Evidence map›Paper›PMID 35958528›Full record

ReviewAnnals of cardiothoracic surgery2022

Normal and abnormal development of the aortic valve and ascending aortic wall: a comprehensive overview of the embryology and pathology of the bicuspid aortic valve.

Nimrat Grewal, Adriana C Gittenberger-de Groot, Jan H Lindeman, Arthur Klautz, Antoine Driessen, Robert J M Klautz, Robert E Poelmann

Open access · diamondAbstract readReview
In one paragraph

Review in Annals of cardiothoracic surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
5.0field-weighted citation impact, top 4% 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

17 citing papers in PubMed, 35 citations in OpenAlex.

  1. Review
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  6. Review
  7. Is the intimal thickness a key contributor to thoracic aortopathy?Indian journal of thoracic and cardiovascular surgery · 2023
    Article
  8. The role of transforming growth factor beta in bicuspid aortic valve aortopathy.Indian journal of thoracic and cardiovascular surgery · 2023
    Article
  9. Article
  10. Review
  11. A case of multiple median sternotomy for infection and expanding hematoma in 10 years.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2023
    Article
  12. Article
  13. Article
  14. Article
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  17. Are acute type A aortic dissections atherosclerotic?Frontiers in cardiovascular medicine · 2022
    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

7 authors at 3 institutions in 1 country.

Nimrat GrewalDepartment of Cardiothoracic Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Adriana C Gittenberger-de GrootDepartment of Cardiothoracic Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Jan H LindemanDepartment of Vascular Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Arthur KlautzDepartment of Cardiothoracic Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Antoine DriessenDepartment of Cardiothoracic Surgery, Amsterdam University Medical Center, Amsterdam, The Netherlands.
Robert J M KlautzDepartment of Cardiothoracic Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Robert E PoelmannInstitute of Biology, Animal Sciences and Health, Leiden University, Leiden, The Netherlands.
Leiden University Medical Center · NLLeiden University · NLAmsterdam University Medical Centers · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A bicuspid aortic valve (BAV) is the most prevalent congenital cardiac anomaly, in which the valve has only two leaflets, instead of the normal three. Patients with a BAV have an increased risk of aneurysm formation and the development of an aortic dissection. Vascular smooth muscle cells in both the non- and dilated aortic wall are characterized by a maturation defect in all BAV patients, as compared to patients with a tricuspid aortic valve, which can contribute to inherent developmental susceptibility. Besides structural abnormalities of the vascular wall, a turbulent blood flow, caused by bicuspid valve geometry, could expedite the pathological process in the aortic wall, leading to aortopathy. Although the risk for aortopathy is significant, not all BAV patients experience (acute) aortic complications in their lifespan, highlighting the complexity of the pathogenetic process. Recent studies have focused on the embryonic development of semilunar valves and the ascending aortic wall. Their findings highlight that a defect in the embryogenesis could not only explain the development of a malformed aortic valve but also the increased risk for ascending aorta and arch pathology. This review presents an overview of the normal and abnormal development of the aortic valve and the aortic wall: a common defect in early embryogenesis causes the development of a BAV and associated aortopathy.

Indexed as

aortopathyBicuspid aortic valve (BAV)embryologyneural crest cellspathology

Identifiers

PMID35958528
PMCPMC9357963
OpenAlexW4285554379

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.