Evidence map›Paper›PMID 41590842›Full record

ArticleJournal of cardiovascular development and disease2025

Intra-Patient Heterogeneity of Mechanical and Anatomical Properties in Thoracic Aortic Wall: An Ex Vivo Study Comparing Patients with Bicuspid and Tricuspid Aortic Valve Aortopathy.

Pasquale Totaro, Giulia Formenton, Martina Musto, Chiara Sciacca, Alessandro Caimi, Martina Schembri, Stefano Pelenghi, Ferdinando Auricchio

Abstract read
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Article in Journal of cardiovascular development and disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Pasquale TotaroCardiac Surgery, IRCCS Foundation Hospital "San Matteo", 27100 Pavia, Italy.ORCID 0000-0002-5403-6274
Giulia FormentonDepartment of Civil Engineering and Architecture, University of Pavia, 27100 Pavia, Italy.ORCID 0009-0001-5239-2910
Martina MustoDepartment of Medicine, Surgical, Diagnostic and Pediatric Science, University of Pavia, 27100 Pavia, Italy.
Chiara SciaccaDepartment of Medicine, Surgical, Diagnostic and Pediatric Science, University of Pavia, 27100 Pavia, Italy.
Alessandro CaimiDepartment of Civil Engineering and Architecture, University of Pavia, 27100 Pavia, Italy.
Martina SchembriDepartment of Civil Engineering and Architecture, University of Pavia, 27100 Pavia, Italy.ORCID 0009-0003-1759-487X
Stefano PelenghiCardiac Surgery, IRCCS Foundation Hospital "San Matteo", 27100 Pavia, Italy.
Ferdinando AuricchioDepartment of Civil Engineering and Architecture, University of Pavia, 27100 Pavia, Italy.

Funding

Italian Ministry of the University Rc 08074722(DE5/DG/1477/2022)
6 · The paper itself

Abstract

backgroundThe ex vivo evaluation of the aortic wall aims to identify potential risk factors predictive of acute aortic syndrome. The comparison of aortic wall properties in patients with bicuspid aortic disease versus those with tricuspid aortic disease has been the subject of many studies. However, the heterogeneity of aortic wall characteristics in individual patients has never been thoroughly investigated. In this study, we focused on comparing the heterogeneity of aortic wall characteristics in patients with bicuspid (BAV) and tricuspid (TAV) aortic valve disease. MATERIALS AND

methodsOut of 113 patients enrolled in our cumulative study on the ex-vivo evaluation of the aortic wall, in patients with dilated ascending aorta, 56 patients with >3 specimens taken from the anterior wall were selected for the present study. The heterogeneity of anatomical characteristics (aortic wall thickness) was assessed by measuring the coefficient of variability (cV). In 35 patients, furthermore, mechanical (uniaxial ultimate stress-strain test) characteristics heterogeneity was also evaluated. Intra-patient mechanical and anatomical variability was then compared between the BAV and TAV groups.

resultsHeterogeneity of aortic wall thickness was significantly less important compared to heterogeneity of mechanical properties: peak strain (Pstr DISCUSSION: Our study clearly demonstrates that the anatomical and mechanical characteristics of the aortic wall in patients with aortic dilation are not homogeneous. The heterogeneity of aortic wall thickness appears to be less significant than that of mechanical properties, thus confirming a limited correlation between anatomical and mechanical characteristics. The comparison between the BAV and TAV groups revealed limited peculiarities, further suggesting a preservation of the mechanical properties of the aortic wall in patients with bicuspid aortic disease and, therefore, without a peculiar mechanical properties-related increased risk of acute aortic syndrome.

Indexed as

aortic aneurysmascending aortabicuspid aortic valve

Identifiers

PMID41590842
PMCPMC12842205

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