Risk Factors Associated with Ascending Aortic Aneurysms and Aortic Elasticity Parameters in Children with a Bicuspid Aortic Valve

Öner, Taliha; Akgün, Gökmen; Ergin, Selma Oktay; Karadağ, Hüseyin; Yücel, İlker Kemal; Çelebi, Ahmet

doi:10.1007/s00246-019-02102-6

Cited by 2 publications

(2 citation statements)

References 24 publications

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“… 17 SI of the patients were higher with lower DIS than controls. But Oner et al’s 48 results were different from this finding because they reported increased DIS in patients who had AAo z-score > 4. We reported similar blood pressures but higher PP in both of the dilated and non-dilated AAo patients compared to controls as a result of bicuspid aortic valve morphology.…”

Section: Discussionmentioning

confidence: 68%

The Relationship between Arterial Elasticity Parameters of Ascending Aorta, Abdominal Aorta and Carotid Arteries with Carotid Intima Media Thickness in Children with Bicuspid Aortic Valve

Mihcioglu¹,

Paç²,

Tola³

et al. 2022

Anatolian J Cardiol

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Background: Bicuspid aortic valve is a congenital cardiac malformation that affects not only the valve and ascending aorta but also the abdominal aorta and large central arteries like carotid arteries by damaging the elasticity of the vessel resulting in increased stiffness and reduced distensibility. Deterioration of aortic compliance disturbs functions of the left ventricle and triggers atherosclerosis determined with carotid intima-media thickness. The aim of this study was to assess the effect of the bicuspid aortic valve on the elastic properties of these parts of the arterial system in children. Methods: Thirty-four children with bicuspid aortic valves with normal valvular functions or mild valvular dysfunction and a control group of 34 individuals with tricuspid aortic valves were included in the study. Echocardiographic measurements of the left ventricle, ascending aorta, and ultrasonographic measurements of the abdominal aorta and carotid arteries were performed, and elasticity indexes were calculated. Results: The bicuspid aortic valve group had higher stiffness and lower distensibility in ascending aorta, abdominal aorta, and carotid arteries with higher carotid intima-media thickness values than the tricuspid aortic valve group. Aortic valvular z scores and ascending aorta and abdominal aorta stiffness were higher in patients with bicuspid aortic valves irrespective of valvular functions than in controls. Valvular dysfunction affected stiffness in carotid arteries. Dilatation of ascending aorta increased stiffness in the abdominal aorta. Distensibility was lower in ascending aorta and left carotid artery, with increased carotid intima-media thickness independent from ascending aorta dilatation. Stiffness of abdominal aorta revealed a positive correlation with the stiffness of the ascending aorta and the carotid arteries ( P < .05, for all). Conclusions: Elasticity indexes of children with bicuspid aortic valves were impaired in ascending aorta, abdominal aorta, and carotid arteries with an increase in carotid intima-media thickness.

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Section: Discussionmentioning

confidence: 68%

The Relationship between Arterial Elasticity Parameters of Ascending Aorta, Abdominal Aorta and Carotid Arteries with Carotid Intima Media Thickness in Children with Bicuspid Aortic Valve

Mihcioglu¹,

Paç²,

Tola³

et al. 2022

Anatolian J Cardiol

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“… 1 , 2 This patient demonstrated many of the risk factors for development of aortic dissection, including congenital heart disease (CHD), previous cardiac surgery, and possible vasculopathy (CAA). 3 , 4 , 5 , 6 , 7 Perioperative aortic dissection as a complication of aortic cannulation is rarely cited in the published reports but is more common in patients with CHD. 8 , 9 The acuity of our patient’s clinical decompensation and her substantial recovery after intervention emphasize maintaining a high index of suspicion for this diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Hybrid Transcarotid Exclusion of Postoperative Ascending Aortic Dissection in an Infant

et al. 2022

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Risk Factors Associated with Ascending Aortic Aneurysms and Aortic Elasticity Parameters in Children with a Bicuspid Aortic Valve

Cited by 2 publications

References 24 publications

The Relationship between Arterial Elasticity Parameters of Ascending Aorta, Abdominal Aorta and Carotid Arteries with Carotid Intima Media Thickness in Children with Bicuspid Aortic Valve

The Relationship between Arterial Elasticity Parameters of Ascending Aorta, Abdominal Aorta and Carotid Arteries with Carotid Intima Media Thickness in Children with Bicuspid Aortic Valve

Hybrid Transcarotid Exclusion of Postoperative Ascending Aortic Dissection in an Infant

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