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Published on: March 8, 2019
Investigation of the correlation between cardiac parameters and aortic diameter in patients with ascending aortic
Mustafa Etli1, Seda Avnioglu2, Halil Yilmaz3
1Department of Cardiovascular Surgery, Medical School of Aladdin Keykubat University, Alanya-Antalya, Turkey. dretlimustafa@gmail.com.
Insights
Ascending aortic aneurysms correlate with larger cardiac and thorax dimensions. These measurements, along with age, may help estimate aneurysm progression in patients with aortic aneurysms.
Area of Science:
- Cardiovascular Imaging
- Thoracic Surgery
- Radiology
Background:
- Aortic aneurysms (AA) are often asymptomatic and detected incidentally.
- Early detection of ascending aortic aneurysms is crucial to prevent life-threatening outcomes.
- This study investigates the link between ascending aortic diameter and cardiac parameters.
Purpose of the Study:
- To determine the relationship between ascending aortic diameter and cardiac parameters measurable by tomography and echocardiography.
- To compare these parameters in patients with newly diagnosed ascending AA and healthy individuals.
Main Methods:
- Computed tomography (CT) and echocardiography were used to measure cardiac and thoracic dimensions.
- Ascending aortic diameter, thorax diameter, and cardiac volume were recorded from CT scans.
- Echocardiographic parameters included left atrial dimension, ventricular diameters, ejection fraction, and posterior wall thickness.
Main Results:
- Ascending aortic diameter positively correlated with aging, thorax diameter, and cardiac volume.
- Male individuals exhibited larger aortic diameter, cardiac volume, and thorax diameter than females.
- No significant correlation was found between aortic diameter and left ventricular ejection fraction, end-diastolic diameter, or end-systolic diameter.
Conclusions:
- Cardiac volume and thorax diameter are strongly correlated with ascending aorta diameter.
- Further research with larger cohorts may improve the estimation of ascending AA progression using these parameters.
Background:
Aortic aneurysms (AA) are enlargement of the aorta silently until diagnosing, not detectable on physical examination, and usually incidentally discovered during radiologic scanning for other reasons. It can get bigger sizes and can result in life-threatening outcomes if not detected early on. In this study, we aimed to determine the relationship between ascending aortic diameter and cardiac parameters that can be detected with tomography or/and echocardiography. Newly diagnosed (n: 85) ascending AA patients and healthy individuals (n: 86) who have not any thoracic pathology in computed tomography (CT) scans included to the study. Echocardiographically determined left atrial dimension (LAD), left ventricular end-diastolic diameter (LVDd), left ventricular end-systolic diameter (LVDs), left ventricular ejection fraction (LVEF) and the left ventricular posterior wall thickness (LVPWd) values of each patient were recorded. The thorax diameters, ascending aorta diameters and cardiac volume values recorded from CT scans. The obtained findings were statistically compared.
Results:
Positive correlation was found between aortic diameter and aging (p: 0.000). Increased thorax diameter and cardiac volume values were detected in ascending AA cases (p < 0.05). It was found to be ascending aortic diameter was positively correlated with thorax diameter and cardiac volume (0.50 < r ≤ 0.70) values and higher aortic diameter, cardiac volume, thorax diameter values were detected in male individuals when compared with the female gender. There was no significant correlation between LVEF, LVDd, and LVDs values and aortic diameter.
Conclusions:
Cardiac volume and thorax diameter were found as strongly correlated with the diameter of the ascending aorta. The clarifying of these parameters with larger cohorts might be beneficial for the estimation of the progression of ascending AA.
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