Fracture properties of porcine versus human thoracic aortas from tricuspid/bicuspid aortic valve patients via symmetry-constraint Compact Tension testing
2025

Comparing Fracture Properties of Human and Porcine Aortas

Sample size: 36 publication Evidence: moderate

Author Information

Author(s): Marta Alloisio, Antti Siika, David Freiholtz, Anders Franco-Cereceda, Joy Roy, Hanna M. Björck, T. Christian Gasser

Primary Institution: KTH Royal Institute of Technology

Hypothesis

The study investigates the fracture properties of thoracic aortas from patients with different types of aortic valves.

Conclusion

The study found that human aortas exhibited similar mechanical properties to enzymatically treated porcine aortas, indicating that microstructural degeneration is a key factor in aortic wall weakening.

Supporting Evidence

  • Human aortas showed similar mechanical properties to enzymatically treated porcine aortas.
  • Collagen content was linked to the mechanical properties of the aorta.
  • Age negatively correlated with fracture energy in human aortas.
  • Bicuspid aortic valve patients had stronger aortas compared to tricuspid valve patients.
  • 40% of human tests failed before complete separation of the specimen.
  • Enzymatic treatment significantly reduced peak load and fracture energy in porcine aortas.
  • Collagen turnover and cross-linking were impaired in aortic valve patients.

Takeaway

This study looked at how strong the aorta is in humans and pigs, finding that human aortas are weaker due to damage over time.

Methodology

The study used the symmetry-constraint Compact Tension test to evaluate the fracture properties of human and porcine aortas.

Potential Biases

The variability in results due to different clinical conditions and the lack of pre-conditioning of test specimens may introduce bias.

Limitations

The study had a small sample size and many human tests were unsuccessful, limiting the data available for analysis.

Participant Demographics

The study included 36 patients (7 women, 29 men) aged 27 to 85 years undergoing surgery for ascending aortic aneurysm.

Statistical Information

P-Value

1.25e-4

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/s41598-024-83233-6

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