Biomechanical failure properties and microstructural content of ruptured and unruptured abdominal aortic aneurysms |
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| Authors: | Madhavan L. Raghavan Mauro M. Hanaoka Jarin A. Kratzberg Maria de Lourdes Higuchi Erasmo Simao da Silva |
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| Affiliation: | 1. Department of Biomedical Engineering, University of Iowa, Iowa City, IA, USA;2. University of São Paulo Medical School, São Paulo, SP, Brazil;1. Laboratory for Vascular Simulations, Institute of Vascular Diseases, Larissa, Greece;2. Department of Mathematics, University of Ioannina, Ioannina, Greece;3. Department of Vascular Surgery, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece;1. Department of Radiology, Vanderbilt University Medical Center, Nashville, Tennessee;2. Vanderbilt''s Center for Technology Transfer and Commercialization, Vanderbilt University, Nashville, Tennessee;1. Department of Bioengineering, University of Pittsburgh, Pittsburgh, PA, United States;2. Department of Cardiothoracic Surgery, University of Pittsburgh, Pittsburgh, PA, United States;3. Department of Surgery, University of Pittsburgh, Pittsburgh, PA, United States;4. Center for Vascular Remodeling and Regeneration, University of Pittsburgh, Pittsburgh, PA, United States;5. McGowan Institute for Regenerative Medicine, University of Pittsburgh, Pittsburgh, PA, United States;6. Fondazione Ri.MED, University of Palermo, Palermo, Italy;7. DICGM University of Palermo, Palermo, Italy;1. Division of Vascular and Endovascular Surgery, Beth Israel Deaconess Medical Center, Boston, Mass;2. Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Mass |
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| Abstract: | ![]()
PurposeTo test the hypothesis that ruptured abdominal aortic aneurysms (AAA) are globally weaker than unruptured ones.MethodsFour ruptured and seven unruptured AAA specimens were harvested whole from fresh cadavers during autopsies performed over an 18-month period. Multiple regionally distributed longitudinally oriented rectangular strips were cut from each AAA specimen for a total of 77 specimen strips. Strips were subjected to uniaxial extension until failure. Sections from approximately the strongest and weakest specimen strips were studied histologically and histochemically. From the load-extension data, failure tension, failure stress and failure strain were calculated. Rupture site characteristics such as location, arc length of rupture and orientation of rupture were also documented.ResultsThe failure tension, a measure of the tissue mechanical caliber was remarkably similar between ruptured and unruptured AAA (group mean±standard deviation of within-subject means: 11.2±2.3 versus 11.6±3.6 N/cm; p=0.866 by mixed model ANOVA). In post-hoc analysis, there was little difference between the groups in other measures of tissue mechanical caliber as well such as failure stress (95±28 versus 98±23 N/cm2; p=0.870), failure strain (0.39±0.09 versus 0.36±0.09; p=0.705), wall thickness (1.7±0.4 versus 1.5±0.4 mm; p=0.470) , and % coverage of collagen within tissue cross section (49.6±12.9% versus 60.8±9.6%; p=0.133). In the four ruptured AAA, primary rupture sites were on the lateral quadrants (two on left; one on left-posterior; one on right). Remarkably, all rupture lines had a longitudinal orientation and ranged from 1 to 6 cm in length.ConclusionThe findings are not consistent with the hypothesis that ruptured aortic aneurysms are globally weaker than unruptured ones. |
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