Background and aim of study: Strong interactions are believed to exist between the pulsating valvular flow and the valve leaflet motions. Hinge position, indicated by d/W (d = distance between the two axes of the hinge pivots; W = width of the testing section in the middle plane), plays a critical role in MHV performance. An optimized hinge position for a bileaflet heart valve can be identified as a design criterion for better valve performance. Methods: A two-dimensional (2-D) digital particle image velocimetry (DPIV) system was used to map the transient flow field of a simplified 2-D model of a bileaflet heart valve with a hydraulic diameter enlarged three-fold under pressure waveforms which was expanded based on Womersley number and Euler number considerations. Six different hinge positions were investigated. Results: At extreme hinge positions (d/W <0.2 or d/W >0.3), large-scale and long-duration stagnation of flow was found in the central orifice, and instability and highly disturbed flow was noted in plots of velocity vectors. Conclusion: The transient flow pattern in the vicinity of the valve was greatly affected by the hinge position of moving leaflets. An optimum d/W in the range 0.2-0.3 yielded good velocity field and opening and closing behaviors.