Evidence map›Paper›PMID 35811738›Full record

ArticleFrontiers in cardiovascular medicine2022

Alterations in Human Mitral Valve Mechanical Properties Secondary to Left Ventricular Remodeling: A Biaxial Mechanical Study.

Paulien Vandemaele, Klaas Vander Linden, Sébastien Deferm, Ramadan Jashari, Filip Rega, Philippe Bertrand, Pieter Vandervoort, Jos Vander Sloten, Nele Famaey, Heleen Fehervary

Open access · goldAbstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.1field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 7 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Paulien VandemaeleBiomechanics Section, Department of Mechanical Engineering, KU Leuven, Leuven, Belgium.
Klaas Vander LindenBiomechanics Section, Department of Mechanical Engineering, KU Leuven, Leuven, Belgium.
Sébastien DefermCardiology, Hospital Oost-Limburg, Genk, Belgium.
Ramadan JashariEuropean Homograft Bank, Clinic Saint-Jean, Brussels, Belgium.
Filip RegaCardiac Surgery, University Hospitals Leuven, Leuven, Belgium.
Philippe BertrandCardiology, Hospital Oost-Limburg, Genk, Belgium.
Pieter VandervoortCardiology, Hospital Oost-Limburg, Genk, Belgium.
Jos Vander SlotenBiomechanics Section, Department of Mechanical Engineering, KU Leuven, Leuven, Belgium.
Nele FamaeyBiomechanics Section, Department of Mechanical Engineering, KU Leuven, Leuven, Belgium.
Heleen FehervaryBiomechanics Section, Department of Mechanical Engineering, KU Leuven, Leuven, Belgium.
KU Leuven · BEZiekenhuis Oost-Limburg · BEClinique Saint Jean · BEHasselt University · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Secondary mitral regurgitation occurs when a left ventricular problem causes leaking of the mitral valve. The altered left ventricular geometry changes the orientation of the subvalvular apparatus, thereby affecting the mechanical stress on the mitral valve. This in turn leads to active remodeling of the mitral valve, in order to compensate for the ventricular remodeling. In this study, a biomechanical analysis was performed on eight human mitral valves with secondary mitral regurgitation and ten healthy human mitral valves to better understand this pathophysiology and its effect on the mechanical properties of these tissues. Samples were obtained from the anterior and posterior leaflet and used for planar biaxial mechanical experiments. Uniaxial experiments were performed on four groups of mitral valve chords: anterior basal, anterior marginal, posterior basal and posterior marginal chords. The mechanical response of the mitral valve leaflets was fitted to the May-Newman and Yin constitutive model, whereas the material parameters of the third order Ogden model were determined for the chord samples. Next, stiffnesses calculated at low and high stress levels were statistically analyzed. Leaflet samples with secondary mitral regurgitation showed a small thickness increase and a change in anisotropy index compared to healthy control valves. Diseased leaflets were more compliant circumferentially and stiffer radially, resulting in anisotropic samples with the radial direction being stiffest. In addition, chord samples were slightly thicker and less stiff at high stress in secondary mitral regurgitation, when grouped per leaflet type and insertion region. These results confirm mechanical alterations due to the pathophysiological valvular changes caused by left ventricular remodeling. It is important that these changes in mechanical behavior are incorporated into computational models of the mitral valve.

Indexed as

constitutive modelingheart valve biomechanicshuman mitral valvesleft ventricular remodelingnonlinear parameter identificationplanar biaxial and uniaxial testingsecondary mitral regurgitation

Identifiers

PMID35811738
PMCPMC9258718
OpenAlexW4285048846

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.