/exergy efficiency of the ATEG is reduced. This study will help in the designing of the actual annular thermoelectric generation systems

Surface tension effects on vertical upward annular flows in a small diameter pipe

Energy Technology Data Exchange (ETDEWEB)

Sadatomi, Michio, E-mail: sadatomi@mech.kumamoto-u.ac.jp [Dept. of Advanced Mechanical Systems, Kumamoto Univ., 39-1, Kurokami 2-chome, Chuou-ku, Kumamoto 860-8555 (Japan); Kawahara, Akimaro [Dept. of Advanced Mechanical Systems, Kumamoto Univ., 39-1, Kurokami 2-chome, Chuou-ku, Kumamoto 860-8555 (Japan); Suzuki, Aruta [Plant Design & Engineering Dept., Environment, Energy & Plant Headquarters, Hitachi Zosen Corporation, 7-89, Nankokita 1-chome, Suminoe-ku, Osaka, 559-8559 (Japan)

2016-12-15

Highlights: • Surface tension effects were clarified on annular flow in a small diameter pipe. • The mean liquid film thickness became thinner with decreasing of surface tension. • The liquid droplet fraction and the interfacial shear stress became higher with it. • New prediction methods for the above parameters were developed and validated. - Abstract: Experiments were conducted to study the surface tension effects on vertical upward annular flows in a 5 mm I.D. pipe using water and low surface tension water with a little surfactant as the test liquid and air as the test gas. Firstly, the experimental results on the mean liquid film thickness, the liquid droplet fraction and the interfacial shear stress in annular flows together with some flow pictures are presented to clarify the surface tension effects. From these, the followings are clarified: In the low surface tension case, the liquid film surface becomes rough, the liquid film thickness thin, the liquid droplet fraction high, and the interfacial shear stress high. Secondary, correlations in literatures for the respective parameters are tested against the present data. The test results show that no correlation for the respective parameters could predict well the present data. Thus, correlations are revised by accounting for the surface tension effects. The results of the experiments, the correlations tests and their revisions mentioned above are presented in the present paper.

Comparison of the effect of annular and solid electron beams on linear and nonlinear traveling wave tube

Directory of Open Access Journals (Sweden)

F. Sheykhe

Full Text Available The present paper, compares the effect of the annular and solid electron beam on the efficiency of linear and nonlinear TWTs. To do this, first we introduce four different geometric structure of the beam-helix. Then, we calculate the output power of each structure, in linear and nonlinear modes, at different frequencies using the numerical solution of the mathematical equations of the multi-frequency Eulerian model. Now, plot the output power in terms of distance for each structure at different frequencies and compare them. In a linear tube, the effect of annular beams on the output power is better than the solid beam, while this affects the frequency in nonlinear tubes. It is shown that in linear regime the power increase linearly with frequency but for nonlinear regimes is nonlinear. Keywords: Annular beam, Solid beam, Circuit power, Nonlinear, Traveling wave tube, Helix

Two-phase flow characteristic of inverted bubbly, slug and annular flow in post-critical heat flux region

International Nuclear Information System (INIS)

Ishii, M.; Denten, J.P.

1988-01-01

Inverted annular flow can be visualized as a liquid jet-like core surrounded by a vapor annulus. While many analytical and experimental studies of heat transfer in this regime have been performed, there is very little understanding of the basic hydrodynamics of the post-CHF flow field. However, a recent experimental study was done that was able to successfully investigate the effects of various steady-state inlet flow parameters on the post-CHF hydrodynamics of the film boiling of a single phase liquid jet. This study was carried out by means of a visual photographic analysis of an idealized single phase core inverted annular flow initial geometry (single phase liquid jet core surrounded by a coaxial annulus of gas). In order to extend this study, a subsequent flow visualization of an idealized two-phase core inverted annular flow geometry (two-phase central jet core, surrounded by a coaxial annulus of gas) was carried out. The objective of this second experimental study was to investigate the effect of steady-state inlet, pre-CHF two-phase jet core parameters on the hydrodynamics of the post-CHF flow field. In actual film boiling situations, two-phase flows with net positive qualities at the CHF point are encountered. Thus, the focus of the present experimental study was on the inverted bubbly, slug, and annular flow fields in the post dryout film boiling region. Observed post dryout hydrodynamic behavior is reported. A correlation for the axial extent of the transition flow pattern between inverted annular and dispersed droplet flow (the agitated regime) is developed. It is shown to depend strongly on inlet jet core parameters and jet void fraction at the dryout point. 45 refs., 9 figs., 4 tabs

Two-phase flow characteristic of inverted bubbly, slug, and annular flow in post-critical heat flux region

International Nuclear Information System (INIS)

Ishii, M.; Denten, J.P.

1989-01-01

Inverted annular flow can be visualized as a liquid jet-like core surrounded by a vapor annulus. While many analytical and experimental studies of heat transfer in this regime have been performed, there is very little understanding of the basic hydrodynamics of the post-critical heat flux (CHF) flow field. However, a recent experimental study was done that was able to successfully investigate the effects of various steady-state inlet flow parameters on the post-CHF hydrodynamics of the film boiling of a single phase liquid jet. This study was carried out by means of a visual photographic analysis of an idealized single phase core inverted annular flow initial geometry (single phase liquid jet core surrounded by a coaxial annulus of gas). In order to extend this study, a subsequent flow visualization of an idealized two-phase core inverted annular flow geometry (two-phase central jet core, surrounded by a coaxial annulus of gas) was carried out. The objective of this second experimental study was to investigate the effect of steady-state inlet, pre-CHF two-phase jet core parameters on the hydrodynamics of the post-CHF flow field. In actual film boiling situations, two-phase flows with net positive qualities at the CHF point are encountered. Thus, the focus of the present experimental study was on the inverted bubbly, slug, and annular flow fields in the post dryout film boiling region. Observed post dryout hydrodynamic behavior is reported. A correlation for the axial extent of the transition flow pattern between inverted annular and dispersed droplet flow (the agitated regime) is developed. It is shown to depend strongly on inlet jet core parameters and jet void fraction at the dryout point

Slanted annular aperture arrays as enhanced-transmission metamaterials: Excitation of the plasmonic transverse electromagnetic guided mode

Energy Technology Data Exchange (ETDEWEB)

Ndao, Abdoulaye; Salut, Roland; Baida, Fadi I., E-mail: fbaida@univ-fcomte.fr [Département d' Optique P.M. Duffieux, Institut FEMTO-ST, UMR 6174 CNRS, Université de Franche–Comté, 25030 Besançon Cedex (France); Belkhir, Abderrahmane [Laboratoire de Physique et Chimie Quantique, Université Mouloud Mammeri, Tizi-Ouzou (Algeria)

2013-11-18

We present here the fabrication and the optical characterization of slanted annular aperture arrays engraved into silver film. An experimental enhanced transmission based on the excitation of the cutoff-less plasmonic guided mode of the nano-waveguides (the transmission electron microscopy mode) is demonstrated and agrees well with the theoretical predicted results. By the way, even if it is less efficient (70% → 20%), an enhanced transmission can occur at larger wavelength value (720 nm–930 nm) compared to conventional annular aperture arrays structure by correctly setting the metal thickness.

Generalized Granuloma Annulare in Infancy Following Bacillus Calmette-Guerin Vaccination

OpenAIRE

Lee, Sang Woo; Cheong, Seung Hyun; Byun, Ji Yeon; Choi, You Won; Choi, Hae Young; Myung, Ki Bum

2011-01-01

Generalized granuloma annulare (GGA) is a rare benign granulomatous dermatosis characterized by disseminated necrobiotic dermal papules. Histologically, it presents as a lymphohistiocytic granuloma associated with varying degrees of connective tissue degeneration. It usually occurs in adults and rarely affects infants. Herein, we report an interesting case of GGA which occurred in a 3 month-old girl in association with Bacillus Calmette-Guerin vaccination.

Excitational metamorphosis of surface flowfield under an impinging annular jet

Czech Academy of Sciences Publication Activity Database

Tesař, Václav; Trávníček, Zdeněk

2008-01-01

Roč. 144, č. 2 (2008), s. 312-316 ISSN 1385-8947 R&D Projects: GA ČR GA101/07/1499; GA AV ČR IAA200760705 Institutional research plan: CEZ:AV0Z20760514 Keywords : jets * impinging jets * flow topology * annular jets * stagnation points Subject RIV: BK - Fluid Dynamics Impact factor: 2.813, year: 2008 http://www.sciencedirect.com/

Monitoring system of depressurization valves of migrated gas in annular space of flexible risers

Energy Technology Data Exchange (ETDEWEB)

Mesquita, Luiz A.; Santos, Joilson M.; Carvalho, Antonio L.; Loureiro, Patricia [PETROBRAS S.A., Rio de Janeiro, RJ (Brazil)

2005-07-01

PETROBRAS Research and Development Center - CENPES developed an automatic system for monitoring pressure of annular space due to permeation of gas in flexible risers to inspect continuously integrity of such lines. To help maintaining physical integrity of flexible risers, two PSV's are installed to end fittings on top of riser, so that operation of any valve grants the maximum admissible gas pressure within the riser annular space, as overpressure might cause damages to external polymeric layer of flexible riser. Due to the fact that there is no mechanism allowing operation to verify correct PSV performance and frequency of valve's closings and openings, we felt to be necessary the development and implement an automatic instrumented system, integrated to platform's automation and control infrastructure. The objective of this instrumentation is to monitor and register pressure of annular space in flexible riser, as well as XV's depressurization frequency. Having such information registered and monitored, can infer some riser structural conditions, anticipating repairs and preventive maintenance. In this paper we present developed system details including instruments required, application, operation of associated screens that are used in the ECOS, with events, alarms and industrial automation services required (Application development and system integration). (author)

Optimized numerical annular flow dryout model using the drift-flux model in tube geometry

International Nuclear Information System (INIS)

Chun, Ji Han; Lee, Un Chul

2008-01-01

Many experimental analyses for annular film dryouts, which is one of the Critical Heat Flux (CHF) mechanisms, have been performed because of their importance. Numerical approaches must also be developed in order to assess the results from experiments and to perform pre-tests before experiments. Various thermal-hydraulic codes, such as RELAP, COBRATF, MARS, etc., have been used in the assessment of the results of dryout experiments and in experimental pre-tests. These thermal-hydraulic codes are general tools intended for the analysis of various phenomena that could appear in nuclear power plants, and many models applying these codes are unnecessarily complex for the focused analysis of dryout phenomena alone. In this study, a numerical model was developed for annular film dryout using the drift-flux model from uniform heated tube geometry. Several candidates of models that strongly affect dryout, such as the entrainment model, deposition model, and the criterion for the dryout point model, were tested as candidates for inclusion in an optimized annular film dryout model. The optimized model was developed by adopting the best combination of these candidate models, as determined through comparison with experimental data. This optimized model showed reasonable results, which were better than those of MARS code

Stokes flow heat transfer in an annular, rotating heat exchanger

International Nuclear Information System (INIS)

Saatdjian, E.; Rodrigo, A.J.S.; Mota, J.P.B.

2011-01-01

The heat transfer rate into highly viscous, low thermal-conductivity fluids can be enhanced significantly by chaotic advection in three-dimensional flows dominated by viscous forces. The physical effect of chaotic advection is to render the cross-sectional temperature field uniform, thus increasing both the wall temperature gradient and the heat flux into the fluid. A method of analysis for one such flow-the flow in the eccentric, annular, rotating heat exchanger-and a procedure to determine the best heat transfer conditions, namely the optimal values of the eccentricity ratio and time-periodic rotating protocol, are discussed. It is shown that in continuous flows, such as the one under consideration, there exists an optimum frequency of the rotation protocol for which the heat transfer rate is a maximum. - Highlights: → The eccentric, annular, rotating heat exchanger is studied for periodic Stokes flow. → Counter-rotating the inner tube with a periodic velocity enhances the heat transfer. → The heat-transfer enhancement under such conditions is due to chaotic advection. → For a given axial flow rate there is a frequency that maximizes the heat transfer. → There is also an optimum value of the eccentricity ratio.

Laser-assisted printing of alginate long tubes and annular constructs

International Nuclear Information System (INIS)

Yan Jingyuan; Huang Yong; Chrisey, Douglas B

2013-01-01

Laser-assisted printing such as laser-induced forward transfer has been well studied to pattern or fabricate two-dimensional constructs. In particular, laser printing has found increasing biomedical applications as an orifice-free cell and organ printing approach, especially for highly viscous biomaterials and biological materials. Unfortunately, there have been very few studies on the efficacy of three-dimensional printing performance of laser printing. This study has investigated the feasibility of laser tube printing and the effects of sodium alginate concentration and operating conditions such as the laser fluence and laser spot size on the printing quality during laser-assisted printing of alginate annular constructs (short tubes) with a nominal diameter of 3 mm. It is found that highly viscous materials such as alginate can be printed into well-defined long tubes and annular constructs. The tube wall thickness and tube outer diameter decrease with the sodium alginate concentration, while they first increase, then decrease and finally increase again with the laser fluence. The sodium alginate concentration dominates if the laser fluence is low, and the laser fluence dominates if the sodium alginate concentration is low. (paper)

DETERMINATION OF CRITICAL ROTATIONAL SPEED OF CIRCULAR SAWS FROM NATURAL FREQUENCIES OF ANNULAR PLATE WITH ANALOGOUS DIMENSIONS

Directory of Open Access Journals (Sweden)

Ante Skoblar

2016-03-01

Full Text Available It is suitable to reduce thickness of circular saw when trying to enhance usability of wood raw material, but reducing thickness also causes reduction of permissible rotational speed which reduces sawing speed. If one increase circular saw rotational speed over permissible one the quality of machined surfaces will reduce because of enhanced vibrations. Permissible rotational speed can be calculated from critical rotational speed which can be defined from natural frequencies of the saw. In this article critical rotational speeds of standard clamped saws (with flat disk surface and without slots are calculated by using finite element method and classical theory of thin plates on annular plates. Mode shapes and natural frequencies of annular plates are determined by using Bessel functions and by using polynomial functions. Obtained results suggest that standard clamped circular saws without slots and with relatively small teeth can be determined from classical theory of thin plates for annular plates with accuracy depending on clamping ratio.

Churn-annular flow pattern transition in a vertical upward gas-liquid two-phase flow in various conduits

International Nuclear Information System (INIS)

Takenaka, Nobuyuki; Ueda, Tadanobu; Asano, Hitoshi

2008-01-01

Void fraction was measured by neutron radiography for a vertical upward gas-water two-phase flow in a concentric annular tube with and with out a spacer, 4x4 rod bundle with and without a spacer and a tight rod bundle with and without a wrapping wire for various gas and liquid flow rates. The flow patterns of these two-phase flows were determined by the Mishima-Ishii flow pattern map and void fraction was calculated by the Ishii's drift flux model. The predicted values were compared with the experimental results. The void fraction was well predicted by the Mishima-Ishii flow pattern map and the Ishii's drift flux model except the annular flow region with void fraction lower than 0.8 for conduits with small equivalent diameter. A new churn-annular flow pattern transition condition of the void fraction equal to 0.8 was added. The void fraction for the present experimental condition was successful predicted with the new transition model. (author)

Hydrodynamics of annular-dispersed flow

International Nuclear Information System (INIS)

Ishii, M.; Kataoka, I.

1982-01-01

The interfacial drag, droplet entrainment, and droplet size distributions are important for detailed mechanistic modeling of annular dispersed two-phase flow. In view of this, recently developed correlations for these parameters are presented and discussed in this paper. The drag correlations for multiple fluid particle systems have been developed from a similarity hypothesis based on the mixture viscosity model. The results show that the drag coefficient depends on the particle Reynolds number and droplet concentration. The onset on droplet entrainment significantly alters the mechanisms of mass, momentum, and energy transfer between the film and gas core flow as well as the transfer between the two-phase mixture and the wall. By assuming the roll wave entrainment mechanism, the correlations for the amount of entrained droplet as well as for the droplet size distribution have been obtained from a simple model in collaboration with a large number of data

Fluxon dynamics in long annular Josephson tunnel junctions

DEFF Research Database (Denmark)

Martucciello, N.; Mygind, Jesper; Koshelets, V.P.

1998-01-01

Single-fluxon dynamics has been experimentally investigated in high-quality Nb/Al-AlOx/Nb annular Josephson tunnel junctions having a radius much larger than the Josephson penetration depth. Strong evidence of self-field effects is observed. An external magnetic field in the barrier plane acts...... on the fluxon as a periodic potential and lowers its average speed. Further, the results of perturbative calculations do not fit the experimental current-voltage profile and, provided the temperature is low enough, this profile systematically shows pronounced deviations from the smooth predicted form...

Motion compensation with skin contact control for high intensity focused ultrasound surgery in moving organs

Science.gov (United States)

Diodato, A.; Cafarelli, A.; Schiappacasse, A.; Tognarelli, S.; Ciuti, G.; Menciassi, A.

2018-02-01

High intensity focused ultrasound (HIFU) is an emerging therapeutic solution that enables non-invasive treatment of several pathologies, mainly in oncology. On the other hand, accurate targeting of moving abdominal organs (e.g. liver, kidney, pancreas) is still an open challenge. This paper proposes a novel method to compensate the physiological respiratory motion of organs during HIFU procedures, by exploiting a robotic platform for ultrasound-guided HIFU surgery provided with a therapeutic annular phased array transducer. The proposed method enables us to keep the same contact point between the transducer and the patient’s skin during the whole procedure, thus minimizing the modification of the acoustic window during the breathing phases. The motion of the target point is compensated through the rotation of the transducer around a virtual pivot point, while the focal depth is continuously adjusted thanks to the axial electronically steering capabilities of the HIFU transducer. The feasibility of the angular motion compensation strategy has been demonstrated in a simulated respiratory-induced organ motion environment. Based on the experimental results, the proposed method appears to be significantly accurate (i.e. the maximum compensation error is always under 1 mm), thus paving the way for the potential use of this technique for in vivo treatment of moving organs, and therefore enabling a wide use of HIFU in clinics.

Analytical modeling of inverted annular film boiling

International Nuclear Information System (INIS)

Analytis, G.T.; Yadigaroglu, G.

1985-01-01

By employing a two-fluid formulation similar to the one used in the most recent LWR accident analysis codes, a model for the Inverted Annular Film Boiling region is developed. The conservation equations, together with appropriate constitutive relations are solved numerically and successful comparisons are made between model predictions and heat transfer coefficient distributions measured in a series of single-tube reflooding experiments. The model predicts generally correctly the dependence of the heat transfer coefficient on liquid subcooling and flow rate, through, for some cases, heat transfer is still under-predicted, and an enhancement of the heat exchange from the liquid-vapour interface to the bulk of the liquid is required

Annular burnout data from rod-bundle experiments

International Nuclear Information System (INIS)

Yoder, G.L.; Morris, D.G.; Mullins, C.B.

1983-01-01

Burnout data for annular flow in a rod bundle are presented for both transient and steady-state conditions. Tests were performed at the Oak Ridge National Laboratory in the Thermal Hydraulic Test Facility (THTF), a pressurized-water loop containing an electrically heated 64-rod bundle. The bundle configuration is typical of later generation pressurized-water reactors with 17 x 17 fuel arrays. Both axial and radial power profiles are flat. All experiments were carried out in upflow with subcooled inlet conditions, insuring accurate flow measurement. Conditions within the bundle were typical of those which could be encountered during a nuclear reactor loss-of-coolant accident

Study of startup conditions of a pulsed annular reactor

International Nuclear Information System (INIS)

Silva, Mario Augusto Bezerra da

2003-10-01

A new concept of reactor, which combines features of pulsed and stationary reactors, was proposed so as to produce intense neutronic fluxes. Such a reactor, known as VICHFPR (Very Intense Continuous High Flux Pulsed Reactor), consists of a subcritical core with an annular geometry and pulsed by a rotating reflector which acts as a reactivity modulator as it produces a short pulse (approximately equal to 1 ms) of high intensity, guiding the region near the pulser to super-prompt critical state. This dissertation intends to analyze the startup conditions of a Pulsed Annular Reactor. The evolution of the neutron pulse intensity is analyzed when the reactivity modulator is brought upwards according to a helicoidal path from its initial position (far away from the core), when the multiplication factor has a subcritical value, up to the final position (near the core), in which a super-prompt critical state is reached. Part of the analysis is based on the variation of neutron reflection, which is a uniform function of the exit and reflection angles between the core and the modulator. It must be emphasized that this work is an approximation of the real situation. As the initial and final reactor parameters are known, a programming code in Fortran is worked out to provide the multiplication factor and the flux intensity evolution. According to the results obtained with this code, the conditions under which the modulator must be lifted up during the startup are established. Basically, these conditions are related to the analysis of the rising and the rotation velocities, the reflector saving and the initial distance between the reactor and the modulator. The Pulsed Annular Reactor startup was divided into three stages. Because of its negative reactivity in the first two stages, the neutron multiplication is not large, while the last one, having a positive reactivity, shows an intense multiplication as is usually expected when handling pulsed systems. This last stage is quite

Quantification of the relative contribution of the different right ventricular wall motion components to right ventricular ejection fraction: the ReVISION method.

Science.gov (United States)

Lakatos, Bálint; Tősér, Zoltán; Tokodi, Márton; Doronina, Alexandra; Kosztin, Annamária; Muraru, Denisa; Badano, Luigi P; Kovács, Attila; Merkely, Béla

2017-03-27

Three major mechanisms contribute to right ventricular (RV) pump function: (i) shortening of the longitudinal axis with traction of the tricuspid annulus towards the apex; (ii) inward movement of the RV free wall; (iii) bulging of the interventricular septum into the RV and stretching the free wall over the septum. The relative contribution of the aforementioned mechanisms to RV pump function may change in different pathological conditions.Our aim was to develop a custom method to separately assess the extent of longitudinal, radial and anteroposterior displacement of the RV walls and to quantify their relative contribution to global RV ejection fraction using 3D data sets obtained by echocardiography.Accordingly, we decomposed the movement of the exported RV beutel wall in a vertex based manner. The volumes of the beutels accounting for the RV wall motion in only one direction (either longitudinal, radial, or anteroposterior) were calculated at each time frame using the signed tetrahedron method. Then, the relative contribution of the RV wall motion along the three different directions to global RV ejection fraction was calculated either as the ratio of the given direction's ejection fraction to global ejection fraction and as the frame-by-frame RV volume change (∆V/∆t) along the three motion directions.The ReVISION (Right VentrIcular Separate wall motIon quantificatiON) method may contribute to a better understanding of the pathophysiology of RV mechanical adaptations to different loading conditions and diseases.

Glass laser discs with annular alkali lead borate coatings and use thereof

International Nuclear Information System (INIS)

Cooley, R.F.

1975-01-01

A laser assembly that includes a novel glass laser disc having an annular alkali lead borate glass coating for use in the assembly is disclosed. The annular coating has an index of refraction that is about 3 to 12 percent greater than the index of refraction of the laser disc, the thermal properties also being sufficiently matched with the glass laser disc so as to prevent the development of undesirable strains therein, the glass coating comprising a mixture of alkali metal oxides in which at least two different alkali metal oxides are present, and any K 2 O that is present is limited to an amount of not substantially more than about 1 percent by weight and an effective energy absorbing amount of heavy metal oxide that absorbs energy at a wavelength of about 1.06 microns to prevent parasitic oscillations. The heavy metal oxides include oxides of transition metals of the 3d, 4d, 4f, 5d and 5f orbital series. (auth)

Sensitivity Analysis of Gap Conductance for Heat Split in an Annular Fuel Rod

International Nuclear Information System (INIS)

Chun, Kun Ho; Chun, Tae Hyun; In, Wang Kee; Song, Keun Woo

2006-01-01

To increase of the core power density in the current PWR cores, an annular fuel rod was proposed by MIT. This annular fuel rod has two coolant channels and two cladding-pellet gaps unlike the current solid fuel rod. It's important to predict the heat split reasonably because it affects coolant enthalpy rise in each channel and Departure from Nuclear Boiling Ratio (DNBR) in each channel. Conversely, coolant conditions affect fuel temperature and heat split. In particular if the heat rate leans to either inner or outer channel, it is out of a thermal equilibrium. To control a thermal imbalance, placing another gap in the pellet is introduced. The heat flow distribution between internal and external channels as well as fuel and cladding temperature profiles is calculated with and without the fuel gap between the inner and outer pellets

Geometrically nonlinear resonance of higher-order shear deformable functionally graded carbon-nanotube-reinforced composite annular sector plates excited by harmonic transverse loading

Science.gov (United States)

Gholami, Raheb; Ansari, Reza

2018-02-01

This article presents an attempt to study the nonlinear resonance of functionally graded carbon-nanotube-reinforced composite (FG-CNTRC) annular sector plates excited by a uniformly distributed harmonic transverse load. To this purpose, first, the extended rule of mixture including the efficiency parameters is employed to approximately obtain the effective material properties of FG-CNTRC annular sector plates. Then, the focus is on presenting the weak form of discretized mathematical formulation of governing equations based on the variational differential quadrature (VDQ) method and Hamilton's principle. The geometric nonlinearity and shear deformation effects are considered based on the von Kármán assumptions and Reddy's third-order shear deformation plate theory, respectively. The discretization process is performed via the generalized differential quadrature (GDQ) method together with numerical differential and integral operators. Then, an efficient multi-step numerical scheme is used to obtain the nonlinear dynamic behavior of the FG-CNTRC annular sector plates near their primary resonance as the frequency-response curve. The accuracy of the present results is first verified and then a parametric study is presented to show the impacts of CNT volume fraction, CNT distribution pattern, geometry of annular sector plate and sector angle on the nonlinear frequency-response curve of FG-CNTRC annular sector plates with different edge supports.

Analysis of the pressure fields in a swirling annular jet flow

Science.gov (United States)

Percin, M.; Vanierschot, M.; Oudheusden, B. W. van

2017-12-01

In this paper, we investigate the flow structures and pressure fields of a free annular swirling jet flow undergoing vortex breakdown. The flow field is analyzed by means of time-resolved tomographic particle image velocimetry measurements, which enable the reconstruction of the three-dimensional time-resolved pressure fields using the governing flow equations. Both time-averaged and instantaneous flow structures are discussed, including a characterization of the first- and second-order statistical moments. A Reynolds decomposition of the flow field shows that the time-averaged flow is axisymmetric with regions of high anisotropic Reynolds stresses. Two recirculation zones exist that are surrounded by regions of very intense mixing. Notwithstanding the axisymmetric nature of the time-averaged flow, a non-axisymmetric structure of the instantaneous flow is revealed, comprising a central vortex core which breaks up into a precessing vortex core. The winding sense of this helical structure is opposite to the swirl direction and it is wrapped around the vortex breakdown bubble. It precesses around the central axis of the flow at a frequency corresponding to a Strouhal number of 0.27. The precessing vortex core is associated with a low-pressure region along the central axis of the jet and the maximum pressure fluctuations occur upstream of the vortex breakdown location, where the azimuthal velocity component also reaches peak values as a result of the inward motion of the fluid and the conservation of angular momentum. The POD analysis of the pressure fields suggests that the precessing helical vortex formation is the dominant coherent structure in the instantaneous flow.

Annular array technology for nondestructive turbine inspection. Final report

International Nuclear Information System (INIS)

Light, G.M.

1986-05-01

The Electric Power Research Institute (EPRI) funded Southwest Research Institute (SwRI) to fabricate and functionally test phased array transducers and an electronic control system with the intent of evaluating the phased array technology for use in the inspection of turbine disks. During this program a 13-element annular array and associated phased array electronics were fabricated and tested and the results of the tests compared to those predicted by theory. The prototype system performed well within the expected limits, and EPRI funded further work to fabricate and test a production unit. The production system consisted of a 25-element annular array and a 25-channel electronics system that had both pulser and receiver delay circuitry. In addition, during the program it was determined that miniaturized hybrid pulser/preamps would be needed to allow the phased array to work over distances exceeding 9.1 meters (30 feet) from the electronics. A circuit developed by SwRI was utilized and found to produce good pulsing capability that did not suffer from impedance mismatch. EPRI also funded (under a separate contract) the fabrication of a small scale static turbine test bed and a full scale dynamic test bed that contained full scale turbine geometries. These test beds were fabricated to enable the production phased array system to be evaluated on turbine disk surfaces. 26 figs

Characterization of interfacial waves in horizontal core-annular flow

Science.gov (United States)

Tripathi, Sumit; Bhattacharya, Amitabh; Singh, Ramesh; Tabor, Rico F.

2016-11-01

In this work, we characterize interfacial waves in horizontal core annular flow (CAF) of fuel-oil and water. Experimental studies on CAF were performed in an acrylic pipe of 15.5mm internal diameter, and the time evolution of the oil-water interface shape was recorded with a high speed camera for a range of different flow-rates of oil (Qo) and water (Qw). The power spectrum of the interface shape shows a range of notable features. First, there is negligible energy in wavenumbers larger than 2 π / a , where a is the thickness of the annulus. Second, for high Qo /Qw , there is no single dominant wavelength, as the flow in the confined annulus does not allow formation of a preferred mode. Third, for lower Qo /Qw , a dominant mode arises at a wavenumber of 2 π / a . We also observe that the power spectrum of the interface shape depends weakly on Qw, and strongly on Qo, perhaps because the net shear rate in the annulus appears to depend weakly on Qw as well. We also attempt to build a general empirical model for CAF by relating the interfacial stress (calculated via the mean pressure gradient) to the flow rate in the annulus, the annular thickness and the core velocity. Authors are thankful to Orica Mining Services (Australia) for the financial support.

Mitral valve replacement in infants and children 5 years of age or younger: Evolution in practice and outcome over three decades with a focus on supra-annular prosthesis implantation

Science.gov (United States)

Tierney, Elif Seda Selamet; Pigula, Frank A.; Berul, Charles I.; Lock, James E.; del Nido, Pedro J.; McElhinney, Doff B.

2014-01-01

Objective Successful mitral valve replacement in young children is limited by the lack of small prosthetic valves. Supra-annular prosthesis implantation can facilitate mitral valve replacement with a larger prosthesis in children with a small annulus, but little is known about its effect on the outcomes of mitral valve replacement in young children. Methods One hundred eighteen children underwent mitral valve replacement at 5 years of age or younger from 1976–2006. Mitral valve replacement was supra-annular in 37 (32%) patients. Results Survival was 74% ± 4% at 1 year and 56% ± 5% at 10 years but improved over time (10-year survival of 83% ± 7% from 1994–2006). Factors associated with worse survival included earlier mitral valve replacement date, age less than 1 year, complete atrioventricular canal, and additional procedures at mitral valve replacement, but not supra-annular mitral valve replacement. As survival improved during our more recent experience, the risks of supra-annular mitral valve replacement became apparent; survival was worse among patients with a supra-annular prosthesis after 1991. A pacemaker was placed in 18 (15%) patients within 1 month of mitral valve replacement and was less likely in patients who had undergone supra-annular mitral valve replacement. Among early survivors, freedom from redo mitral valve replacement was 72% ± 5% at 5 years and 45% ± 7% at 10 years. Twenty-one patients with a supra-annular prosthesis underwent redo mitral valve replacement. The second prosthesis was annular in 15 of these patients and upsized in all but 1, but 5 required pacemaker placement for heart block. Conclusions Supra-annular mitral valve replacement was associated with worse survival than annular mitral valve replacement in our recent experience. Patients with supra-annular mitral valve replacement were less likely to have operative complete heart block but remained at risk when the prosthesis was subsequently replaced. PMID:18954636

Transmission and compression of an intense relativistic electron beam produced by a converging annular diode with return current feedback through the cathode. Pt. 2. The experiments

International Nuclear Information System (INIS)

Kelly, J.G.; Schuch, R.L.

1976-02-01

The complete results of the experiments with the converging annular diode within return current fedback through the cathode (Triax) are reported herein. The diode was designed to focus a relativistic high-current electron beam to a small focus. It did confirm the Triaxial theory detailed in Part I, and it did achieve a factor of 10 areal compression with 50% efficiency (which was below expectations). There were two principal reasons for this shortfall. First, the rapid diode plasma motion of 10 cm/μsec that was discovered necessitated the use of larger A-K gaps than expected and led to thicker beam sheets than are needed for good focusing. Second, the intrinsic angular spread of the electrons, even from the best cathode surfaces, introduced excessive angular momentum into the beam so that only a minor portion of the electrons could reach the axis. However, the yield of useful information about diode physics in general and about the influence of prepulse, the role of diode plasmas, the motion of energetic beams within conducting boundaries, diode emission properties, and diode diagnostic techniques in particle has had a significant and useful impact on the electron beam program at Sandia

Axial annular flow of power-law fluids - applicability of the limiting cases

Czech Academy of Sciences Publication Activity Database

Filip, Petr; David, Jiří

2007-01-01

Roč. 52, č. 4 (2007), s. 365-371 ISSN 0001-7043 R&D Projects: GA ČR GA103/06/1033 Institutional research plan: CEZ:AV0Z20600510 Keywords : Concentric annuli * Poiseuile flow * annular flow * power- law fluids * flow rate * pressure drop Subject RIV: BK - Fluid Dynamics

Transition from annular flow to plug/slug flow in condensation of steam in microchannels

Energy Technology Data Exchange (ETDEWEB)

Quan, Xiaojun; Cheng, Ping; Wu, Huiying [School of Mechanical and Power Engineering, Shanghai Jiaotong University, 800 Dong Chuan Road, Shanghai 200240 (China)

2008-02-15

A visualization study has been conducted to investigate the transition from annular flow to plug/slug flow in the condensation of steam in two different sets of parallel microchannels, having hydraulic diameters of 90 {mu}m and 136 {mu}m, respectively. The steam in the parallel microchannels was cooled on the bottom by forced convection of water and by natural convection of air from the top. It is found that the location, where the transition from annular flow to plug/slug flow takes place, depends on mass flux and cooling rate of steam. The effects of mass flux and cooling rate on the occurrence frequency of the injection flow in a single microchannel, having a hydraulic diameter of 120 {mu}m and 128 {mu}m, respectively, are investigated. It is found that two different shapes of injection flow occur in the smooth annular flow in microchannels: injection flow with unsteady vapor ligament occurring at low mass flux (or high cooling rate) and injection flow with steady vapor ligament occurring at high mass flux (or low cooling rate). It is also found that increase of steam mass flux, decrease of cooling rate, or decrease of the microchannel diameter tends to enhance instability of the condensate film on the wall, resulting in occurrence of the injection flow further toward the outlet with an increase in occurrence frequency. (author)

Frequency of gamma oscillations in humans is modulated by velocity of visual motion

Science.gov (United States)

Butorina, Anna V.; Sysoeva, Olga V.; Prokofyev, Andrey O.; Nikolaeva, Anastasia Yu.; Stroganova, Tatiana A.

2015-01-01

Gamma oscillations are generated in networks of inhibitory fast-spiking (FS) parvalbumin-positive (PV) interneurons and pyramidal cells. In animals, gamma frequency is modulated by the velocity of visual motion; the effect of velocity has not been evaluated in humans. In this work, we have studied velocity-related modulations of gamma frequency in children using MEG/EEG. We also investigated whether such modulations predict the prominence of the “spatial suppression” effect (Tadin D, Lappin JS, Gilroy LA, Blake R. Nature 424: 312-315, 2003) that is thought to depend on cortical center-surround inhibitory mechanisms. MEG/EEG was recorded in 27 normal boys aged 8–15 yr while they watched high-contrast black-and-white annular gratings drifting with velocities of 1.2, 3.6, and 6.0°/s and performed a simple detection task. The spatial suppression effect was assessed in a separate psychophysical experiment. MEG gamma oscillation frequency increased while power decreased with increasing velocity of visual motion. In EEG, the effects were less reliable. The frequencies of the velocity-specific gamma peaks were 64.9, 74.8, and 87.1 Hz for the slow, medium, and fast motions, respectively. The frequency of the gamma response elicited during slow and medium velocity of visual motion decreased with subject age, whereas the range of gamma frequency modulation by velocity increased with age. The frequency modulation range predicted spatial suppression even after controlling for the effect of age. We suggest that the modulation of the MEG gamma frequency by velocity of visual motion reflects excitability of cortical inhibitory circuits and can be used to investigate their normal and pathological development in the human brain. PMID:25925324

Development of annular coupled structure

International Nuclear Information System (INIS)

Kageyama, T.; Morozumi, Y.; Yoshino, K.; Yamazaki, Y.

1992-01-01

A π/2-mode standing-wave linac of an Annular Coupled Structure (ACS) has been developed for the 1-GeV proton linac of the Japanese Hadron Project (JHP). This ACS has four coupling slots between accelerating and coupling cells in order to overcome difficulties in putting the ACS to practical use. Two prototypes of a four-slot ACS (f = 1296 MHz, β = v/c = 0.8) have been constructed and tested: one with a staggered slot-orientation from cell to cell; and the other with a uniform one. The staggered configuration gives a larger coupling constant and a larger shunt impedance than the uniform one with the same size of coupling slot. Both models have been conditioned up to the design input RF power. The four-slot ACS gives a distortion-free accelerating field around the beam axis, while a Side-Coupled Structure cavity gives an accelerating field mixed with a TE111-like mode. (Author) 7 figs., 2 tabs., 9 refs

Particle-in-cell simulation of electron trajectories and irradiation uniformity in an annular cathode high current pulsed electron beam source

Energy Technology Data Exchange (ETDEWEB)

Jiang, Wei; Wang, Langping, E-mail: aplpwang@hit.edu.cn; Zhou, Guangxue; Wang, Xiaofeng

2017-02-01

Highlights: • The transmission process of electrons and irradiation uniformity was simulated. • Influence of the irradiation parameters on irradiation uniformity are discussed. • High irradiation uniformity can be obtained in a wide processing window. - Abstract: In order to study electron trajectories in an annular cathode high current pulsed electron beam (HCPEB) source based on carbon fiber bunches, the transmission process of electrons emitted from the annular cathode was simulated using a particle-in-cell model with Monte Carlo collisions (PIC-MCC). The simulation results show that the intense flow of the electrons emitted from the annular cathode are expanded during the transmission process, and the uniformity of the electron distribution is improved in the transportation process. The irradiation current decreases with the irradiation distance and the pressure, and increases with the negative voltage. In addition, when the irradiation distance and the cathode voltage are larger than 40 mm and −15 kV, respectively, a uniform irradiation current distribution along the circumference of the anode can be obtained. The simulation results show that good irradiation uniformity of circular components can be achieved by this annular cathode HCPEB source.

Successful surgical treatment of intramural aortoatrial fistula, severe aortic regurgitation, mitral prolapse, and tricuspid insufficiency in a patient with Ehlers-Danlos syndrome type IV.

Science.gov (United States)

Jiang, Shengli; Gao, Changqing; Ren, Chonglei; Zhang, Tao

2012-06-01

Patients with Ehlers-Danlos syndrome (EDS) type IV, an inherited connective tissue disorder, are predisposed to vascular and digestive ruptures, and arterial ruptures account for the majority of deaths. A 31-year-old man with EDS presented with an intramural aortoatrial fistula, severe aortic regurgitation, mitral valve prolapse, and severe tricuspid valve insufficiency combined with a severely dilated left ventricle. Determining the best surgical option for the patient was not easy, especially regarding the course of action for the aortic root with a tear in the sinus of Valsalva. The fistula tract was closed at the aorta with suture and with a patch in the right atrium, the mitral valve was repaired with edge-to-edge suture and then annuloplasty with a Cosgrove ring, the aortic valve was replaced with a mechanical prosthesis, and a modified De Vega technique was used for the tricuspid valvuloplasty. The postoperative course was uncomplicated, and the patient was discharged 2 weeks later. The considerations made to arrive at the chosen surgical course of action in this complex case are reviewed.

Heart failure due to severe myocardial calcification

International Nuclear Information System (INIS)

Takahashi, Shouichi; Maida, Kiyoshi; Yokoyama, Hitoshi; Tanaka, Shigeo

1993-01-01

A 28-year-old female who had had irradiation on the chest wall at the age of 5 as a remedy for keloid granulation after burn, recently developed congestive heart failure. Severe tricuspid regurgitation was demonstrated by echocardiography with a certain calcification in the cardiac shadow on chest radiogram. Calcified right ventricle and ventricular septum were noticed operatively, which disturbed ventricular motion and also caused tricuspid valve deformity. These calcified myocardium apparently corresponded with the irradiation field. After tricuspid valve replacement, she regained physical activity satisfactorily without congestive heart failure. Because she had no other known causes of cardiac calcification such as hypercalcemia, myocarditis, myocardial infarction or renal diseases, irradiation on the chest wall could be responsible for the severe myocardial calcification. (author)

Quick estimate of the heat transfer characteristics of annular fins of hyperbolic profile with the power series method

International Nuclear Information System (INIS)

Arauzo, Inmaculada; Campo, Antonio; Cortes, Cristobal

2005-01-01

This technical paper addresses an elementary analytic procedure for the approximate solution of the quasi-one-dimensional heat conduction equation (a generalized Bessel equation) that governs the temperature variation in annular fins of hyperbolic profile. This fin shape is of remarkable importance because its heat transfer performance is close to that of the annular fin of convex parabolic profile, the so-called optimal annular fin that is capable of delivering maximum heat transfer for a given volume of material [Zeitschrift des Vereines Deutscher Ingenieure 70 (1926) 885]. The salient feature of the analytic procedure developed here is that for realistic combinations of the two parameters: the enlarged Biot number and the normalized radii ratio, the truncated power series solutions embracing a moderate number of terms yields unprecedented results of excellent quality. The analytic results are conveniently presented in terms of the two primary quantities of interest in thermal design applications, namely the heat transfer rates and the tip temperature

Transient severe tricuspid regurgitation after transplantation of an extremely oversized donor heart in a child-Does size matter? A case report.

Science.gov (United States)

Birnbaum, J; Ulrich, S M; Schramm, R; Hagl, C; Lehner, A; Fischer, M; Haas, N A; Heineking, B

2017-02-01

In pediatric heart transplantation, the size of the donor organ is an important criterion for organ allocation. Oversized donor hearts are often accepted with good results, but some complications in relation to a high donor-recipient ratio have been described. Our patient was transplanted for progressive heart failure in dilated cardiomyopathy. The donor-to-recipient weight ratio was 3 (donor weight 65 kg, recipient weight 22 kg). The intra-operative echocardiography before chest closure showed excellent cardiac function, no tricuspid valve regurgitation, and a normal central venous pressure. After chest closure, central venous pressure increased substantially and echocardiography revealed a severe tricuspid insufficiency. As other reasons for right ventricular dysfunction, that is, myocardial ischemia, pulmonary hypertension, and rejection, were excluded, we assumed that the insufficiency was caused by an alteration of the right ventricular geometry. After 1 week, the valve insufficiency regressed to a minimal degree. In pediatric heart transplant patients with a high donor-to-recipient weight ratio, the outlined complication may occur. If other reasons for right ventricular heart failure can be ruled out, this entity is most likely caused by an acute and transient alteration of the right ventricular geometry that may disappear over time. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

A New Approach to Designing the S-Shaped Annular Duct for Industrial Centrifugal Compressor

Directory of Open Access Journals (Sweden)

Ivan Yurko

2014-01-01

Full Text Available The authors propose an analytical method for designing the inlet annular duct for an industrial centrifugal compressor using high-order Bezier curves. Using the design of experiments (DOE theory, the three-level full factorial design was developed for determination of influence of the dimensionless geometric parameters on the output criteria. Numerical research was carried out for determination of pressure loss coefficients and velocity swirl angles using the software system ANSYS CFX. Optimal values of the slope for a wide range of geometric parameters, allowing minimizing losses in the duct, have been found. The study has used modern computational fluid dynamics techniques to develop a generalized technique for future development of efficient variable inlet guide vane systems. Recommendations for design of the s-shaped annular duct for industrial centrifugal compressor have been given.

Portal annular pancreas: a systematic review of a clinical challenge.

Science.gov (United States)

Harnoss, Jonathan M; Harnoss, Julian C; Diener, Markus K; Contin, Pietro; Ulrich, Alexis B; Büchler, Markus W; Schmitz-Winnenthal, Friedrich H

2014-10-01

Portal annular pancreas (PAP) is an asymptomatic congenital pancreas anomaly, in which portal and/or mesenteric veins are encased by pancreas tissue. The aim of the study was to determine the role of PAP in pancreatic surgery as well as its management and potential complication, specifically, postoperative pancreatic fistula (POPF).On the basis of a case report, the MEDLINE and ISI Web of Science databases were systematically reviewed up to September 2012. All articles describing a case of PAP were considered.In summary, 21 studies with 59 cases were included. The overall prevalence of PAP was 2.4% and the patients' mean (SD) age was 55.9 (16.2) years. The POPF rate in patients with PAP (12 pancreaticoduodenectomies and 3 distal pancreatectomies) was 46.7% (in accordance with the definition of the International Study Group of Pancreatic Surgery).Portal annular pancreas is a quite unattended pancreatic variant with high prevalence and therefore still remains a clinical challenge to avoid postoperative complications. To decrease the risk for POPF, attentive preoperative diagnostics should also focus on PAP. In pancreaticoduodenectomy, a shift of the resection plane to the pancreas tail should be considered; in extensive pancreatectomy, coverage of the pancreatic remnant by the falciform ligament could be a treatment option.

Right ventricular reduction for repair of functional tricuspid valve regurgitation: one-year follow up.

Science.gov (United States)

Ouda, Ahmed; Matschke, Klaus; Ghazy, Tamer; Speiser, Uwe; Alexiou, Konstantin; Tugtekin, Sems-Malte; Schoen, Steffen; Kappert, Utz

2013-09-01

The study aim was to assess the impact of reducing the right ventricular (RV) cavity in order to optimize the outcome of tricuspid valve (TV) repair in cases of functional tricuspid regurgitation (FTR) with dilated right ventricle. Between May 2007 and February 2010, a total of 17 patients (six males, 11 females; mean age 69.5 +/- 10.1 years; mean logistic EuroSCORE 24 +/- 13%) with severe FTR and severe RV dilation were included. Echocardiography and magnetic resonance imaging (MRI) were performed for geometric assessment of the right ventricle. Intraoperatively, the lateral RV free wall was plicated to reduce the RV cavum to approximate the papillary muscles and decrease tethering of the TV; a conventional ring annuloplasty was then performed. Follow up included echocardiography and MRI at one month and one year postoperatively. The mean operative time was 157 +/- 30 min, and the cross-clamp time 63 13 min. Postoperatively, the mean bleeding volume was 486 +/- 455 ml, the rethoracotomy rate 5.9%, intensive therapy unit (ITU) stay 6.0 +/- 4.4 days, and hospital stay 19.0 +/- 8.8 days. In-hospital mortality was 17.6%. The mean follow up was 14.4 +/- 2.4 months. The one-year follow up revealed a survival of 82.3%, a slight decrease in RV ejection fraction (from 33.5 +/- 4.2% to 31.7 +/- 5.7%; p = 0.13), a significant reduction in the RV end-diastolic volume index (from 160 +/- 15.6 to 128 +/- 10 ml/m2; p = 0.0001), a reduction in TV tenting area (from 3.3 +/- 0.9 to 0.9 +/- 0.3 cm2; p = 0.0001), and a significant reduction in the ratio of TR jet to right atrial surface area (from 54.8 +/- 8.2% to 14.1 +/- 3.5%; p = 0.0001). In cases of FTR, RV dilation may be considered as a correctable factor at subvalvular level to optimize the outcome of TV repair.

Upgrade of the Annular Core Pulse Reactor

Energy Technology Data Exchange (ETDEWEB)

Reuscher, J A [Sandia Laboratories, Albuquerque, NM (United States)

1976-07-01

The Annular Core Pulse Reactor (ACPR) is a TRIGA type reactor which has been in operation at Sandia Laboratories since 1967. The reactor is utilized in a wide variety of experimental programs which include radiation effects, neutron radiography, activation analysis, and fast reactor safety. During the past two years, the ACPR has become an important experimental facility for the United States Fast Reactor Safety Research Program and questions of interest to the safety of the LMFBR are being addressed. In order to enhance the capabilities of the ACPR for reactor safety experiments, a project to improve the performance of the reactor was initiated. It is anticipated that the pulse fluence can be increased by a factor of 2.0 to 2.5 by utilizing a two-region core concept with high heat capacity fuel elements around the central irradiation cavity. In addition, the steady-state power of the reactor will be increased by about a factor of two. Preliminary studies have identified several potential approaches to the ACPR performance improvement. The most promising approach appears to be the two-region core concept. The inner region, surrounding the irradiation cavity, would consist of a high-heat capacity fuel capable of absorbing the fission energy associated with a large nuclear pulse. The number of fissions occurring near the cavity would be greatly increased which, in turn, would significantly increase the fluence in the cavity. The outer region would consist of a U-ZrH fuel to provide an overall negative temperature coefficient for the two region core. Two candidate high heat capacity fuels [(BeO-UO{sub 2} and UC-ZrC) - graphite] are under consideration. Since this reactor upgrade represents a modification to an existing facility, it can be achieved in a relatively short time. It is anticipated that most of the existing reactor structure can be used for the upgrade. The present core occupies about one-half of the location in the grid plate. The high-heat capacity fuel

Annular dispersed flow analysis model by Lagrangian method and liquid film cell method

International Nuclear Information System (INIS)

Matsuura, K.; Kuchinishi, M.; Kataoka, I.; Serizawa, A.

2003-01-01

A new annular dispersed flow analysis model was developed. In this model, both droplet behavior and liquid film behavior were simultaneously analyzed. Droplet behavior in turbulent flow was analyzed by the Lagrangian method with refined stochastic model. On the other hand, liquid film behavior was simulated by the boundary condition of moving rough wall and liquid film cell model, which was used to estimate liquid film flow rate. The height of moving rough wall was estimated by disturbance wave height correlation. In each liquid film cell, liquid film flow rate was calculated by considering droplet deposition and entrainment flow rate. Droplet deposition flow rate was calculated by Lagrangian method and entrainment flow rate was calculated by entrainment correlation. For the verification of moving rough wall model, turbulent flow analysis results under the annular flow condition were compared with the experimental data. Agreement between analysis results and experimental results were fairly good. Furthermore annular dispersed flow experiments were analyzed, in order to verify droplet behavior model and the liquid film cell model. The experimental results of radial distribution of droplet mass flux were compared with analysis results. The agreement was good under low liquid flow rate condition and poor under high liquid flow rate condition. But by modifying entrainment rate correlation, the agreement become good even under high liquid flow rate. This means that basic analysis method of droplet and liquid film behavior was right. In future work, verification calculation should be carried out under different experimental condition and entrainment ratio correlation also should be corrected

Slug-annular transition with particular reference to narrow rectangular ducts

International Nuclear Information System (INIS)

Jones, O.C. Jr.; Zuber, N.

1978-01-01

The transition from slug-flow to annular-flow in two-phase, gas-liquid mixtures is analyzed. A transition equation is derived which agrees well when compared with objective data determined from the disappearance of the low-void peak in the void fluctuation probability density in a rectangular duct. Application to other geometries is suggested and tabular recommendations given for determination of the drift flux coefficient, K, based on results in the literature

Effect of Patient-Prosthesis Mismatch in Aortic Position on Late-Onset Tricuspid Regurgitation and Clinical Outcomes after Double Valve Replacement.

Science.gov (United States)

Lee, Seung Hyun; Youn, Young Nam; Chang, Byung Chul; Joo, Hyun Chel; Lee, Sak; Yoo, Kyung Jong

2017-09-01

Significant late-onset tricuspid regurgitation (TR) is unfortunately common after double valve replacement (DVR); however, its underlying factors remain undefined. We evaluated the effect of aortic patient-prosthesis mismatch (PPM) on late-onset TR and clinical outcomes after DVR. Of the 2392 consecutive patients who underwent aortic valve replacement between January 1990 and May 2014 at our institution, we retrospectively studied 462 patients who underwent DVR (excluding concomitant tricuspid valvular annuloplasty or replacement). Survival and freedom from grade >3 TR were compared between PPM (n=152) and non-PPM (n=310) groups using the Kaplan-Meier method. Although the overall survival rates were similar between the two groups at 5 and 10 years (95%, 91% vs. 96%, 93%, p=0.412), grade >3 TR-free survival was significantly lower in the PPM group (98%, 91% vs. 99%, 95%, p=0.014). Small body-surface area, atrial fibrillation, PPM, and subaortic pannus were risk factors for TR progression. However, aortic prosthesis size and trans-valvular pressure gradient were not significant factors for either TR progression or overall survival. Aortic PPM in DVR, regardless of mitral prosthesis size, was associated with late TR progression, but was not significantly correlated with overall survival. Therefore, we recommend careful echocardiographic follow-up for the early detection of TR progression in patients with aortic PPM in DVR. © Copyright: Yonsei University College of Medicine 2017

Experimental investigation of gas turbine airfoil aerodynamic performance without and with film cooling in an annular sector cascade

Energy Technology Data Exchange (ETDEWEB)

Wiers, S.H.

2002-02-01

The steady growing of industrialization, the densification of the anthroposphere, the increasing concern over the effects of gas turbine cruise emissions on the atmosphere threaten the growth of air transportation, and the perception about the possible climatic impact of CO{sub 2} emissions causes a public distinctive sense of responsibility. The conventional energy production techniques, which are based on fossil fuel, will keep its central importance within the global energy production. Forecasts about the increasing air transportation give duplication in the next 10-15 years. The optimization of the specific fuel consumption is necessary to decrease the running costs and the pollution emissions in the atmosphere, which makes an increased process efficiency of stationary turbines as well as of jet engines essential. This leads to the necessity of an increased thermodynamic efficiency of the overall process and the optimization of the aerodynamic components. Due to the necessity of more detailed three-dimensional data on the behavior of film cooled blades an annular sector cascade turbine test facility has gone into service. The annular sector cascade facility is a relative cost efficient solution compared to a full annular facility to investigate three-dimensional effects on a non cooled and cooled turbine blade. The aerodynamic investigations on the annular sector cascade facility are part of a broad perspective where experimental data from a hot annular sector cascade facility and the cold annular sector facility are used to verify, calibrate and understand the physics for both internal and external calculation methods for flow and heat transfer prediction. The objective of the present study is the design and validation of a cold flow annular sector cascade facility, which meets the flow conditions in a modem turbine as close as possible, with emphasis on achieving periodic flow conditions. The first part of this study gives the necessary background on this

On the properties of collision probability integrals in annular geometry-II evaluation

International Nuclear Information System (INIS)

Milgram, M.S.; Sly, K.N.

1979-02-01

To calculate neutron flux distributions in infinitely long annular regions, the inner-outer and outer-outer transmission probabilities psup(io) and psup(oo) are required. Efficient algorithms for the computation of these probabilities as functions of two variables (the ratio of inner/outer radii kappa, and cross-section Σ) are given for 0 -5 . (author)

Heat Transfer Characteristics of the Supercritical CO2 Flowing in a Vertical Annular Channel

International Nuclear Information System (INIS)

Yoo, Tae Ho; Bae, Yoon Yeong; Kim, Hwan Yeol

2010-01-01

Heat transfer test facility, SPHINX(Supercritical Pressure Heat transfer Investigation for NeXt generation), has been operated at KAERI for an investigation of the thermal-hydraulic characteristics of supercritical CO 2 at several test sections with a different geometry. The loop uses CO 2 because it has much lower critical pressure and temperature than those of water. Experimental study of heat transfer to supercritical CO 2 in a vertical annular channel with and hydraulic diameter of 4.5 mm has been performed. CO 2 flows downward through the annular channel simulating the downward-flowing coolant in a multi-pass reactor or water rod moderator in a single pass reactor. The heat transfer characteristics in a downward flow were analyzed and compared with the upward flow test results performed previously with the same test section at KAERI