Lu, Xiao, Aditya Pandit, and Ghassan S. Kassab. Biaxial incremental homeostatic elastic moduli of coronary artery: two-layer model. Am J Physiol Heart Circ Physiol 287: H1663-H1669, 2004; 10.1152/ajpheart.00226.2004.-The detailed mechanical properties of various layers of the coronary artery are important for understanding the function of the vessel. The present article is focused on the determination of the incremental modulus in different layers and directions in the neighborhood of the in vivo state. The incremental modulus can be defined for any material subjected to a large deformation if small perturbations in strain lead to small perturbations of stresses in a linear fashion. This analysis was applied to the porcine coronary artery, which was treated as a two-layered structure consisting of an inner intima-media layer and an outer adventitia layer. We adopted a theory based on small-perturbation experiments at homeostatic conditions for determination of incremental moduli in circumferential, axial, and cross directions in the two layers. The experiments were based on inflation and axial stretch. We demonstrate that under homeostatic conditions the incremental moduli are layer-and direction dependent. The incremental modulus is highest in the circumferential direction. Furthermore, in the circumferential direction, the media is stiffer than the whole wall, which is stiffer than the adventitia. In the axial direction, the adventitia is stiffer than the intact wall, which is stiffer than the media. Hence, the coronary artery must be treated as a composite, nonisotropic body. The data acquire physiological relevance in relation to coronary artery health and disease. stress; strain; media; adventitia; constitutive equation THERE IS MOUNTING EVIDENCE that the vessel wall regulates its homeostatic level of stress and strain at in vivo physiological conditions (17). A perturbation of this state such as in hypertension or flow overload leads to growth and remodeling with increased predilection for atherosclerosis. Although deformation or strain can be measured, there is no instrument or method to measure stress. Stress must be calculated from the constitutive equation, i.e., the stress-strain relationship. In general, the stress-strain history relationships of arteries are highly nonlinear (7). A well-accepted approach to nonlinear elasticity uses the incremental formulation. A linearized relationship between the incremental stresses and strains is obtained by subjecting the vessel to a small perturbation about the in vivo condition. Using this approach, one can determine the relation between stress and strain within the physiological regime. In conjunction, measurement of strain under in vivo conditions would yield a value of stress. Hence, the present approach allows the elucidation of the full mechanical (stress, strain, and elastic modulus) status in the vicinity of the in vivo state. Furthermore, knowledge of the material modulus or stiffness is important because it represents an early risk factor for cardio...