Three-dimensional simulation of blood flow in an abdominal aortic aneurysm--steady and unsteady flow cases.

Atherosclerosis and atherosclerotic aneurysms can occur in the abdominal aorta. Steady and unsteady three-dimensional flow cases were simulated in abdominal aortic aneurysm using a flow simulation package on a graphics workstation. In the steady case, three aneurysm models of 8.0 cm length were simulated using Reynolds numbers of 350 and 700. In the unsteady case, blood flow in a single asymmetric aneurysm of 8.0 cm length was simulated at Reynolds numbers of 350 and 700 and 1400. In the aneurysm center, two symmetric vortices were formed, and flow separation started at the aneurysm inlet. In the unsteady flow case, the main vortex appeared and disappeared and changed position in the unsteady flow case and induced vortices were formed. Although the centerline view shows the vortices change position with time, cross-sectional views show that two symmetric vortices are present or partially formed throughout the entire flow cycle. Regions of high pressure were observed at the aneurysm exit caused by the symmetric vortices that were formed, implying that this high-pressure region could be an area where rupture is most likely. In the unsteady case, regions of maximum pressure moved depending on the flow cycle time; at peak flow, local pressure maximums were observed at the distal aneurysm; these oscillated, tending to put an additional strain on the distal portion of the aneurysm. The shear stress was low in the aneurysm portion of the vessel, and local maximum values were observed at the distal aneurysm constriction.