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与四叶式主动脉瓣相关的主动脉瘤的生物力学特性是什么?

What Are the Biomechanical Properties of an Aortic Aneurysm Associated with Quadricuspid Aortic Valve?

作者信息

Lin Siyu, Morgant Marie-Catherine, Marín-Castrillón Diana M, Bernard Chloé, Boucher Arnaud, Presles Benoît, Lalande Alain, Bouchot Olivier

机构信息

IFTIM, ImViA Laboratory, University of Burgundy, 21078 Dijon, France.

Department of Cardio-Vascular and Thoracic Surgery, University Hospital of Dijon, 21078 Dijon, France.

出版信息

J Clin Med. 2022 Aug 20;11(16):4897. doi: 10.3390/jcm11164897.

DOI:10.3390/jcm11164897
PMID:36013136
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9410111/
Abstract

Association of quadricuspid aortic valve (QAV) with ascending aortic aneurysms (AsAA) is rare. A 63-year-old female with hypertension was found (on MRI) to have an ascending aortic aneurysm (52 mm in maximum diameter) and dilatation at the level of the sinotubular junction (38 mm in diameter) associated with quadricuspid aortic valve. An ascending aortic wall replacement surgery was performed. In this study, we focus on the behavior of the aorta associated with QAV considering the in vitro biomechanical characteristics and histology. The properties of QAV are closer to bicuspid aortic valve than tricuspid aortic valve, but with higher wall thickness.

摘要

四叶式主动脉瓣(QAV)与升主动脉瘤(AsAA)的关联较为罕见。一名63岁患有高血压的女性(经MRI检查)被发现患有升主动脉瘤(最大直径52毫米)以及与四叶式主动脉瓣相关的窦管交界处扩张(直径38毫米)。实施了升主动脉壁置换手术。在本研究中,我们结合体外生物力学特性和组织学,着重关注与QAV相关的主动脉的表现。QAV的特性比三叶式主动脉瓣更接近二叶式主动脉瓣,但具有更厚的壁。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d58/9410111/5a5158bd7884/jcm-11-04897-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d58/9410111/fdd64d87626a/jcm-11-04897-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d58/9410111/f3686a95559b/jcm-11-04897-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d58/9410111/5a5158bd7884/jcm-11-04897-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d58/9410111/fdd64d87626a/jcm-11-04897-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d58/9410111/f3686a95559b/jcm-11-04897-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d58/9410111/5a5158bd7884/jcm-11-04897-g003.jpg

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本文引用的文献

1
Aortic local biomechanical properties in ascending aortic aneurysms.升主动脉瘤中的主动脉局部生物力学特性。
Acta Biomater. 2022 Sep 1;149:40-50. doi: 10.1016/j.actbio.2022.06.019. Epub 2022 Jun 15.
2
Anisotropic residual stresses in arteries.动脉中的各向异性残余应力。
J R Soc Interface. 2019 Feb 28;16(151):20190029. doi: 10.1098/rsif.2019.0029.
3
Local variations in material and structural properties characterize murine thoracic aortic aneurysm mechanics.组织和结构特性的局部差异导致了鼠胸主动脉瘤力学特性的变化。
Biomech Model Mechanobiol. 2019 Feb;18(1):203-218. doi: 10.1007/s10237-018-1077-9. Epub 2018 Sep 24.
4
Effects of clinico-pathological risk factors on in-vitro mechanical properties of human dilated ascending aorta.临床病理危险因素对人扩张升主动脉体外力学性能的影响。
J Mech Behav Biomed Mater. 2018 Jan;77:1-11. doi: 10.1016/j.jmbbm.2017.08.032. Epub 2017 Aug 31.
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Investigation on the Regional Loss Factor and Its Anisotropy for Aortic Aneurysms.主动脉瘤区域损耗因子及其各向异性的研究。
Materials (Basel). 2016 Oct 26;9(11):867. doi: 10.3390/ma9110867.
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Quadricuspid Aortic Valve: A Comprehensive Review.四叶式主动脉瓣:全面综述
Braz J Cardiovasc Surg. 2016 Nov-Dec;31(6):454-460. doi: 10.5935/1678-9741.20160090.
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Corrigendum to: 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases.勘误:2014 年 ESC 主动脉疾病诊断与治疗指南。
Eur Heart J. 2015 Nov 1;36(41):2779. doi: 10.1093/eurheartj/ehv178. Epub 2015 Jun 29.
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Aortic dilatation in patients with bicuspid aortic valve.二叶式主动脉瓣患者的主动脉扩张
N Engl J Med. 2014 May 15;370(20):1920-9. doi: 10.1056/NEJMra1207059.
9
Elastin and collagen fibre microstructure of the human aorta in ageing and disease: a review.人类主动脉在衰老和疾病中的弹性蛋白和胶原纤维微观结构:综述。
J R Soc Interface. 2013 Mar 27;10(83):20121004. doi: 10.1098/rsif.2012.1004. Print 2013 Jun 6.
10
Age-dependent changes of collagen and elastin content in human aorta and pulmonary artery.人类主动脉和肺动脉中胶原蛋白和弹性蛋白含量的年龄依赖性变化。
Angiology. 1984 Oct;35(10):615-21. doi: 10.1177/000331978403501001.