Objective <p>This study examines the potential links between bicuspid aortic valve (BAV) subtype, aortic root shape, and mechanical properties in a patient cohort.</p> Methods <p>We retrospectively analyzed 88 patients with BAV undergoing transesophageal echocardiography (TEE). Aortic dimensions and shapes were assessed in all participants, while mechanical properties (aortic strain, distensibility, and stiffness) were measured in 37 patients without significant valve dysfunction.</p> Results <p>Among type 1 BAV with raphe (<i>n</i> = 51), 60.8% had type A aortic shape, 35.3% type N, and 3.9% type E. For BAV without raphe (<i>n</i> = 24), 54.2% had type A, 33.3% type N, and 12.5% type E. Type 2 (<i>n</i> = 10) and type 3 (<i>n</i> = 3) BAV showed varied aortic shapes without a clear pattern. Patients with raphe had superior aortic mechanics compared to those without, with higher strain (7.39 ± 2.9 vs. 5.57 ± 2.3), greater distensibility (4.13 ± 2.0 vs. 2.77 ± 1.0 cm<sup>2</sup>·dyne⁻<sup>1</sup>·10⁻⁶), and lower stiffness (6.77 ± 4.4 vs. 8.04 ± 3.1) (<i>p</i> &lt; 0.05 for all).</p> Conclusion <p>Aortic shape showed no significant association with BAV subtype. However, reduced distensibility in non-raphe BAV patients suggests a potential for earlier aortic complications, necessitating longitudinal studies.</p>

错误:搜索内容不能为空,请输入英文关键词
错误:关键词超出字数限制,请精简
高级检索

Bicuspid aortic valve phenotype relationship with aortic root morphology and elasticity

  • Riza Kaya,
  • Onur Baydar,
  • Umit Yasar Sinan,
  • Cuneyt Kocas,
  • Okay Abaci,
  • Mehmet Serdar Kucukoglu

摘要

Objective

This study examines the potential links between bicuspid aortic valve (BAV) subtype, aortic root shape, and mechanical properties in a patient cohort.

Methods

We retrospectively analyzed 88 patients with BAV undergoing transesophageal echocardiography (TEE). Aortic dimensions and shapes were assessed in all participants, while mechanical properties (aortic strain, distensibility, and stiffness) were measured in 37 patients without significant valve dysfunction.

Results

Among type 1 BAV with raphe (n = 51), 60.8% had type A aortic shape, 35.3% type N, and 3.9% type E. For BAV without raphe (n = 24), 54.2% had type A, 33.3% type N, and 12.5% type E. Type 2 (n = 10) and type 3 (n = 3) BAV showed varied aortic shapes without a clear pattern. Patients with raphe had superior aortic mechanics compared to those without, with higher strain (7.39 ± 2.9 vs. 5.57 ± 2.3), greater distensibility (4.13 ± 2.0 vs. 2.77 ± 1.0 cm2·dyne⁻1·10⁻⁶), and lower stiffness (6.77 ± 4.4 vs. 8.04 ± 3.1) (p < 0.05 for all).

Conclusion

Aortic shape showed no significant association with BAV subtype. However, reduced distensibility in non-raphe BAV patients suggests a potential for earlier aortic complications, necessitating longitudinal studies.