Hemodynamic analysis on the flow characteristics around abdominal aortic hemorrhage site

The hemodynamic characteristics of blood flow around the site of abdominal aortic hemorrhage can serve as a valuable indicator for identifying the location of hemorrhage. In this research, we conducted numerical simulations to analyze the flow fields in the patient-specific abdominal aorta with and without hemorrhage. We quantitatively compared differences in flow field patterns, blood loss, and branch vessel perfusion between hemorrhagic and non-hemorrhagic cases. Our numerical results demonstrate that there is a distinct hemodynamic characteristic observed around the hemorrhage site, characterized by continuous abnormal high-velocity (>0.7 m/s) and high-Rortex (>200) zone. Additionally, we evaluated the amount of blood loss and time to moderate shock for different cases of abdominal aortic hemorrhage, while statistically analyzing variations in branch vessel perfusion along the abdominal aorta. These findings provide quantitative estimations for blood loss, branch perfusion, and potential indicators to assess rescue time window as well as evaluate the extent of distal tissue damage and organ injury.