Aortic arch shape after arch repair predicts exercise capacity: a multicentre analysis.
Jason G MandellJennifer RomanowiczYue-Hin LokeNobuyuki IkedaEmily PenaUmar SiddiqiNarutoshi HibinoMark E AlexanderAndrew J PowellLaura J OlivieriPublished in: European heart journal open (2023)
Aorta size mismatch, due to AAo dilation or small DAo, and associated decreased %DAo flow, correlated significantly with decreased exercise capacity after aortic arch repair. These correlations were stronger in patients without arch obstruction and with a bicuspid aortic valve. Aorta size mismatch and %DAo flow capture multiple mechanisms of altered haemodynamics beyond blood pressure gradient or discrete obstruction and can inform the definition of a successful repair.
Keyphrases
- aortic valve
- aortic stenosis
- transcatheter aortic valve replacement
- aortic valve replacement
- transcatheter aortic valve implantation
- blood pressure
- ejection fraction
- high intensity
- end stage renal disease
- physical activity
- newly diagnosed
- aortic dissection
- prognostic factors
- clinical trial
- randomized controlled trial
- heart failure
- peritoneal dialysis
- cross sectional
- type diabetes
- insulin resistance
- skeletal muscle
- adipose tissue
- body composition