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Considering the lipid concentration and side effects regarding the stents used by surgeons, a new heart stent model is proposed. In the new stent, a few piezo plates are designed and attached to the stents by which release of the lipids can take place due to the applied alternative voltages. Due to the vibrations of small-scale piezoelectric plates, the deposition of low-density-lipoproteins (LDL) floating in the blood flow in the coronary arteries is prevented. Small-scale effects are considered using nonlocal elasticity theory, and the interaction between fluid and solid is modeled using the Navier-Stokes equation. The effect of fluid parameters as well as applied voltage and geometry structure is reported. Developing of smart stents maybe the key for prevention of short time conventional stents failure., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023. Published by Elsevier Ltd.)

Background and Aims of the Study: Mechanical heart valves (MHV) are widely used to replace dysfunctional and failed heart valves. The bileaflet MHV design is very popular due to its superior hemodynamics. Since their introduction in 1977, the hemodynamics of bileaflet prostheses has been extensively studied. In this study the dynamic behaviour during the closing phase of a bileaflet MHV under normal physiological conditions has been investigated., Methods: Fluid analysis is based on the control volume with moving boundaries in the vicinity of the occluder. Unsteady continuity equation, unsteady momentum equation on the control volume and unsteady Bernoulli's equation have been used to calculate velocity of blood flow and force on the occluder tip. To solve the governing equations for the calculation of pressure and the related force, the finite strips method has been implemented. Only 32 strips are sufficient to calculate the force due to pressure on the leaflets. The equations of motion have been solved using the Runge-Kutta method in the fourth order., Results: The maximum velocity of the leakage flow in the closing phase falls within the range of 3.5-4.4 m/s. The maximum velocity of the occluder tip is in the range of 2.4-3.2 m/s. The backflow also exhibits oscillation similar to that of the occluder with net backflow rate in the range of 9.7-12.3 ml/beat. The impact force between occluder and its housing is in the range of 80-140 N and impact occurs during 33.1-41.0 ms and the leaflets are completely settled at 108-115 ms in the closing phase., Conclusion: The finite strip method was implemented to study the closing phase of a bileaflet MHV. Results are consistent with the previous experimental data. This method is of general applicability to study dynamic behaviour of MHVs.