This manuscript explores the different components of flow, wall shear stress (axial and circumferential) and flow vortices, globally, along the ascending aorta (using 3D maps). Also, we investigated the different behavior of these parameters in the different valvular phenotypes and in the different ascending aortic morphotypes to obtain the main determinants of aortic dilatation in this population. We concluded that an eccentric jet and increased axial wall shear stress in the proximal aorta, mainly observed in the RL-phenotype, may determine the root dilatation morphotype, whereas increased rotational and vortical flow and circumferential WSS in mid and distal ascending aorta in the RN-phenotype may determine the ascending dilatation morphotype.
To close the gap outlined above, learners 'need' to know other risk factors associated to aortic dilatation in bicuspid aortic valve patients:
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October 01, 2018
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