4D Flow CMR in Assessment of Valve-Related Ascending Aortic Disease

JACC-CARDIOVASCULAR IMAGING

卷:4

Article

Hope, Michael D.¹  Hope, Thomas A.¹  Crook, Stephen E. S.¹  Ordovas, Karen G.¹  Urbania, Thomas H.¹  Alley, Marc T.²  Higgins, Charles B.¹ 

[1] Univ Calif San Francisco, Dept Radiol, San Francisco, CA 94143 USA

[2] Stanford Univ, Sch Med, Dept Radiol, Stanford, CA 94305 USA

关键词: 4D Flow;    aorta;    bicuspid aortic valve;    cardiac magnetic resonance;    eccentric jets;    valves;   

DOI  :  10.1016/j.jcmg.2011.05.004

来源: Elsevier

【 摘 要 】

Blood flow imaging with 3-dimensional time-resolved, phase-contrast cardiac magnetic resonance (4-dimensional [4D]Flow) is an innovative and visually appealing method for studying cardiovascular disease that allows quantification of important secondary vascular parameters including wall shear stress. The hypothesis of this pilot study is that 4D Flow will become a powerful tool for characterizing the relationship of aortic valve-related flow dynamics, especially with bicuspid aortic valve (BAV), and progression of ascending aortic (AsAo) dilation. We identified 46 patients previously studied with 4D Flow: tricuspid aortic valve patients without valvular disease (n = 20), and BAV patients with either normal flow (n = 7) or eccentric systolic jets resulting in abnormal right-handed helical AsAo flow (n = 19). The subgroup of patients with BAV and eccentric systolic AsAo blood flow was found to have significantly and asymmetrically elevated wall shear stress. This increased hemodynamic burden may place them at risk for AsAo aneurysm. (J Am Coll Cardiol Img 2011;4:781-7) (C) 2011 by the American College of Cardiology Foundation

【 授权许可】

Free