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Date of download: 11/16/2017 Copyright © ASME. All rights reserved.

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1 Date of download: 11/16/2017 Copyright © ASME. All rights reserved. From: Mitral Valve Finite Element Modeling: Implications of Tissues’ Nonlinear Response and Annular Motion J Biomech Eng. 2009;131(12): doi: / Figure Legend: Finite element 3D model of the mitral valve: (a) atrial view, (b) commissural view, (c) posterior view, and (d) three-dimensional view

2 Date of download: 11/16/2017 Copyright © ASME. All rights reserved. From: Mitral Valve Finite Element Modeling: Implications of Tissues’ Nonlinear Response and Annular Motion J Biomech Eng. 2009;131(12): doi: / Figure Legend: Pressure load applied to the ventricular surface of the leaflets (dashed line) and displacements, normalized to 1, imposed on annular nodes (continuous line) during valve closure

3 Date of download: 11/16/2017 Copyright © ASME. All rights reserved. From: Mitral Valve Finite Element Modeling: Implications of Tissues’ Nonlinear Response and Annular Motion J Biomech Eng. 2009;131(12): doi: / Figure Legend: Annulus and papillary muscles’ three-dimensional position at different pressure loads

4 Date of download: 11/16/2017 Copyright © ASME. All rights reserved. From: Mitral Valve Finite Element Modeling: Implications of Tissues’ Nonlinear Response and Annular Motion J Biomech Eng. 2009;131(12): doi: / Figure Legend: Mitral leaflets’ closure as computed by the main model: six configurations for increasing pressure values

5 Date of download: 11/16/2017 Copyright © ASME. All rights reserved. From: Mitral Valve Finite Element Modeling: Implications of Tissues’ Nonlinear Response and Annular Motion J Biomech Eng. 2009;131(12): doi: / Figure Legend: Leaflets’ maximum principal stress distribution at the systolic peak for the main model (left) and for the auxiliary one, characterized by fixed annulus and papillary muscles (right)

6 Date of download: 11/16/2017 Copyright © ASME. All rights reserved. From: Mitral Valve Finite Element Modeling: Implications of Tissues’ Nonlinear Response and Annular Motion J Biomech Eng. 2009;131(12): doi: / Figure Legend: Leaflets’ nominal strains in circumferential (ε11) and longitudinal (ε22) directions at the systolic peak for the main model (left) and for the auxiliary one, characterized by fixed annulus and papillary muscles (right)

7 Date of download: 11/16/2017 Copyright © ASME. All rights reserved. From: Mitral Valve Finite Element Modeling: Implications of Tissues’ Nonlinear Response and Annular Motion J Biomech Eng. 2009;131(12): doi: / Figure Legend: Papillary reaction force with (continuous black line) and without (continuous gray line) contraction. The dotted line depicts the time-dependent transvalvular pressure drop.

8 Date of download: 11/16/2017 Copyright © ASME. All rights reserved. From: Mitral Valve Finite Element Modeling: Implications of Tissues’ Nonlinear Response and Annular Motion J Biomech Eng. 2009;131(12): doi: / Figure Legend: Nodal reaction forces at the nodes belonging to the annulus as a function of node position, calculated in the main model (continuous black line) and in the auxiliary one (gray dashed line). Reference anatomical points are indicated on the horizontal axis and on sketch of the atrial view of the annular profile (top right): SH=saddle horn, Trig=trigone, Comm=commissure, Para=paracommissure, and MP=midposterior.


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