BACKGROUND The "fenestrated Fontan" (surgical baffle fenestration followed by transcatheter test occlusion and permanent closure after postoperative recovery) was adopted in an effort to reduce perioperative mortality and morbidity. This study assesses the effect of baffle fenestration on outcome. METHODS AND RESULTS Patients having a modified Fontan operation with a cavocaval baffle and cavo...

Thirty children aged from 7 weeks to 14 years were examined by echocardiography after Mustard's operation for transposition of the great arteries. Discrete and persitent echoes were noted within the original left atrial cavity and contrast echocardiography was used to establish that these originated from the interatrial baffle. In the presence of caval channel obstruction, caused by malposition...

Improving heat transfer and performance in a radial, finned, shell and tube heat exchanger is studied in this study. According to the second law of thermodynamics, the most irreversibilities of convective heat transfer processes are due to fluid friction and heat transfer via finite temperature difference. Entransy dissipations are due to the irreversibilities of convective heat transfer. There...

This paper presents the application of Differential Evolution (DE) for the optimal design of shell-and-tube heat exchangers. The main objective in any heat exchanger design is the estimation of the minimum heat transfer area required for a given heat duty, as it governs the overall cost of the heat exchanger. Lakhs of configurations are possible with various design variables such as outer diame...

Background. The "fenestrated Fontan" (surgical baffle fenestration followed by transcatheter test occlusion and permanent closure after postoperative recovery) was adopted in an effort to reduce perioperative mortality and morbidity. This study assesses the effect of baffle fenestration on outcome. Methods and Results. Patients having a modified Fontan operation with a cavocaval baffle and cavo...

Convective heat transfer and entropy generation in a 3D closed cavity, equipped with adiabatic-driven baffle and filled with CNT (carbon nanotube)-water nanofluid, are numerically investigated for a range of Rayleigh numbers from 103 to 105. This research is conducted for three configurations; fixed baffle (V = 0), rotating baffle clockwise (V+) and rotating baffle counterclockwise (V−) and a r...

Clinicians have a difficult choice between the arterial switch (Jatene et al.) and the atrial baffle operation (Mustard or Senning) for transposition of the great arteries. The surgical decision is essentially a determination of whether the long-term course after the arterial switch procedure (thought to be more favorable than after the atrial baffle procedure) plus elimination of presurgical a...

To the Editor Mustard operation, a surgical treatment for transposition of great arteries, can be complicated by postprocedural atrial or caval baffle leaks, which lead to about 60% of late reoperations. Transcatheter procedures for baffle leakage closure have been anecdotally reported and shown to be both well tolerated and effective; however, no data have been reported to date about the short...

Three new baffle flow constructed wetlands (CWs), namely the baffle horizontal flow CW (Z1), baffle vertical flow CW (Z2) and baffle hybrid flow CW (Z3), along with one traditional horizontal subsurface flow CW (Z4) were designed to test the removal efficiency of nitrogen (N) and phosphorus (P) from the septic tank effluent under varying hydraulic retention times (HRTs). Results showed that the...

A new virtual baffle methodology is implemented to solve contact/detach problem which is often encountered in fluid and structure interaction simulations while using dynamic grids technique. The algorithm is based on tetrahedral unstructured grid, and a zero thickness baffle face is generated between actually contacted two objects. In computation process, this baffle face is divided into two pa...