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Cited by 454

The DOI matches its Crossref record; 35 of the 35 references it cites were found in a registry or an index.

Bicuspid Aortic Valve Is Associated With Altered Wall Shear Stress in the Ascending Aorta

Barker, Alex J., Markl, Michael, Bürk, Jonas, Lorenz, Ramona, Bock, Jelena, Bauer, Simon, Schulz-Menger, Jeanette, von Knobelsdorff-Brenkenhoff, Florian·2012·Circulation: Cardiovascular Imaging

Abstract

Background—: Hemodynamics may play a role contributing to the progression of bicuspid aortic valve (BAV) aortopathy. This study measured the impact of BAV on the distribution of regional aortic wall shear stress (WSS) compared with control cohorts. Methods and Results—: Local WSS distribution was measured in the thoracic aorta of 60 subjects using 4-dimensional (4D) flow-sensitive magnetic resonance imaging. WSS analysis included 15 BAV patients: 12 with fusion of the right-left coronary cusp (6 stenotic) and 3 with fusion of the right and noncoronary cusp. The right-left BAV cohort was compared with healthy subjects (n=15), age-appropriate subjects (n=15), and age-/aorta size–controlled subjects (n=15). Compared with the age-appropriate and age-/aorta size–matched controls, WSS patterns in the right-left BAV ascending aorta were significantly elevated, independent of stenosis severity (peak WSS=0.9±0.3 N/m 2 compared with 0.4±0.3 N/m 2 in age-/aorta size–controlled subjects; P <0.001). Time-resolved (cine) 2D images of the bicuspid valves were coregistered with 4D flow data, directly linking cusp fusion pattern to a distinct ascending aortic flow jet pattern. The observation of right-anterior ascending aorta wall/jet impingement in right-left BAV patients corresponded to regions with statistically elevated WSS. Alternative jetting patterns were observed in the right and noncoronary cusp fusion patients. Conclusions—: The results of this study demonstrate that bicuspid valves induced significantly altered ascending aorta hemodynamics compared with age- and size-matched controls with tricuspid valves. Specifically, the expression of increased and asymmetric WSS at the aorta wall was related to ascending aortic flow jet patterns, which were influenced by the BAV fusion pattern.

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Metadata

Authors
Barker, A. J., Markl, M., Bürk, J., Lorenz, R., Bock, J., Bauer, S., Schulz-Menger, J., & von Knobelsdorff-Brenkenhoff, F.
Venue
Circulation: Cardiovascular Imaging
Published
2012-07
Volume
5
Issue
4
Pages
457-466
ISSN
  • 1941-9651 (ISSN-L)
  • 1942-0080
OpenAlex
W2124564923
Cited by
454
References
35
FWCI
26.80
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Bicuspid Aortic Valve Is Associated With Altered Wall Shear Stress in the Ascending Aorta. https://app.cochat.ai/papers/10.1161/circimaging.112.973370
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Barker, A. J., Markl, M., Bürk, J., Lorenz, R., Bock, J., Bauer, S., Schulz-Menger, J., & von Knobelsdorff-Brenkenhoff, F. (2012). Bicuspid Aortic Valve Is Associated With Altered Wall Shear Stress in the Ascending Aorta. Circulation: Cardiovascular Imaging. https://doi.org/10.1161/circimaging.112.973370

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.