Multi-Scale Modeling of Scar Formation: Towards In Situ Design of Better Scar
Following myocardial infarction (heart attack), damaged muscle is replaced by scar tissue, and the structure and mechanical properties of that scar are key determinants of the risk of a range of serious complications, including infarct rupture and heart failure. Contrary to expectations, we recently showed that highly anisotropic scar that is very stiff in the longitudinal direction but relatively soft in the circumferential direction can significantly improve pump function of the heart. Yet this scar structure has never been observed in naturally healing infarcts!