P129 Arterial Stiffness in Bicuspid or Tricuspid Aortic Valve Aortopathy Using Magnetic Resonance Imaging: Crossing the Physical and Hemodynamic limits?
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Purpose: To provide a comprehensive assessment of aortic stiffness, through both local and regional distensibility and pulse wave velocity (PWV), in patients with either a tricuspid (TAV) or bicuspid (BAV) aortic valve and/or aortic dilation using MRI.
Methods: We included 18 patients with TAV and dilated ascending aorta (DTAV, 65 ± 14 years, 11 males), 19 patients with a non-stenotic BAV without severe regurgitation (55 ± 15 years, 17 males), both paired for age, gender and pressures to control groups. All subjects underwent thoracic aortic axial 2D+t and sagittal 3D+t velocity-encoded MRI and carotid applanation tonometry. Local ascending (AA) and descending (DA) aortic distensibility as well as aortic arch PWV were automatically measured from 2D+t data , while regional AA and DA PWV were calculated from 3D+t data .
Results: As expected, both DTAV and BAV groups showed significantly increased maximal aortic diameters when compared to their respective control group: 47 ± 5 vs 31 ± 3 mm and 44 ± 4 vs 31 ± 4 mm, respectively (p < 0.001). However, no significant changes were found in local and regional aortic stiffness indices between both patient groups and their matched controls (p ≥ 0.05).
Conclusion: 2D or 3D data-derived distensibility or PWV concomitantly and unexpectedly indicate that aortic stiffness was unchanged in patients with aortopathy when compared to matched healthy controls. Since fundamental laminal flow conditions and elastic properties driving Moens-Korteweg models are not reached in highly dilated aortas, the associated turbulent flow, local flow disorganization, changes in derived pressure gradients and flow-wall forces might be more suitable for an early discrimination of patients with valve/aneurismal disease.
- © 2019 Association for Research into Arterial Structure and Physiology. Publishing services by Atlantis Press International B.V.
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TY - JOUR AU - Ariel Pascaner AU - Sophia Houriez—Gombaud-Saintonge AU - Gilles Soulat AU - Umit Gencer AU - Thomas Dietenbeck AU - Yasmina Chenoune AU - Nadjia Kachenoura AU - Elie Mousseaux AU - Damian Craiem AU - Emilie Bollache PY - 2020 DA - 2020/02/17 TI - P129 Arterial Stiffness in Bicuspid or Tricuspid Aortic Valve Aortopathy Using Magnetic Resonance Imaging: Crossing the Physical and Hemodynamic limits? JO - Artery Research SP - S170 EP - S170 VL - 25 IS - Supplement 1 SN - 1876-4401 UR - https://doi.org/10.2991/artres.k.191224.155 DO - 10.2991/artres.k.191224.155 ID - Pascaner2020 ER -