Table of Contents Author Guidelines Submit a Manuscript
BioMed Research International
Volume 2014, Article ID 820385, 9 pages
http://dx.doi.org/10.1155/2014/820385
Review Article

Biomechanical Evaluation of Ascending Aortic Aneurysms

1Department of Industrial and Mechanical Engineering, University of Brescia, Via Branze 38, 25123 Brescia, Italy
2Division of Cardiac Surgery, University of Brescia, P.le Spedali Civili 1, 25123 Brescia, Italy

Received 28 February 2014; Accepted 21 April 2014; Published 4 June 2014

Academic Editor: Michael Gotzmann

Copyright © 2014 Andrea Avanzini et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. L. F. Hiratzka, G. L. Bakris, J. A. Beckman et al., “ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the diagnosis and management of patients with thoracic aortic disease: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, American Association for Thoracic Surgery, American College of Radiology, American Stroke Association, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of Thoracic Surgeons, and Society for Vascular Medicine,” Circulation, vol. 121, pp. e266–e369, 2010. View at Publisher · View at Google Scholar · View at Scopus
  2. L. A. Pape, T. T. Tsai, International Registry of Acute Aortic Dissection (IRAD) Investigators et al., “Aortic diameter ≥5.5 cm is not a good predictor of type A aortic dissection: observations from the International Registry of Acute Aortic Dissection (IRAD),” Circulation, vol. 116, no. 10, pp. 1120–1127, 2007. View at Publisher · View at Google Scholar · View at Scopus
  3. R. J. Okamoto, J. E. Wagenseil, W. R. DeLong, S. J. Peterson, N. T. Kouchoukos, and T. M. Sundt III, “Mechanical properties of dilated human ascending aorta,” Annals of Biomedical Engineering, vol. 30, no. 5, pp. 624–635, 2002. View at Publisher · View at Google Scholar · View at Scopus
  4. R. J. Okamoto, H. Xu, N. T. Kouchoukos, M. R. Moon, and T. M. Sundt III, “The influence of mechanical properties on wall stress and distensibility of the dilated ascending aorta,” Journal of Thoracic and Cardiovascular Surgery, vol. 126, no. 3, pp. 842–850, 2003. View at Publisher · View at Google Scholar · View at Scopus
  5. D. A. Vorp, B. J. Schiro, M. P. Ehrlich, T. S. Juvonen, M. A. Ergin, and B. P. Griffith, “Effect of aneurysm on the tensile strength and biomechanical behavior of the ascending thoracic aorta,” Annals of Thoracic Surgery, vol. 75, no. 4, pp. 1210–1214, 2003. View at Publisher · View at Google Scholar · View at Scopus
  6. D. C. Iliopoulos, E. P. Kritharis, A. T. Giagini, S. A. Papadodima, and D. P. Sokolis, “Ascending thoracic aortic aneurysms are associated with compositional remodeling and vessel stiffening but not weakening in age-matched subjects,” Journal of Thoracic and Cardiovascular Surgery, vol. 137, no. 1, pp. 101–109, 2009. View at Publisher · View at Google Scholar · View at Scopus
  7. J. E. Pichamuthu, J. A. Philippi, D. A. Cleary et al., “Differential tensile strength and collagen composition in ascending aortic aneurysms by aortic valve phenotype,” The Annals of Thoracic Surgery, vol. 96, pp. 2147–2154, 2013. View at Google Scholar
  8. N. Choudhury, O. Bouchot, L. Rouleau et al., “Local mechanical and structural properties of healthy and diseased human ascending aorta tissue,” Cardiovascular Pathology, vol. 18, no. 2, pp. 83–91, 2009. View at Publisher · View at Google Scholar · View at Scopus
  9. A. N. Azadani, S. Chitsaz, A. Mannion et al., “Biomechanical properties of human ascending thoracic aortic aneurysms,” Annals of Thoracic Surgery, vol. 96, no. 1, pp. 50–58, 2013. View at Publisher · View at Google Scholar · View at Scopus
  10. A. Duprey, K. Khanafer, M. Schlicht, S. Avril, D. Williams, and R. Berguer, “In vitro characterisation of physiological and maximum elastic modulus of ascending thoracic aortic aneurysms using uniaxial tensile testing,” European Journal of Vascular and Endovascular Surgery, vol. 39, no. 6, pp. 700–707, 2010. View at Publisher · View at Google Scholar · View at Scopus
  11. K. Khanafer, A. Duprey, M. Zainal, M. Schlicht, D. Williams, and R. Berguer, “Determination of the elastic modulus of ascending thoracic aortic aneurysm at different ranges of pressure using uniaxial tensile testing,” Journal of Thoracic and Cardiovascular Surgery, vol. 142, no. 3, pp. 682–686, 2011. View at Publisher · View at Google Scholar · View at Scopus
  12. T. Matsumoto, T. Fukui, T. Tanaka et al., “Biaxial tensile properties of thoracic aortic aneurysm tissues,” Journal of Biomechanical Science and Engineering, vol. 4, no. 4, pp. 518–529, 2009. View at Publisher · View at Google Scholar · View at Scopus
  13. T. Pham, C. Martin, J. Elefteriades, and W. Sun, “Biomechanical characterization of ascending aortic aneurysm with concomitant bicuspid aortic valve and bovine aortic arch,” Acta Biomaterialia, vol. 9, pp. 7927–7936, 2013. View at Publisher · View at Google Scholar · View at Scopus
  14. R. L. Armentano, D. B. Santana, E. I. Cabrera Fischer et al., “An in vitro study of cryopreserved and fresh human arteries: a comparison with ePTFE prostheses and human arteries studied non-invasively in vivo,” Cryobiology, vol. 52, no. 1, pp. 17–26, 2006. View at Publisher · View at Google Scholar · View at Scopus
  15. D. Bia, F. Pessana, R. Armentano et al., “Cryopreservation procedure does not modify human carotid homografts mechanical properties: an isobaric and dynamic analysis,” Cell and Tissue Banking, vol. 7, no. 3, pp. 183–194, 2006. View at Publisher · View at Google Scholar · View at Scopus
  16. D. C. Iliopoulos, R. P. Deveja, E. P. Kritharis et al., “Regional and directional variations in the mechanical properties of ascending thoracic aortic aneurysms,” Medical Engineering and Physics, vol. 31, no. 1, pp. 1–9, 2009. View at Publisher · View at Google Scholar · View at Scopus
  17. C. M. García-Herrera, J. M. Atienza, F. J. Rojo et al., “Mechanical behaviour and rupture of normal and pathological human ascending aortic wall,” Medical and Biological Engineering and Computing, vol. 50, no. 6, pp. 559–566, 2012. View at Publisher · View at Google Scholar · View at Scopus
  18. J. O. V. Delgadillo, S. Delorme, V. Mora, R. DiRaddo, and S. G. Hatzikiriakos, “Effect of deformation rate on the mechanical properties of arteries,” Journal of Biomedical Science and Engineering, vol. 3, pp. 124–137, 2010. View at Google Scholar
  19. A. Romo, P. Badel, A. Duprey, J. P. Favre, and S. Avril, “In vitro analysis of localized aneurysm rupture,” Journal of Biomechanics, vol. 47, pp. 607–616, 2014. View at Google Scholar
  20. J.-H. Kim, S. Avril, A. Duprey, and J.-P. Favre, “Experimental characterization of rupture in human aortic aneurysms using a full-field measurement technique,” Biomechanics and Modeling in Mechanobiology, vol. 11, no. 6, pp. 841–853, 2012. View at Publisher · View at Google Scholar · View at Scopus
  21. D. P. Sokolis, E. P. Kritharis, and D. C. Iliopoulos, “Effect of layer heterogeneity on the biomechanical properties of ascending thoracic aortic aneurysms,” Medical and Biological Engineering and Computing, vol. 50, no. 12, pp. 1227–1237, 2012. View at Publisher · View at Google Scholar · View at Scopus
  22. J. Tong, G. Sommer, P. Regitnig, and G. A. Holzapfel, “Dissection properties and mechanical strength of tissue components in human carotid bifurcations,” Annals of Biomedical Engineering, vol. 39, no. 6, pp. 1703–1719, 2011. View at Publisher · View at Google Scholar · View at Scopus
  23. D. C. Iliopoulos, E. P. Kritharis, and D. P. Sokolis, “Biomechanical properties of ascending thoracic aneurysms and mathematical characterization,” in Proceedings of the 5th European IFMBE Conference, vol. 37, pp. 826–829, 2011.
  24. K. Hayashi, “Mechanical properties of soft tissue and arterial walls,” in Biomechanics of Soft Tissue Cardiovascular Systems, G. A. Holzapfel and R. W. Ogden, Eds., pp. 15–63, Springer, New York, NY, USA, 2003. View at Google Scholar
  25. K. Khanafer, M. S. Schlicht, and R. Berguer, “How should we measure and report elasticity in aortic tissue?” European Journal of Vascular and Endovascular Surgery, vol. 45, no. 4, pp. 332–339, 2013. View at Publisher · View at Google Scholar · View at Scopus
  26. M. S. Sacks, “Biaxial mechanical evaluation of planar biological materials,” Journal of Elasticity, vol. 61, no. 1–3, pp. 199–246, 2000. View at Publisher · View at Google Scholar · View at Scopus
  27. A. H. Hoffman and P. Grigg, “A method for measuring strains in soft tissue,” Journal of Biomechanics, vol. 17, no. 10, pp. 795–800, 1984. View at Google Scholar · View at Scopus
  28. J. P. V. Geest, M. S. Sacks, and D. A. Vorp, “The effects of aneurysm on the biaxial mechanical behavior of human abdominal aorta,” Journal of Biomechanics, vol. 39, no. 7, pp. 1324–1334, 2006. View at Publisher · View at Google Scholar · View at Scopus
  29. A. N. Azadani, S. Chitsaz, P. B. Matthews et al., “Comparison of mechanical properties of human ascending aorta and aortic sinuses,” Annals of Thoracic Surgery, vol. 93, no. 1, pp. 87–94, 2012. View at Publisher · View at Google Scholar · View at Scopus
  30. M. Zemànek, J. Burša, and M. Dětàk, “Biaxial tension tests with soft tissues of arterial wall,” Journal of Engineering Mechanics, vol. 16, pp. 3–11, 2009. View at Google Scholar
  31. D. Haskett, G. Johnson, A. Zhou, U. Utzinger, and J. V. Geest, “Microstructural and biomechanical alterations of the human aorta as a function of age and location,” Biomechanics and Modeling in Mechanobiology, vol. 9, no. 6, pp. 725–736, 2010. View at Publisher · View at Google Scholar · View at Scopus
  32. S. D. Waldman and J. Michael Lee, “Boundary conditions during biaxial testing of planar connective tissues—part 1: dynamic behavior,” Journal of Materials Science: Materials in Medicine, vol. 13, no. 10, pp. 933–938, 2002. View at Publisher · View at Google Scholar · View at Scopus
  33. S. D. Waldman and J. M. Lee, “Effect of sample geometry on the apparent biaxial mechanical behaviour of planar connective tissues,” Biomaterials, vol. 26, no. 35, pp. 7504–7513, 2005. View at Publisher · View at Google Scholar · View at Scopus
  34. M. R. Labrosse, C. J. Beller, T. Mesana, and J. P. Veinot, “Mechanical behavior of human aortas: experiments, material constants and 3-D finite element modeling including residual stress,” Journal of Biomechanics, vol. 42, no. 8, pp. 996–1004, 2009. View at Publisher · View at Google Scholar · View at Scopus
  35. M. R. Labrosse, E. R. Gerson, J. P. Veinot, and C. J. Beller, “Mechanical characterization of human aortas from pressurization testing and a paradigm shift for circumferential residual stress,” Journal of the Mechanical Behavior of Biomedical Materials, vol. 17, pp. 44–55, 2012. View at Publisher · View at Google Scholar · View at Scopus
  36. G. A. Holzapfel, G. Sommer, M. Auer, P. Regitnig, and R. W. Ogden, “Layer-specific 3D residual deformations of human aortas with non-atherosclerotic intimal thickening,” Annals of Biomedical Engineering, vol. 35, no. 4, pp. 530–545, 2007. View at Publisher · View at Google Scholar · View at Scopus
  37. D. Mohan and J. W. Melvin, “Failure properties of passive human aortic tissue. II. Biaxial tension tests,” Journal of Biomechanics, vol. 16, no. 1, pp. 31–44, 1983. View at Google Scholar · View at Scopus
  38. S. P. Marra, F. E. Kennedy, J. N. Kinkaid, and M. F. Fillinger, “Elastic and rupture properties of porcine aortic tissue measured using inflation testing,” Cardiovascular Engineering, vol. 6, no. 4, pp. 123–131, 2006. View at Publisher · View at Google Scholar · View at Scopus
  39. J. Kim and S. Baek, “Circumferential variations of mechanical behavior of the porcine thoracic aorta during the inflation test,” Journal of Biomechanics, vol. 44, no. 10, pp. 1941–1947, 2011. View at Publisher · View at Google Scholar · View at Scopus
  40. G. A. Holzapfel and R. W. Ogden, “Constitutive modelling of arteries,” Proceedings of the Royal Society A: Mathematical, Physical and Engineering Sciences, vol. 466, no. 2118, pp. 1551–1597, 2010. View at Publisher · View at Google Scholar · View at Scopus
  41. C. A. Meyer, E. Bertrand, O. Boiron, and V. Deplano, “Stereoscopically observed deformations of a compliant abdominal aortic aneurysm model,” Journal of Biomechanical Engineering, vol. 133, no. 11, Article ID 111004, 2011. View at Publisher · View at Google Scholar · View at Scopus
  42. A. Hemmasizadeh, M. Autieri, and K. Darvish, “Multilayer material properties of aorta determined from nanoindentation tests,” Journal of the Mechanical Behavior of Biomedical Materials, vol. 15, pp. 199–207, 2012. View at Publisher · View at Google Scholar · View at Scopus
  43. S. Sugita and T. Matsumoto, “Novel biaxial tensile test for studying aortic failure phenomena at a microscopic level,” BioMedical Engineering, vol. 12, no. 1, article 3, 2013. View at Publisher · View at Google Scholar · View at Scopus
  44. A. Wittek, K. Karatolios, P. Bihari et al., “In vivo determination of elastic properties of the human aorta based on 4D ultrasound data,” Journal of the Mechanical Behavior of Biomedical Materials, vol. 27, pp. 167–183, 2013. View at Publisher · View at Google Scholar · View at Scopus
  45. A. J. Schriefl, G. Zeindlinger, D. M. Pierce, P. Regitnig, and G. A. Holzapfel, “Determination of the layer-specific distributed collagen fibre orientations in human thoracic and abdominal aortas and common iliac arteries,” Journal of the Royal Society Interface, vol. 9, no. 71, pp. 1275–1286, 2012. View at Publisher · View at Google Scholar · View at Scopus
  46. J. A. Philippi, S. Pasta, and D. A. Vorp, “Biomechanics and pathobiology of aortic aneurysms,” Studies in Mechanobiology, Tissue Engineering, vol. 7, pp. 67–118, 2011. View at Google Scholar
  47. S. Celi and S. Berti, “Biomechanics and FE modeling of aneurysm: review and advances in computational models,” in Aneurysm, Y. Murai, Ed., chapter 1, pp. 3–26, InTech, Rijeka, Croatia, 2012. View at Publisher · View at Google Scholar
  48. T. Fukui, T. Matsumoto, T. Tanaka et al., “In vivo mechanical properties of thoracic aortic aneurysmal wall estimated from in vitro biaxial tensile test,” Bio-Medical Materials and Engineering, vol. 15, no. 4, pp. 295–305, 2005. View at Google Scholar · View at Scopus
  49. C. Martin, W. Sun, T. Pham, and J. Elefteriades, “Biomechanical characterization of ascending aortic aneurysm with concomitant bicuspid aortic valve and bovine aortic arch,” Acta Biomaterialia, vol. 9, pp. 9392–9400, 2013. View at Publisher · View at Google Scholar · View at Scopus
  50. D. P. Sokolis and D. C. Iliopoulos, “Impaired mechanics and matrix metalloproteinases/inhibitors expression in female ascending thoracic aortic aneurysms,” Journal of the Mechanical Behavior of Biomedical C, vol. 34, pp. 154–164, 2014. View at Google Scholar