Clark C transvalvular pressure–loss and recovery model — Aortic stenosis fluid mechanics (SVG edition) v0.3.1

Inputs & Geometry

Educational note: Clark’s model predicts pressures at stations (1, 2, 3) and compares quasi‑steady vs unsteady effects. Continuous curves shown here are optional visual connectors only; they are not CFD field solutions.
1060
Blood at 37 °C ≈ 1060 kg·m⁻³.
0.90
Discharge (nozzle) coefficient from steady tests; used in Clark’s Δp₁→₂ relation and nozzle-loss term.
4.0
Proximal (LVOT) area (station 1).
0.80
Stenosis (effective) area (station 2).
4.0
Post-mixing cross-section where recovered pressure is assessed (station 3).
300
Instantaneous flow (peak ≈ 250–500 mL/s typical).
0.10
Represents \( \int_{1}^{2}\!dx/A(x) \) in Clark’s unsteady term; set 0 for quasi‑steady.
0
Positive early ejection; ≈0 at peak; negative late ejection.

Clinical Estimation Aids

5.0
1.20
Waveform factor: \( \langle Q^2\rangle \approx k\,\langle Q\rangle^2 \).
50
Mean near the valve (station 2) to reduce recovery bias.

Visualization Mode

ON
ON: smooth educational connectors. OFF: station-to-station dashed connectors only.
Ready.

Station pressures (Clark) with optional educational connectors

Pressure-like variables [mmHg], ref \(p_1=0\) Velocity [m/s] d (normalized stations: −1=1, 0=2, 1=3)
Blue — \(p(d)\) (connector) Gray — station connector (1→2→3) Green — \(v(d)\) (connector) Amber — \(q(d)=\tfrac12\rho v^2\) (mmHg) Pink — quasi‑steady connector Violet — ideal \(C_d=1\) connector Cyan — \(A(d)/A_2\) (illustrative)

Station pressure budget (Clark)

Δp 1→2 (red) Recovery 2→3 (green, effective) Loss 1→3 (blue) Violet tick = quasi‑steady recovery prediction (Borda–Carnot); green bar = effective recovery (= Δp₁→₂ − loss₁→₃)

Key Outputs (updated live)

QuantityValueNotes
\(v_1=Q/A_1\), \(v_2=Q/A_2\), \(v_3=Q/A_3\) (m/s) Bulk mean velocities at stations 1–3
\(v_c = Q/(C_d A_2)\) (m/s) “Effective jet” speed used in Clark’s Δp₁→₂ relation
\(\Delta p_{1\to2}\) (Pa / mmHg) Across the stenosis; includes unsteady term \( \rho (dQ/dt)\beta_{12} \)
\(\Delta p_{2\to3}\) effective (Pa / mmHg) Effective recovery = \(\Delta p_{1\to2}-\Delta p_{1\to3}^{(\mathrm{loss})}\)
\(\Delta p_{2\to3}\) quasi‑steady prediction (mmHg) Borda–Carnot recovery (violet tick)
Non‑recoverable loss \(1\to3\) (Pa / mmHg) Irreversible loss = nozzle + turbulent expansion (Clark loss model)
Unsteadiness index \(|\rho(dQ/dt)\beta_{12}|/|\Delta p_{1\to2,\mathrm{conv}}|\) (–) Quasi‑steady is adequate when this is small
Area ratios \(A_2/A_1\), \(A_3/A_2\), \(A_2/A_3\) Recovery prediction uses \(A_2/A_3\); loss uses \(A_3/A_2\)
Valve area estimate \(A_2\) (cm²) Clark mean-data estimator: \(A_2 \simeq 0.0242\, \dfrac{\mathrm{CO}}{\sqrt{k\,\Delta p_{\text{mean}}}}\)
Ready.

Clark (1976): station model, not a computed field

Clark’s approach treats a stenosed valve as a nozzle-like constriction and evaluates discrete station pressures: upstream (1), at/just distal to the stenosis (2), and after mixing/recovery (3). The educational objective is to understand how \(C_d\), area ratios, and unsteadiness (\(dQ/dt\)) shape station-to-station pressure differences and pressure recovery in pulsatile flow.

Governing relations (education-aligned to Clark’s station framework)

  1. Transvalvular drop (1→2)
    \[ \Delta p_{1\to 2} \approx \frac{\rho}{2}\Big(\frac{Q}{C_d A_2}\Big)^2 \Big[1 - \Big(\frac{A_2}{A_1}\Big)^2\Big] \;+\; \rho\,\frac{dQ}{dt}\,\beta_{12}, \qquad \beta_{12}\approx \int_{1}^{2}\frac{dx}{A(x)}. \]
  2. Quasi‑steady recovered pressure prediction (2→3, Borda–Carnot)
    \[ \Delta p_{2\to 3}^{(\mathrm{qs})} \approx 2\Big(\frac{A_2}{A_3}\Big)\Big(1-\frac{A_2}{A_3}\Big)\,\frac{1}{2}\rho v_2^2, \qquad v_2=\frac{Q}{A_2}. \]

    This value is displayed as the violet tick in the bar chart (prediction).

  3. Non‑recoverable loss (1→3)
    \[ \Delta p_{1\to 3}^{(\mathrm{loss})} = \frac{1}{2}\rho v_2^2 \left[ \Big(\frac{A_3}{A_2}\Big)^2\Big(1-\Big(\frac{A_2}{A_1}\Big)^2\Big)\Big(\frac{1}{C_d^2}-1\Big) +\Big(\frac{A_3}{A_2}-1\Big)^2 \right]. \]
  4. Effective recovery used for the green bar
    \[ \Delta p_{2\to 3}^{(\mathrm{eff})} \;=\; \Delta p_{1\to2} \;-\; \Delta p_{1\to3}^{(\mathrm{loss})}. \]

    The effective recovered pressure differs from the quasi‑steady prediction when nozzle/expansion losses are large and when the unsteady term shifts \(\Delta p_{1\to2}\).

  5. Mean-data valve area estimator (Paper II)
    \[ A_2 \simeq 0.0242\,\frac{\mathrm{CO}}{\sqrt{k\,\langle\Delta p\rangle}}\quad [\mathrm{cm}^2]. \]

What to learn from the current configuration

Reading the plots

How to induce pressure recovery

Meaning of the violet tick in the pressure bars

Relationship between red, green, and blue bars