Title: The Role of Impact Force of Elliptic Blood Vortex Rings Collision in Acute Aortic Dissections

Abstract:

Objective : Acute aortic dissections (AAD) or wall ruptures on the entire aortic arch region even at aneurysmas are life threatening diseases. Till today all Acute Aortic Dissections Classifications are -Symptom Based Systems. By the results of our academic research team we developed the first „Cause Based Classification” based on the kinetics of the blood vortex-rings collisions. We cleared it,  based on mathemathic, the mechnism itself with huge benefit on the daily vascular surgical practice.
 The Results: Our investigation shows that the kinetic energy force is the main factor for initiating the acute aortic dissection.  Its generated only from the collision of the equal energy and symmetrical interference of physiological and „turned over”  pathological ellyptical blood flow vortex rings. Inside the spiral aortic arch flow, blood as a Non-Newtonian, non symmetric fluid can turn over even 180 degree by the elevation of the „Momentum of Insertia” and collide to the entering blood  mass from the LV. It is this high kinetic energy force - as resonance or vibration - at the  opening moment of the vorticis even in wall haematomas as one relative silent form from the 3  different AAD-s  without an entry or re-entry.  Same as the side effect of kidney stone Shock Wave Lithotripsy either shows, that in both effects the initiator is a High Energy Resonance - A Shock Wave -, wich can  different size of ruptures in the intima or in the cappilaries, sometimes the entire vessel wall.  It is NOT a Continuous Wall-, or Shear Force elevation as the classical current medical theory says!                                                                                    
Description: It means that it comes from two blood vortex rings – Blood Mass - Kinetic Energy Interaction -- with a relative high scale negative vector at the initial moment. Its rise in the vessel wall layers, mostly only the intima, but in the two other AAD forms either. It follows the blood mass entry – as an „Action-Reaction” force, dissecting the layers of the aortic wall or it ruptures the entire wall. The result depends on the local resistance, physiological condition of the aortic wall. /In the operative clinical Typ A,even B aortic dissection practice the wall of the aorta is in 80-90% intact!!!/ It’s because, the wall of the mammalian vascular system has a „Given Nature” ability to tolerate extreme high, even 10 times higher than normal blood pressure from inside out only, - several G forces-,but can not tolerate the similar high scale forces affecting on it with opposite vector!!!
Conclusion: A simplified Gradient by a mathematical formula : - Vortex Collision Caused Negativ Kinetic Force /Vector towards the aortic wall/ devided  by Actual Aortic Arch Wall Resistance allow us to estimate the correct prognosis here:  -A real „Cause Based Classification”, a mathematical Ratio of Risk for an intimal injury only, or for a fatal Acute Typ A, B, AAD or an entire Wall Rupture.    

Biography:

Erno Remsey-Semmelweis is a Cardio-thoracic & Vascular & General Surgeon at The University Clinics of Giessen & Marburg Gmbh, Head of Interventional Clinical Aorta & Aortic Valve Program and Director of Experimental Translational Hybrid-Or Laboratory UniversityClinics of Giessen & Marburg Gmbh. He was appointed in Aortic-Vascular Surgery Program-Team at Royal Brompton and HarefieldHospitals NHS Foundation Trust, London, UK.Erno Remsey-Semmelweis is a Cardio-thoracic & Vascular & General Surgeon at The University Clinics of Giessen & Marburg Gmbh,Head of Interventional Clinical Aorta & Aortic Valve Program and Director of Experimental Translational Hybrid-Or Laboratory UniversityClinics of Giessen & Marburg Gmbh. He was appointed in Aortic-Vascular Surgery Program-Team at Royal Brompton and Harefield Hospitals NHS Foundation Trust, London, UK.