Yıl: 2023 Cilt: 31 Sayı: 2 Sayfa Aralığı: 178 - 185 Metin Dili: İngilizce DOI: 10.5606/tgkdc.dergisi.2023.23918 İndeks Tarihi: 30-05-2023

Is decreased tissue elasticity more important than histopathological changes in ruptures of ascending aortic aneurysms?

Öz:
Background: In this study, we aimed to investigate the natural properties of ascending aortic aneurysms and to compare dilated aortic tissues of patients with ascending aortic aneurysms and the non-pathological aortic tissues of cadavers. Methods: Between January 2017 and January 2020, a total of 14 patients (12 males, 2 females; mean age: 66.6±8.4 years; range, 54 to 77 years) who underwent elective ascending aortic surgery without genetic disease or family history in the etiology were included in the study. Aortic tissues taken from the patients with ascending aortic aneurysms and cadavers without any aortic pathology were compared histopathologically and biomechanically. An experienced pathologist performed a histological evaluation with appropriate staining and scoring. In the biomechanical examination, stress-strain curves were created with the uniaxial tensile test. The instantaneous elastic modulus was calculated based on the first regions of the curves (Ei) and the slopes of the linear region close to rupturing (Es). Results: In the pathological examination, there was no statistically significant difference in the parameters of both the patient and control groups (p>0.05). In the biomechanical examination, Ei values were significantly higher in the patients with ascending aortic aneurysms, while Es values were comparable between the groups (p=0.028 and p=0.609, respectively). Conclusion: Our study results showed that the tissues of the ascending aortic aneurysm were much more rigid, although no significant histopathological changes were detected. These findings are meaningful in understanding the structure of normal and pathological aortic tissue.
Anahtar Kelime:

Rüptüre çıkan aort anevrizmalarında azalmış doku elastikiyeti histopatolojik değişikliklerden daha önemli midir?

Öz:
Amaç: Bu çalışmada çıkan aort anevrizmalarının doğal özellikleri araştırıldı ve çıkan aort anevrizmalı hastaların dilate aort dokuları ve kadavralardan elde edilen patolojik olmayan aort dokuları karşılaştırıldı. Ça lışma planı: Ocak 2017 - Ocak 2020 tarihleri arasında etiyolojisinde genetik bir hastalığı veya aile öyküsü olmayan ve elektif çıkan aort anevrizma cerrahisi yapılan toplam 14 hasta (12 erkek, 2 kadın; ort. yaş: 66.6±8.4 yıl; dağılım, 54-77 yıl) çalışmaya alındı. Çıkan aort anevrizmalı hastalardan ve herhangi bir aort patolojisi olmayan kadavralardan alınan aort dokuları histopatolojik ve biyomekanik olarak karşılaştırıldı. Histolojik değerlendirme, uygun boyama ve skorlama ile deneyimli bir patoloji uzmanı tarafından yapıldı. Biyomekanik incelemede tek eksenli çekme testi ile stres-gerinim eğrileri oluşturuldu. Elastik modülü, eğrilerin ilk lineer bölgeleri (Ei) ile rüptüre yakın bölgenin eğimlerine (Es) dayalı olarak hesaplandı. Bulgular: Patolojik incelemede hem hasta hem de kontrol grubu parametreleri açısından istatistiksel olarak anlamlı bir fark bulunmadı (p>0.05). Biyomekanik incelemede ise, Ei değerleri çıkan aort anevrizmalı hastalarda anlamlı düzeyde daha yüksek iken, Es değerleri gruplar arasında benzer idi (sırasıyla p=0.028 ve p=0.609). So nuç: Çalışma sonuçlarımız çıkan aort anevrizmalı dokuların çok daha sert olduğunu, ancak anlamlı bir histopatolojik değişikliğe rastlanmadığını gösterdi. Bu bulgular normal ve patolojik aort dokusunun yapısının anlaşılması açısından anlamlıdır.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA DURMAZ A, omay o, talas z, Acar B, CENGIZ A, mutlu i, ERUYAR A, Kiraz U (2023). Is decreased tissue elasticity more important than histopathological changes in ruptures of ascending aortic aneurysms?. , 178 - 185. 10.5606/tgkdc.dergisi.2023.23918
Chicago DURMAZ AYŞEGÜL,omay oğuz,talas zeki,Acar Burak,CENGIZ ABDULKADIR,mutlu ibrahim,ERUYAR AHMET TUĞRUL,Kiraz Umay Is decreased tissue elasticity more important than histopathological changes in ruptures of ascending aortic aneurysms?. (2023): 178 - 185. 10.5606/tgkdc.dergisi.2023.23918
MLA DURMAZ AYŞEGÜL,omay oğuz,talas zeki,Acar Burak,CENGIZ ABDULKADIR,mutlu ibrahim,ERUYAR AHMET TUĞRUL,Kiraz Umay Is decreased tissue elasticity more important than histopathological changes in ruptures of ascending aortic aneurysms?. , 2023, ss.178 - 185. 10.5606/tgkdc.dergisi.2023.23918
AMA DURMAZ A,omay o,talas z,Acar B,CENGIZ A,mutlu i,ERUYAR A,Kiraz U Is decreased tissue elasticity more important than histopathological changes in ruptures of ascending aortic aneurysms?. . 2023; 178 - 185. 10.5606/tgkdc.dergisi.2023.23918
Vancouver DURMAZ A,omay o,talas z,Acar B,CENGIZ A,mutlu i,ERUYAR A,Kiraz U Is decreased tissue elasticity more important than histopathological changes in ruptures of ascending aortic aneurysms?. . 2023; 178 - 185. 10.5606/tgkdc.dergisi.2023.23918
IEEE DURMAZ A,omay o,talas z,Acar B,CENGIZ A,mutlu i,ERUYAR A,Kiraz U "Is decreased tissue elasticity more important than histopathological changes in ruptures of ascending aortic aneurysms?." , ss.178 - 185, 2023. 10.5606/tgkdc.dergisi.2023.23918
ISNAD DURMAZ, AYŞEGÜL vd. "Is decreased tissue elasticity more important than histopathological changes in ruptures of ascending aortic aneurysms?". (2023), 178-185. https://doi.org/10.5606/tgkdc.dergisi.2023.23918
APA DURMAZ A, omay o, talas z, Acar B, CENGIZ A, mutlu i, ERUYAR A, Kiraz U (2023). Is decreased tissue elasticity more important than histopathological changes in ruptures of ascending aortic aneurysms?. Türk Göğüs Kalp Damar Cerrahisi Dergisi, 31(2), 178 - 185. 10.5606/tgkdc.dergisi.2023.23918
Chicago DURMAZ AYŞEGÜL,omay oğuz,talas zeki,Acar Burak,CENGIZ ABDULKADIR,mutlu ibrahim,ERUYAR AHMET TUĞRUL,Kiraz Umay Is decreased tissue elasticity more important than histopathological changes in ruptures of ascending aortic aneurysms?. Türk Göğüs Kalp Damar Cerrahisi Dergisi 31, no.2 (2023): 178 - 185. 10.5606/tgkdc.dergisi.2023.23918
MLA DURMAZ AYŞEGÜL,omay oğuz,talas zeki,Acar Burak,CENGIZ ABDULKADIR,mutlu ibrahim,ERUYAR AHMET TUĞRUL,Kiraz Umay Is decreased tissue elasticity more important than histopathological changes in ruptures of ascending aortic aneurysms?. Türk Göğüs Kalp Damar Cerrahisi Dergisi, vol.31, no.2, 2023, ss.178 - 185. 10.5606/tgkdc.dergisi.2023.23918
AMA DURMAZ A,omay o,talas z,Acar B,CENGIZ A,mutlu i,ERUYAR A,Kiraz U Is decreased tissue elasticity more important than histopathological changes in ruptures of ascending aortic aneurysms?. Türk Göğüs Kalp Damar Cerrahisi Dergisi. 2023; 31(2): 178 - 185. 10.5606/tgkdc.dergisi.2023.23918
Vancouver DURMAZ A,omay o,talas z,Acar B,CENGIZ A,mutlu i,ERUYAR A,Kiraz U Is decreased tissue elasticity more important than histopathological changes in ruptures of ascending aortic aneurysms?. Türk Göğüs Kalp Damar Cerrahisi Dergisi. 2023; 31(2): 178 - 185. 10.5606/tgkdc.dergisi.2023.23918
IEEE DURMAZ A,omay o,talas z,Acar B,CENGIZ A,mutlu i,ERUYAR A,Kiraz U "Is decreased tissue elasticity more important than histopathological changes in ruptures of ascending aortic aneurysms?." Türk Göğüs Kalp Damar Cerrahisi Dergisi, 31, ss.178 - 185, 2023. 10.5606/tgkdc.dergisi.2023.23918
ISNAD DURMAZ, AYŞEGÜL vd. "Is decreased tissue elasticity more important than histopathological changes in ruptures of ascending aortic aneurysms?". Türk Göğüs Kalp Damar Cerrahisi Dergisi 31/2 (2023), 178-185. https://doi.org/10.5606/tgkdc.dergisi.2023.23918