The interchangeable ventricle phantom fabricated by casting soft silicone (Smooth-On Ecoflex 00-30) in a patient-specific 3D-printed mold. This material is selected for its low stiffness (Young's modulus) in the cardiac tissue range16, enabling realistic valve deployment and stent–wall interaction.

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Here is a detailed breakdown of the material science and engineering rationale behind this fabrication approach:

Interchangeable Ventricle Phantom: Material & Fabrication Overview

Why Ecoflex 00-30?

Smooth-On Ecoflex 00-30 is a platinum-catalyzed, addition-cure silicone elastomer. It is selected for ventricular phantoms because its mechanical properties closely match native cardiac tissue:
PropertyEcoflex 00-30Cardiac Tissue (ventricle)
Young's modulus (elastic modulus)~0.02-0.025 N/mm² (20-25 kPa)0.10-0.16 N/mm² (ventricle)
BehaviorNear-linear, low hysteresisNonlinear toe region + strain hardening
Compressibility on unloadingLittle to noneLittle to none
Shore hardness00-30Very soft tissue
Ecoflex 00-30 sits at the softest end of the Smooth-On silicone range. Research comparing porcine cardiovascular tissue with silicone elastomers (PMC10725245) confirmed that Smooth-On silicones - especially Ecoflex 00-30 and Dragon Skin 10Slow mixtures - produce elastic moduli more consistent with cardiovascular tissues than any 3D-printed material tested. 3D-printed materials (e.g., Agilus30) had moduli of 0.85-1.02 N/mm², roughly 5-10× stiffer than ventricular myocardium.

Fabrication Workflow

1. Patient-specific 3D-printed mold
  • Medical imaging (CT or MRI) is segmented to reconstruct ventricular geometry
  • The mold is 3D-printed (typically FDM or SLA) in a rigid polymer (PLA, ABS, or resin)
  • The mold defines both inner and outer wall contours of the phantom ventricle
2. Silicone casting
  • Ecoflex 00-30 parts A and B are mixed 1:1 by weight or volume
  • The mixture is vacuum degassed to remove entrapped air bubbles
  • It is poured into the mold and allowed to cure at room temperature (typically 4 hours)
  • Post-cure, the mold is removed - leaving the patient-specific silicone ventricle shell
3. "Interchangeable" design rationale
  • The ventricle chamber can be swapped in and out of a flow loop or benchtop test rig
  • This allows testing of different pathological geometries (dilated, hypertrophic, post-infarct) without rebuilding the entire system
  • Multiple phantoms can represent different patients or disease states

Why This Enables Realistic Valve Deployment and Stent-Wall Interaction

Realistic valve deployment (e.g., TAVI/TAVR or MitraClip):
  • The low stiffness of Ecoflex 00-30 lets the silicone wall deform under the radial expansion force of a deployed stent-valve, mimicking how the native annulus and LVOT resist and recoil against the device
  • Overly stiff phantom walls would prevent physiological crimping, flaring, and anchoring behavior
Stent-wall interaction:
  • When a stent expands, it imposes a radial force on the surrounding tissue - the phantom wall deflects in proportion to its stiffness
  • Ecoflex's Young's modulus in the ~20-25 kPa range sits within (or just below) the passive myocardial stiffness range (~10-200 kPa depending on phase of cardiac cycle), enabling contact stress distributions and device apposition patterns that are representative of in vivo conditions
  • Mismatch in stiffness (too stiff) would overestimate device anchoring force and underestimate wall motion artifacts

Key Limitations to Note

  • Ecoflex 00-30 is isotropic and linearly elastic at physiological strain rates, whereas native myocardium is anisotropic and viscoelastic with fiber-direction-dependent stiffness and a nonlinear toe region
  • The modulus of Ecoflex (~20-25 kPa) is actually softer than the measured left ventricle short-axis modulus (0.1-0.16 N/mm² = 100-160 kPa in the paper above), so it best approximates the low-strain, passive diastolic stiffness regime rather than systolic active stiffness
  • Mixtures of Dragon Skin 10Slow + Ecoflex 00-30 can be tuned to better match specific tissues if needed

Supporting Literature

The approach is well-validated in the literature as the current best-practice for indirect additive-manufacture casting of soft cardiovascular phantoms.

The interchangeable ventricle phantom fabricated by casting soft silicone (Smooth-On Ecoflex 00-30) in a patient-specific 3D-printed mold. This material is selected for its low stiffness (Young's modulus) in the cardiac tissue range16, enabling realistic valve deployment and stent–wall interaction.

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