Evidence map›Paper›PMID 41035001›Full record

ArticleJournal of cardiothoracic surgery2025

Hemodynamic characteristics of dilated ascending aorta in patients with bicuspid aortic valve.

Yu Xia, Xuehuan Zhang, Shuai Zhu, Suwei Chen, Wentao Dong, Zhuo Chen, Nan Zhang, Jiafu Ou, Junming Zhu, Duanduan Chen and 1 more

Abstract read
In one paragraph

Article in Journal of cardiothoracic surgery, 2025. 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
–field-weighted citation impact
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.

  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

11 authors.

Yu XiaDepartment of Cardiovascular Surgery, Beijing Aortic Disease Center, Beijing Anzhen Hospital, Capital Medical University, No.2 Anzhen Road, Chaoyang District, Beijing, 100029, China.
Xuehuan ZhangSchool of Life Science, Beijing Institute of Technology, Beijing, China.
Shuai ZhuDepartment of Cardiovascular Surgery, Beijing Luhe Hospital, Capital Medical University, Beijing, China.
Suwei ChenDepartment of Cardiovascular Surgery, Beijing Aortic Disease Center, Beijing Anzhen Hospital, Capital Medical University, No.2 Anzhen Road, Chaoyang District, Beijing, 100029, China.
Wentao DongDepartment of Cardiovascular Surgery, Beijing Aortic Disease Center, Beijing Anzhen Hospital, Capital Medical University, No.2 Anzhen Road, Chaoyang District, Beijing, 100029, China.
Zhuo ChenEchocardiography Medical Center, Maternal-Fetal Medicine Center in Fetal Heart Disease, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Nan ZhangDepartment of Radiology, Beijing Anzhen Hospital, Beijing Institute of Heart, Lung, and Vascular Diseases, Capital Medical University, Beijing, China.
Jiafu OuCardiovascular Division, Department of Medicine, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Junming ZhuDepartment of Cardiovascular Surgery, Beijing Aortic Disease Center, Beijing Anzhen Hospital, Capital Medical University, No.2 Anzhen Road, Chaoyang District, Beijing, 100029, China.
Duanduan ChenSchool of Life Science, Beijing Institute of Technology, Beijing, China. duanduan@bit.edu.cn.
Tie ZhengDepartment of Cardiovascular Surgery, Beijing Aortic Disease Center, Beijing Anzhen Hospital, Capital Medical University, No.2 Anzhen Road, Chaoyang District, Beijing, 100029, China. tiezheng@aliyun.com.

Funding

Beijing Major Science and Technology Projects from Beijing Municipal Science and Technology Commission Z171100001017083National Key Technology R&D Program 2015BAI12B03National Natural Science Foundation of China 81970393Research and demonstration application of clinical diagnosis and treatment technology from Beijing Municipal Science and Commission Z19110700660000
6 · The paper itself

Abstract

backgroundThe aim of this study is to investigate the influence of aortic diameter on hemodynamic environment characteristics in patient with the bicuspid aortic valve (BAV) and dilated ascending aorta (AAo).

methodIn this study, an MRI of one BAV patient with 4.5 cm AAo was collected and numerical model was constructed. Based on the images, three additional anatomical models were constructed with different AAo sizes of 4.0 cm, 5.0 cm and 5.5 cm respectively, while the size and the geometry of other parts were fixed. Then hemodynamics in these four models was simulated numerically and the flow patterns and loading distributions were investigated.

resultHemodynamics environments in the AAo were simulated with different aortic sizes. As the aortic diameter increases, the blood flow becomes more disturbing; the wall pressure at AAo is higher; the wall shear stress at the AAo decreases; the oscillatory shear index of the outer part on the proximal AAo increases; all these hemodynamic parameters described above are asymmetrically distributed in dilated AAo and more parts of aorta would be affected as the AAo dilatation progresses.

conclusionThe study revealed that the diameter of AAo can significantly affect the magnitude and distribution of the hemodynamics. There are altered flow patterns, pressure difference, WSS and OSI distribution features in bicuspid aortic valve patients with vascular dilatation. As the degree of aortic dilatation increases, particularly when exceeding 5.0 cm and progressing towards 5.5 cm, this study supports the recent guideline that aortic replacement should be considered for diameters ≥ 5.5 cm.

Indexed as

AortaAortic ValveHeart Valve DiseasesHemodynamicsAdultBicuspid Aortic Valve DiseaseDilatation, PathologicFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedAortaAortic dilatationBicuspid aortic valveHemodynamics

Identifiers

PMID41035001
PMCPMC12486626

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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.