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Updated: Mar 14, 2026

Ultrasound Imaging of the Thoracic and Abdominal Aorta in Mice to Determine Aneurysm Dimensions
Published on: March 8, 2019
Aortic root dimensions are predominantly determined by genetic factors: a classical twin study
Csilla Celeng1, Márton Kolossváry1, Attila Kovács1
1MTA-SE Cardiovascular Imaging Research Group, Heart and Vascular Center, Semmelweis University, Városmajor St. 68, H-1122, Budapest, Hungary.
Computed tomography angiography (CTA) reveals aortic root dimensions are primarily genetic, unlike transthoracic echocardiography (TTE) findings. Imaging method significantly impacts heritability estimates for aortic dimensions.
Area of Science:
- Cardiovascular Imaging
- Genetics
- Twin Studies
Background:
- Previous studies using transthoracic echocardiography (TTE) indicated moderate heritability for aortic root dimensions.
- Computed tomography angiography (CTA) may offer more precise heritability estimates due to its superior accuracy.
Purpose of the Study:
- To assess the heritability of aortic root dimensions using CTA.
- To compare CTA-derived heritability estimates with those obtained from TTE.
Main Methods:
- The BUDAPEST-GLOBAL study included 198 twin subjects (118 monozygotic, 80 dizygotic).
- Subjects underwent both CTA and TTE to measure the left ventricular outflow tract (LVOT), annulus, sinus of Valsalva, sinotubular junction, and ascending aorta.
- Heritability was analyzed using the ACDE model (Additive genetic, Common environmental, Dominant genetic, Unique environmental factors).
Main Results:
- CTA revealed dominant additive genetic effects for all measured aortic dimensions (e.g., sinus of Valsalva: A=0.83, E=0.17).
- TTE measurements indicated moderate to no genetic influence (e.g., LVOT: A=0.38, E=0.62; annulus: C=0.47, E=0.53).
Conclusions:
- Aortic root dimensions are predominantly influenced by genetic factors, as shown by CTA.
- TTE underestimates the genetic contribution to aortic root dimensions.
- The choice of imaging modality significantly affects heritability estimates.
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