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Abstract #3842

Beta-Blocker Therapy Alters 3D Wall Shear Stress in the Ascending Aorta of Patients with Bicuspid Aortic Valve

Bradley D Allen 1 , Pim van Ooij 1 , Alex J Barker 1 , Jeremy D Collins 1 , James C Carr 1 , S. Chris Malaisrie 2 , Patrick McCarthy 2 , Jyothy Puthumana 3 , Preeti Kansal 3 , and Michael Markl 1,4

1 Department of Radiology, Northwestern University, Chicago, IL, United States, 2 Division of Surgery - Cardiac Surgery, Northwestern University, Chicago, IL, United States, 3 Department of Medicine - Cardiology, Northwestern University, Chicago, IL, United States, 4 Department of Biomedical Engineering, Northwestern University, Chicago, IL, United States

Patients with bicuspid aortic valve (BAV) are at increased risk of ascending aorta aneurysm development and wall shear stress (WSS) has been hypothesized to be a driver of vascular remodeling and aneurysm progression. Beta-blockers are the guideline-recommended medical therapy to slow aortic dilation in this patient group. In this study, we calculated 3D WSS in the aorta of BAV patients on or not on beta-blockers. We found a trend toward reduced WSS in patients taking beta-blockers, suggesting that a reduction in WSS may be the mechanism by which beta-blockers effectively slow aortic dilatation.

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