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Wall stress on ascending thoracic aortic aneurysms with bicuspid compared to tricuspid aortic valve

The Journal of Thoracic and Cardiovascular Surgery Mar 14, 2018

Xuan Y, et al. - Researchers aimed at assessing if bicuspid aortic valve (BAV)-associated ascending thoracic aortic aneurysms (aTAA) had higher wall stresses than their tricuspid aortic valve (TAV) counterparts. In BAV-aTAA, circumferential and longitudinal stresses were greater compared to TAV-aTAA. These stresses were more pronounced in the sinotubular junction (STJ). No correlation of peak wall stress with BAV-aTAA diameter was recognized, suggesting diameter alone in this population could be a poor predictor of dissection risk. Results hereby highlighted the necessity for patient-specific aneurysm wall stress analysis for accurate dissection risk prediction.
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