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

Abstract Aneurysm rupture is a life-threatening event, yet its underlying mechanisms remain largely unclear. This study investigated the fracture properties of the thoracic aneurysmatic aorta (TAA) using the symmetry-constraint Compact Tension (symconCT) test and compared results to native and enzym...

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Main Authors: Marta Alloisio, Antti Siika, David Freiholtz, Anders Franco-Cereceda, Joy Roy, Hanna M. Björck, T. Christian Gasser
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-024-83233-6
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author Marta Alloisio
Antti Siika
David Freiholtz
Anders Franco-Cereceda
Joy Roy
Hanna M. Björck
T. Christian Gasser
author_facet Marta Alloisio
Antti Siika
David Freiholtz
Anders Franco-Cereceda
Joy Roy
Hanna M. Björck
T. Christian Gasser
author_sort Marta Alloisio
collection DOAJ
description Abstract Aneurysm rupture is a life-threatening event, yet its underlying mechanisms remain largely unclear. This study investigated the fracture properties of the thoracic aneurysmatic aorta (TAA) using the symmetry-constraint Compact Tension (symconCT) test and compared results to native and enzymatic-treated porcine aortas’ tests. With age, the aortic stiffness increased, and tissues ruptured at lower fracture energy $$D$$ . Patients with bicuspid aortic valves were more sensitive to age, had stronger aortas and required more $$D$$ than tricuspid valves individuals (peak load: axial loading 4.42 $$\pm$$ 1.56 N vs 2.51 $$\pm$$ 1.60 N; circumferential loading 5.76 $$\pm$$ 2.43 N vs 4.82 $$\pm$$ 1.49 N. Fracture energy: axial loading 1.92 $$\pm$$ 0.60 kJ m-2 vs 0.74 $$\pm$$ 0.50 kJ m-2; circumferential loading 2.12 $$\pm$$ 2.39 kJ m-2 vs 1.47 $$\pm$$ 0.91 kJ m-2). Collagen content partly explained the variability in $$D$$ , especially in bicuspid cases. Besides the primary crack, TAAs and enzymatic-treated porcine aortas displayed diffuse and shear-dominated dissection and tearing. As human tissue tests resembled enzymatic-treated porcine aortas, microstructural degeneration, including elastin loss and collagen degeneration, seems to be the main cause of TAA wall weakening. Additionally, a tortuous crack developing during the symconCT test reflected intact fracture toughening mechanisms and might characterize a healthier aorta.
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spelling doaj-art-8813ace5bb0944ca83316635a288a0df2025-01-05T12:18:52ZengNature PortfolioScientific Reports2045-23222025-01-0115111210.1038/s41598-024-83233-6Fracture properties of porcine versus human thoracic aortas from tricuspid/bicuspid aortic valve patients via symmetry-constraint Compact Tension testingMarta Alloisio0Antti Siika1David Freiholtz2Anders Franco-Cereceda3Joy Roy4Hanna M. Björck5T. Christian Gasser6Department of Engineering Mechanics, KTH Royal Institute of TechnologyDepartment of Molecular Medicine and Surgery, Karolinska InstitutetSection of Cardiothoracic Surgery, Department of Molecular Medicine and Surgery, Karolinska InstitutetSection of Cardiothoracic Surgery, Department of Molecular Medicine and Surgery, Karolinska InstitutetDepartment of Molecular Medicine and Surgery, Karolinska InstitutetDivision of Cardiology, Center for Molecular Medicine, Department of Medicine, Karolinska University Hospital, Karolinska Institutet, SolnaDepartment of Engineering Mechanics, KTH Royal Institute of TechnologyAbstract Aneurysm rupture is a life-threatening event, yet its underlying mechanisms remain largely unclear. This study investigated the fracture properties of the thoracic aneurysmatic aorta (TAA) using the symmetry-constraint Compact Tension (symconCT) test and compared results to native and enzymatic-treated porcine aortas’ tests. With age, the aortic stiffness increased, and tissues ruptured at lower fracture energy $$D$$ . Patients with bicuspid aortic valves were more sensitive to age, had stronger aortas and required more $$D$$ than tricuspid valves individuals (peak load: axial loading 4.42 $$\pm$$ 1.56 N vs 2.51 $$\pm$$ 1.60 N; circumferential loading 5.76 $$\pm$$ 2.43 N vs 4.82 $$\pm$$ 1.49 N. Fracture energy: axial loading 1.92 $$\pm$$ 0.60 kJ m-2 vs 0.74 $$\pm$$ 0.50 kJ m-2; circumferential loading 2.12 $$\pm$$ 2.39 kJ m-2 vs 1.47 $$\pm$$ 0.91 kJ m-2). Collagen content partly explained the variability in $$D$$ , especially in bicuspid cases. Besides the primary crack, TAAs and enzymatic-treated porcine aortas displayed diffuse and shear-dominated dissection and tearing. As human tissue tests resembled enzymatic-treated porcine aortas, microstructural degeneration, including elastin loss and collagen degeneration, seems to be the main cause of TAA wall weakening. Additionally, a tortuous crack developing during the symconCT test reflected intact fracture toughening mechanisms and might characterize a healthier aorta.https://doi.org/10.1038/s41598-024-83233-6
spellingShingle Marta Alloisio
Antti Siika
David Freiholtz
Anders Franco-Cereceda
Joy Roy
Hanna M. Björck
T. Christian Gasser
Fracture properties of porcine versus human thoracic aortas from tricuspid/bicuspid aortic valve patients via symmetry-constraint Compact Tension testing
Scientific Reports
title Fracture properties of porcine versus human thoracic aortas from tricuspid/bicuspid aortic valve patients via symmetry-constraint Compact Tension testing
title_full Fracture properties of porcine versus human thoracic aortas from tricuspid/bicuspid aortic valve patients via symmetry-constraint Compact Tension testing
title_fullStr Fracture properties of porcine versus human thoracic aortas from tricuspid/bicuspid aortic valve patients via symmetry-constraint Compact Tension testing
title_full_unstemmed Fracture properties of porcine versus human thoracic aortas from tricuspid/bicuspid aortic valve patients via symmetry-constraint Compact Tension testing
title_short Fracture properties of porcine versus human thoracic aortas from tricuspid/bicuspid aortic valve patients via symmetry-constraint Compact Tension testing
title_sort fracture properties of porcine versus human thoracic aortas from tricuspid bicuspid aortic valve patients via symmetry constraint compact tension testing
url https://doi.org/10.1038/s41598-024-83233-6
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