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Wall stress analyses in patients with ≥5 cm versus <5 cm ascending thoracic aortic aneurysm
Author(s) -
Zhongjie Wang,
Nick Flores,
Matthew Lum,
Andrew D. Wisneski,
Yue Xuan,
Justin Inman,
Michael D. Hope,
David Saloner,
Julius M. Guccione,
Liang Ge,
Elaine E. Tseng
Publication year - 2020
Publication title -
journal of thoracic and cardiovascular surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.458
H-Index - 192
eISSN - 1085-8687
pISSN - 0022-5223
DOI - 10.1016/j.jtcvs.2020.02.046
Subject(s) - aneurysm , thoracic aortic aneurysm , materials science , aortic aneurysm , medicine , dissection (medical) , stress (linguistics) , radiology , linguistics , philosophy
Current guidelines for elective surgery of ascending thoracic aortic aneurysms (aTAAs) use aneurysm size as primary determinant for risk stratification of adverse events. Biomechanically, dissection may occur when wall stress exceeds wall strength. Determining patient-specific aTAA wall stresses by finite element analysis can potentially predict patient-specific risk of dissection. This study compared peak wall stresses in patients with ≥5.0 cm versus <5.0 cm aTAAs to determine correlation between diameter and wall stress.

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