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Erschienen in: Magnetic Resonance Materials in Physics, Biology and Medicine 5/2020

31.01.2020 | Research Article

Impact of ascending aorta replacement by graft on elastic properties of descending thoracic aorta evaluated by cardiac magnetic resonance imaging

verfasst von: Marie-Catherine Morgant, Johel Miteran, Siyu Lin, Aline Laubriet, Alexandre Cochet, Alain Lalande, Olivier Bouchot

Erschienen in: Magnetic Resonance Materials in Physics, Biology and Medicine | Ausgabe 5/2020

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Abstract

Objective

The aim of our study was to evaluate the impact of aortic root replacement by graft on the elastic properties of the descending thoracic aorta using cardiac magnetic resonance imaging (MRI) and automatic post-processing.

Materials and methods

Nineteen patients were operated for an aortic root aneurysm. Cardiac MRI was performed before and after surgery to measure aortic compliance. Images were acquired on a 1.5 T MRI with a conventional aortic MRI protocol plus one additional kinetic sequence orientated perpendicularly to the aorta at the level of pulmonary trunk. The contours of the ascending and descending aortas were detected automatically for each phase with homemade software.

Results

Mean time between surgical procedure and earliest post-operative MRI was 18.2 ± 7.1 months. There was no significant difference between the pre- and earliest post-operative mean descending aorta areas and no significant modification in descending aortic compliance after aortic root replacement (1.43 ± 0.84 vs 1.37 ± 0.58 mm2/mmHg, p = 0.47). Pre- and post-operative systolic and diastolic blood pressure were similar. There was a significant decrease in ascending aortic compliance after surgery (2.52 ± 1.24 vs 0.91 ± 0.52 mm2/mmHg; p < 0.0001).

Discussion

The aortic root replacement by graft was not associated with changes in elastic properties of the descending aorta at short term.

Clinical registration number

NCT03817008.
Literatur
1.
Zurück zum Zitat Tai NR, Salacinski HJ, Edwards A, Hamilton G, Seifalian AM (2000) Compliance properties of conduits used in vascular reconstruction. Br J Surg 87(11):1516–1524CrossRef Tai NR, Salacinski HJ, Edwards A, Hamilton G, Seifalian AM (2000) Compliance properties of conduits used in vascular reconstruction. Br J Surg 87(11):1516–1524CrossRef
2.
Zurück zum Zitat Robicsek F, Thubrikar MJ (2003) Compliance of aortic root conduit. Ann Thorac Surg 75(6):2007 (author reply 2007)CrossRef Robicsek F, Thubrikar MJ (2003) Compliance of aortic root conduit. Ann Thorac Surg 75(6):2007 (author reply 2007)CrossRef
3.
Zurück zum Zitat Spadaccio C, Rainer A, Barbato R, Chello M, Meyns B (2013) The fate of large-diameter Dacron® vascular grafts in surgical practice: are we really satisfied? Int J Cardiol 168(5):5028–5029CrossRef Spadaccio C, Rainer A, Barbato R, Chello M, Meyns B (2013) The fate of large-diameter Dacron® vascular grafts in surgical practice: are we really satisfied? Int J Cardiol 168(5):5028–5029CrossRef
4.
Zurück zum Zitat Bauernschmitt R, Schulz S, Schwarzhaupt A, Kiencke U, Vahl CF, Lange R et al (1999) Simulation of arterial hemodynamics after partial prosthetic replacement of the aorta. Ann Thorac Surg 67(3):676–682CrossRef Bauernschmitt R, Schulz S, Schwarzhaupt A, Kiencke U, Vahl CF, Lange R et al (1999) Simulation of arterial hemodynamics after partial prosthetic replacement of the aorta. Ann Thorac Surg 67(3):676–682CrossRef
5.
Zurück zum Zitat Spadaccio C, Nappi F, Al-Attar N, Sutherland FW, Acar C, Nenna A et al (2016) Old myths, new concerns: the long-term effects of ascending aorta replacement with Dacron grafts. Not all that glitters is gold. J Cardiovasc Transl Res 9(4):334–342CrossRef Spadaccio C, Nappi F, Al-Attar N, Sutherland FW, Acar C, Nenna A et al (2016) Old myths, new concerns: the long-term effects of ascending aorta replacement with Dacron grafts. Not all that glitters is gold. J Cardiovasc Transl Res 9(4):334–342CrossRef
6.
Zurück zum Zitat Leuprecht A, Perktold K, Prosi M, Berk T, Trubel W, Schima H (2002) Numerical study of hemodynamics and wall mechanics in distal end-to-side anastomoses of bypass grafts. J Biomech 35(2):225–236CrossRef Leuprecht A, Perktold K, Prosi M, Berk T, Trubel W, Schima H (2002) Numerical study of hemodynamics and wall mechanics in distal end-to-side anastomoses of bypass grafts. J Biomech 35(2):225–236CrossRef
7.
Zurück zum Zitat Morita S, Asou T, Kuboyama I, Harasawa Y, Sunagawa K, Yasui H (2002) Inelastic vascular prosthesis for proximal aorta increases pulsatile arterial load and causes left ventricular hypertrophy in dogs. J Thorac Cardiovasc Surg 124(4):768–774CrossRef Morita S, Asou T, Kuboyama I, Harasawa Y, Sunagawa K, Yasui H (2002) Inelastic vascular prosthesis for proximal aorta increases pulsatile arterial load and causes left ventricular hypertrophy in dogs. J Thorac Cardiovasc Surg 124(4):768–774CrossRef
8.
Zurück zum Zitat Fokin AA, Robicsek F, Cook JW, Thubrikar MJ, Schaper J (2004) Morphological changes of the aortic valve leaflets in non-compliant aortic roots: in-vivo experiments. J Heart Valve Dis 13(3):444–451PubMed Fokin AA, Robicsek F, Cook JW, Thubrikar MJ, Schaper J (2004) Morphological changes of the aortic valve leaflets in non-compliant aortic roots: in-vivo experiments. J Heart Valve Dis 13(3):444–451PubMed
9.
Zurück zum Zitat Semaan E, Markl M, Malaisrie SC, Barker A, Allen B, McCarthy P et al (2014) Haemodynamic outcome at four-dimensional flow magnetic resonance imaging following valve-sparing aortic root replacement with tricuspid and bicuspid valve morphology. Eur J Cardio Thorac Surg 45(5):818–825CrossRef Semaan E, Markl M, Malaisrie SC, Barker A, Allen B, McCarthy P et al (2014) Haemodynamic outcome at four-dimensional flow magnetic resonance imaging following valve-sparing aortic root replacement with tricuspid and bicuspid valve morphology. Eur J Cardio Thorac Surg 45(5):818–825CrossRef
10.
Zurück zum Zitat Lalande A, Khau van Kien P, Salvé N, Ben Salem D, Legrand L, Walker PM et al (2002) Automatic determination of aortic compliance with cine-magnetic resonance imaging: an application of fuzzy logic theory. Invest Radiol 37(12):685–691CrossRef Lalande A, Khau van Kien P, Salvé N, Ben Salem D, Legrand L, Walker PM et al (2002) Automatic determination of aortic compliance with cine-magnetic resonance imaging: an application of fuzzy logic theory. Invest Radiol 37(12):685–691CrossRef
11.
Zurück zum Zitat Westenberg JJM, van Poelgeest EP, Steendijk P, Grotenhuis HB, Jukema JW, de Roos A (2012) Bramwell–Hill modeling for local aortic pulse wave velocity estimation: a validation study with velocity-encoded cardiovascular magnetic resonance and invasive pressure assessment. J Cardiovasc Magn Reson 14:2CrossRef Westenberg JJM, van Poelgeest EP, Steendijk P, Grotenhuis HB, Jukema JW, de Roos A (2012) Bramwell–Hill modeling for local aortic pulse wave velocity estimation: a validation study with velocity-encoded cardiovascular magnetic resonance and invasive pressure assessment. J Cardiovasc Magn Reson 14:2CrossRef
12.
Zurück zum Zitat Laffon E, Marthan R, Montaudon M, Latrabe V, Laurent F, Ducassou D (2005) Feasibility of aortic pulse pressure and pressure wave velocity MRI measurement in young adults. J Magn Reson Imaging 21(1):53–58CrossRef Laffon E, Marthan R, Montaudon M, Latrabe V, Laurent F, Ducassou D (2005) Feasibility of aortic pulse pressure and pressure wave velocity MRI measurement in young adults. J Magn Reson Imaging 21(1):53–58CrossRef
13.
Zurück zum Zitat Grotenhuis HB, Westenberg JJM, Steendijk P, van der Geest RJ, Ottenkamp J, Bax JJ et al (2009) Validation and reproducibility of aortic pulse wave velocity as assessed with velocity-encoded MRI. J Magn Reson Imaging 30(3):521–526CrossRef Grotenhuis HB, Westenberg JJM, Steendijk P, van der Geest RJ, Ottenkamp J, Bax JJ et al (2009) Validation and reproducibility of aortic pulse wave velocity as assessed with velocity-encoded MRI. J Magn Reson Imaging 30(3):521–526CrossRef
14.
Zurück zum Zitat Suever JD, Oshinski J, Rojas-Campos E, Huneycutt D, Cardarelli F, Stillman AE et al (2012) Reproducibility of pulse wave velocity measurements with phase contrast magnetic resonance and applanation tonometry. Int J Cardiovasc Imaging 28(5):1141–1146CrossRef Suever JD, Oshinski J, Rojas-Campos E, Huneycutt D, Cardarelli F, Stillman AE et al (2012) Reproducibility of pulse wave velocity measurements with phase contrast magnetic resonance and applanation tonometry. Int J Cardiovasc Imaging 28(5):1141–1146CrossRef
15.
Zurück zum Zitat Mitéran J, Bouchot O, Cochet A, Lalande A (2018) Automatic determination of aortic compliance based on MRI and adapted curvilinear detector. Biomed Signal Process Control 40:295–311CrossRef Mitéran J, Bouchot O, Cochet A, Lalande A (2018) Automatic determination of aortic compliance based on MRI and adapted curvilinear detector. Biomed Signal Process Control 40:295–311CrossRef
16.
Zurück zum Zitat O’Rourke MF, Staessen JA, Vlachopoulos C, Duprez D, Plante GE (2002) Clinical applications of arterial stiffness; definitions and reference values. Am J Hypertens 15(5):426–444CrossRef O’Rourke MF, Staessen JA, Vlachopoulos C, Duprez D, Plante GE (2002) Clinical applications of arterial stiffness; definitions and reference values. Am J Hypertens 15(5):426–444CrossRef
17.
Zurück zum Zitat Monti L, Mauri G, Balzarini L, Tarelli G, Brambilla G, Vitali E et al (2011) Compliance of the Valsalva graft’s pseudosinuses at midterm follow-up with cardiovascular magnetic resonance. Ann Thorac Surg 91(1):92–96CrossRef Monti L, Mauri G, Balzarini L, Tarelli G, Brambilla G, Vitali E et al (2011) Compliance of the Valsalva graft’s pseudosinuses at midterm follow-up with cardiovascular magnetic resonance. Ann Thorac Surg 91(1):92–96CrossRef
18.
Zurück zum Zitat Schoenhoff FS, Loupatatzis C, Immer FF, Stoupis C, Carrel TP, Eckstein FS (2009) The role of the sinuses of Valsalva in aortic root flow dynamics and aortic root surgery: evaluation by magnetic resonance imaging. J Heart Valve Dis 18(4):380–385PubMed Schoenhoff FS, Loupatatzis C, Immer FF, Stoupis C, Carrel TP, Eckstein FS (2009) The role of the sinuses of Valsalva in aortic root flow dynamics and aortic root surgery: evaluation by magnetic resonance imaging. J Heart Valve Dis 18(4):380–385PubMed
19.
Zurück zum Zitat Ohyama Y, Teixido-Tura G, Ambale-Venkatesh B, Noda C, Chugh AR, Liu C-Y et al (2016) Ten-year longitudinal change in aortic stiffness assessed by cardiac MRI in the second half of the human lifespan: the multi-ethnic study of atherosclerosis. Eur Heart J Cardiovasc Imaging 17(9):1044–1053CrossRef Ohyama Y, Teixido-Tura G, Ambale-Venkatesh B, Noda C, Chugh AR, Liu C-Y et al (2016) Ten-year longitudinal change in aortic stiffness assessed by cardiac MRI in the second half of the human lifespan: the multi-ethnic study of atherosclerosis. Eur Heart J Cardiovasc Imaging 17(9):1044–1053CrossRef
20.
Zurück zum Zitat Redheuil A, Yu W-C, Wu CO, Mousseaux E, de Cesare A, Yan R et al (2010) Reduced ascending aortic strain and distensibility: earliest manifestations of vascular aging in humans. Hypertens Dallas Tex 1979 55(2):319–326 Redheuil A, Yu W-C, Wu CO, Mousseaux E, de Cesare A, Yan R et al (2010) Reduced ascending aortic strain and distensibility: earliest manifestations of vascular aging in humans. Hypertens Dallas Tex 1979 55(2):319–326
21.
Zurück zum Zitat Donato Aquaro G, Ait-Ali L, Basso ML, Lombardi M, Pingitore A, Festa P (2011) Elastic properties of aortic wall in patients with bicuspid aortic valve by magnetic resonance imaging. Am J Cardiol 108(1):81–87CrossRef Donato Aquaro G, Ait-Ali L, Basso ML, Lombardi M, Pingitore A, Festa P (2011) Elastic properties of aortic wall in patients with bicuspid aortic valve by magnetic resonance imaging. Am J Cardiol 108(1):81–87CrossRef
22.
Zurück zum Zitat Eichhorn JG, Krissak R, Rüdiger H-J, Ley S, Arnold R, Boese J et al (2007) Compliance of the normal-sized aorta in adolescents with Marfan syndrome: comparison of MR measurements of aortic distensibility and pulse wave velocity. ROFO Fortschr Geb Rontgenstr Nuklearmed 179(8):841–846CrossRef Eichhorn JG, Krissak R, Rüdiger H-J, Ley S, Arnold R, Boese J et al (2007) Compliance of the normal-sized aorta in adolescents with Marfan syndrome: comparison of MR measurements of aortic distensibility and pulse wave velocity. ROFO Fortschr Geb Rontgenstr Nuklearmed 179(8):841–846CrossRef
23.
Zurück zum Zitat Zhu L, Vranckx R, Khau van Kien P, Lalande A, Boisset N, Mathieu F et al (2006) Mutations in myosin heavy chain 11 cause a syndrome associating thoracic aortic aneurysm/aortic dissection and patent ductus arteriosus. Nat Genet 38(3):343–349CrossRef Zhu L, Vranckx R, Khau van Kien P, Lalande A, Boisset N, Mathieu F et al (2006) Mutations in myosin heavy chain 11 cause a syndrome associating thoracic aortic aneurysm/aortic dissection and patent ductus arteriosus. Nat Genet 38(3):343–349CrossRef
24.
Zurück zum Zitat Dupont A-C, Poussel M, Hossu G, Marie P-Y, Chenuel B, Felblinger J et al (2017) Aortic compliance variation in long male distance triathletes: a new insight into the athlete’s artery? J Sci Med Sport 20(6):539–542CrossRef Dupont A-C, Poussel M, Hossu G, Marie P-Y, Chenuel B, Felblinger J et al (2017) Aortic compliance variation in long male distance triathletes: a new insight into the athlete’s artery? J Sci Med Sport 20(6):539–542CrossRef
Metadaten
Titel
Impact of ascending aorta replacement by graft on elastic properties of descending thoracic aorta evaluated by cardiac magnetic resonance imaging
verfasst von
Marie-Catherine Morgant
Johel Miteran
Siyu Lin
Aline Laubriet
Alexandre Cochet
Alain Lalande
Olivier Bouchot
Publikationsdatum
31.01.2020
Verlag
Springer International Publishing
Erschienen in
Magnetic Resonance Materials in Physics, Biology and Medicine / Ausgabe 5/2020
Print ISSN: 0968-5243
Elektronische ISSN: 1352-8661
DOI
https://doi.org/10.1007/s10334-020-00829-5

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