Journal of Clinical Medicine, Год журнала: 2024, Номер 13(14), С. 4225 - 4225
Опубликована: Июль 19, 2024
Background: This research explores the biomechanical and structural characteristics of ascending thoracic aortic aneurysms (ATAAs), focusing on differences between bicuspid valve (BAV-As) tricuspid (TAV-As) with non-dilated aortas to identify specific traits ATAAs. Methods: Clinical characteristics, laboratory indices, imaging data from 26 adult patients operated for (BAV-A: n = 12; TAV-A: 14) 13 controls were analyzed. Biomechanical parameters (maximal diameter, strain, stress) analyses (collagen fiber organization, density, fragmentation, adipocyte deposits, immune cell infiltration) assessed. Results: Significant in observed. Median maximal strain was 40.0% (control), 63.4% (BAV-A), 45.3% (TAV-A); median stress 0.59 MPa 0.78 0.48 (TAV-A). BAV-A showed higher tangential modulus smaller substantial collagen fragmentation (p < 0.001 vs. TAV controls). TAV-A exhibited increased density 0.025), thickening media adventitia layers, disorganized fibers 0.036). had elevated deposits infiltration. Conclusions: study highlights distinct pathological profiles associated different anatomies. is characterized by diameters, stress, significant deterioration, underscoring necessity tailored clinical strategies effective management aneurysm.
Язык: Английский