The DOI matches its Crossref record; 23 of the 23 references it cites were found in a registry or an index.
Bicuspid Aortic Valve: Four-dimensional MR Evaluation of Ascending Aortic Systolic Flow Patterns
Abstract
PURPOSE: To use time-resolved three-dimensional phase-contrast magnetic resonance (MR) imaging, also called four-dimensional flow MR imaging, to evaluate systolic blood flow patterns in the ascending aorta that may predispose patients with a bicuspid aortic valve (BAV) to aneurysm. MATERIALS AND METHODS: The HIPAA-compliant protocol received institutional review board approval, and informed consent was obtained. Four-dimensional flow MR imaging was used to assess blood flow in the thoracic aorta of 53 individuals: 20 patients with a BAV, 25 patients with a tricuspid aortic valve (TAV), and eight healthy volunteers. The Fisher exact test was used to evaluate the significance of flow pattern differences. RESULTS: Nested helical flow was seen at peak systole in the ascending aorta of 15 of 20 patients with a BAV but in none of the healthy volunteers or patients with a TAV. This flow pattern was seen both in patients with a BAV with a dilated ascending aorta (n = 6) and in those with a normal ascending aorta (n = 9), was seen in the absence of aortic stenosis (n = 5), and was associated with eccentric systolic flow jets in all cases. Fusion of right and left leaflets gave rise to right-handed helical flow and right-anterior flow jets (n = 11), whereas right and noncoronary fusion gave rise to left-handed helical flow with left-posterior flow jets (n = 4). CONCLUSION: Four-dimensional flow MR imaging showed abnormal helical systolic flow in the ascending aorta of patients with a BAV, including those without aneurysm or aortic stenosis. Identification and characterization of eccentric flow jets in these patients may help identify those at risk for development of ascending aortic aneurysm.
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Cites
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Cited by
Lindman, B. R., Clavel, M.-A., Mathieu, P., Iung, B., Lancellotti, P., Otto, C. M., & Pibarot, P. (2016) · Nature Reviews Disease Primers · doi:10.1038/nrdp.2016.6 · Cited by 982
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Self-citationAortic Dilatation in Patients with Bicuspid Aortic Valve
Verma, S., & Siu, S. C. (2014) · New England Journal of Medicine · doi:10.1056/nejmra1207059 · Cited by 507
Bicuspid Aortic Valve Is Associated With Altered Wall Shear Stress in the Ascending Aorta
Barker, A. J., Markl, M., Bürk, J., Lorenz, R., Bock, J., Bauer, S., Schulz-Menger, J., & von Knobelsdorff-Brenkenhoff, F. (2012) · Circulation: Cardiovascular Imaging · doi:10.1161/circimaging.112.973370 · Cited by 454
Borger, M. A., Fedak, P. W. M., Stephens, E. H., Gleason, T. G., Girdauskas, E., Ikonomidis, J. S., Khoynezhad, A., Siu, S. C., Verma, S., Hope, M. D., et al. (2018) · The Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2018.02.115 · Cited by 287
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Metadata
- Authors
- Hope, M. D., Hope, T. A., Meadows, A. K., Ordovas, K. G., Urbania, T. H., Alley, M. T., & Higgins, C. B.
- Venue
- Radiology
- Published
- 2010-04
- Volume
- 255
- Issue
- 1
- Pages
- 53-61
- ISSN
- 0033-8419 (ISSN-L)
- 1527-1315
- OpenAlex
- W2088342987
- Cited by
- 417
- References
- 23
- FWCI
- 25.83
- Type
- journal article
- Language
- en
- Open access
- closed
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