Skip to main content

Dilation and Hypertrophy: A Cell-Based Continuum Mechanics Approach Towards Ventricular Growth and Remodeling

  • Conference paper
  • First Online:
IUTAM Symposium on Cellular, Molecular and Tissue Mechanics

Part of the book series: IUTAM Bookseries ((IUTAMBOOK,volume 16))

Abstract

This manuscript presents a continuum approach towards cardiac growth and remodeling that is capable to predict chronic maladaptation of the heart in response to changes in mechanical loading. It is based on the multiplicative decomposition of the deformation gradient into and elastic and a growth part. Motivated by morphological changes in cardiomyocyte geometry, we introduce an anisotropic growth tensor that can capture both hypertrophic wall thickening and ventricular dilation within one generic concept. In agreement with clinical observations, we propose wall thickening to be a stress-driven phenomenon whereas dilation is introduced as a strain-driven process. The features of the proposed approach are illustrated in terms of the adaptation of thin heart slices and in terms overload-induced dilation in a generic bi-ventricular heart model.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Allen HD, Gutgesell HP, Edward BC, Driscoll DJ (2001) Moss and Adams’ heart disease in infants, children, and adolescents, 6th edn. Lippincott Williams & Wilkins

    Google Scholar 

  2. Ambrosi D, Guillou A, Di Martino ES (2008) Stress-modulated remodeling of a non-homogeneous body. Biomech Mod Mechanobio 7:63–76

    Article  CAS  Google Scholar 

  3. Cheng A, Nguyen TC, Malinowski M, Ennis DB, Daughters GT, Miller DC, Ingels NB (2006) Transmural left ventricular shear strain alterations adjacent to and remote from infarcted myocardium. J Heart Valve Dis 15:209–218

    Google Scholar 

  4. Epstein M, Maugin GA (2000) Thermomechanics of volumetric growth in uniform bodies. Int J Plast 16:951–978

    Article  Google Scholar 

  5. Garikipati K, Arruda EM, Grosh K, Narayanan H, Calve S (2004) A continuum treatment of growth in biological tissue: The coupling of mass transport and mechanics. J Mech Phys Solid 52:1595–1625

    Article  Google Scholar 

  6. Goriely A, Ben Amar M (2007) On the definition and modeling of incremental, cumulative, and continuous growth laws in morphoelasticity. Biomech Mod Mechanobio 6:289–296

    Article  Google Scholar 

  7. Himpel G, Kuhl E, Menzel A, Steinmann P (2005) Computational modelling of isotropic multiplicative growth. Comp Mod Eng Sci 8:119–134

    Google Scholar 

  8. Humphrey JD (2002) Cardiovascular solid mechanics. Springer, Berlin

    Google Scholar 

  9. Humphrey JD, Rajagopal KR (2002) A constrained mixture model for growth and remodeling of soft tissues. Math Mod Meth Appl Sci 12:407–430

    Article  Google Scholar 

  10. Hunter JJ, Chien KR (1999) Signaling pathways for cardiac hypertrophy and failure. New Engl J Med 341:1276–1283

    Article  CAS  Google Scholar 

  11. Krishnamurthy G, Ennis DB, Itoh A, Bothe W, Swanson-Birchill JC, Karlsson M, Kuhl E, Miller DC, Ingels NB (2008) Material properties of the ovine mitral valve anterior leaflet in vivo from inverse finite element analysis. Am J Physiol Heart Circ Physiol 295:H1141–H1149

    Article  CAS  Google Scholar 

  12. Kuhl E, Maas R, Himpel G, Menzel A (2007) Computational modeling of arterial wall growth: Attempts towards patient specific simulations based on computer tomography. Biomech Mod Mechanobio 6:321–331

    Article  CAS  Google Scholar 

  13. Lubarda A, Hoger A (2002) On the mechanics of solids with a growing mass. Int J Solid Struct 39:4627–4664

    Article  Google Scholar 

  14. Rodriguez EK, Hoger A, McCulloch AD (1994) Stress-dependent finite growth in soft elastic tissues. J Biomech 27:455–467

    Article  CAS  Google Scholar 

  15. Taber LA (1995) Biomechanics of growth, remodeling and morphogenesis. Appl Mech Rev 48:487–545

    Article  Google Scholar 

  16. Taber LA, Humphrey JD (2001) Stress-modulated growth, residual stress, and vascular heterogeneity. J Biomech Eng 123:528–535

    Article  CAS  Google Scholar 

Download references

Acknowledgements

This material is based on work supported by the National Science Foundation under Grant No. EFRI-CBE 0735551 Engineering of cardiovascular cellular interfaces and tissue constructs and by the NIH Center for Biomedical Computation at Stanford Simbios.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to E. Kuhl .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Springer Science+Business Media B.V.

About this paper

Cite this paper

Ulerich, J., Göktepe, S., Kuhl, E. (2010). Dilation and Hypertrophy: A Cell-Based Continuum Mechanics Approach Towards Ventricular Growth and Remodeling. In: Garikipati, K., Arruda, E. (eds) IUTAM Symposium on Cellular, Molecular and Tissue Mechanics. IUTAM Bookseries, vol 16. Springer, Dordrecht. https://doi.org/10.1007/978-90-481-3348-2_20

Download citation

Publish with us

Policies and ethics