Computational fluid dynamics simulation of an anterior communicating artery ruptured during angiography

BMJ Case Rep. 2013 Mar 7:2013:bcr2012010596. doi: 10.1136/bcr-2012-010596.

Abstract

We present a computational fluid dynamics (CFD) analysis of the hemodynamic environment of an anterior communicating artery that spontaneously ruptured immediately following three-dimensional rotational angiography. Subsequent digital subtraction angiography allowed for the localization of the point of rupture within the aneurysm dome. CFD analysis demonstrated a concentrated jet that impinged directly at the site of rupture. Peak systolic pressure and wall shear stress were both maximal near the rupture location.

Publication types

  • Case Reports

MeSH terms

  • Aneurysm, Ruptured / diagnostic imaging*
  • Aneurysm, Ruptured / physiopathology
  • Anterior Cerebral Artery*
  • Cerebral Angiography*
  • Hemodynamics
  • Humans
  • Hydrodynamics*
  • Imaging, Three-Dimensional
  • Intracranial Aneurysm / diagnostic imaging*
  • Intracranial Aneurysm / physiopathology
  • Male
  • Middle Aged