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Abstract #2474

Identifying regions of abnormal wall shear stress in patients with bicuspid aortic valves

Pim van Ooij 1 , Maria Carr 1 , Bradley D. Allen 1 , David G. Guzzardi 2 , Jeremy Collins 1 , James Carr 1 , S. Chris Malaisrie 3 , Paul W. M. Fedak 2 , Patrick McCarthy 4 , Michael Markl 1,5 , and Alex J. Barker 1

1 Radiology, Northwestern University, Chicago, IL, United States, 2 Cardiac Surgery, University of Calgary, Calgary, Alberta, Canada, 3 Medicine-Cardiology, Northwestern University, Chicago, IL, United States, 4 Surgery-Cardiac Surgery, Northwestern University, Chicago, IL, United States, 5 Biomedical Engineering, Northwestern University, Chicago, IL, United States

In this study, a methodology is presented that enables identification of abnormal WSS, estimated by 4D flow MRI, in patients with bicuspid aortic valve (BAV) by comparison with a cohort-averaged 3D WSS map of healthy controls. 11 BAV patients were compared with a mean1.96*standard deviation WSS map created from data of 10 controls. In the BAV patients, elevated WSS was predominantly found in the inner (8%) and outer ascending aorta surface (21%) and outer arch surface (16%). Moderate correlations were found between the significant surface area and aortic diameter (R2 of 0.8, 0.5 and 0.4, respectively).

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