Biomechanics of abdominal aortic aneurysm in the presence of endoluminal thrombus: Experimental characterisation and structural static computational analysis

• Published in: European journal of vascular and endovascular surgery Vol. 15; no. 4; pp. 290 - 299
• Main Authors: Di Martino, E., Mantero, S., Inzoli, F., Melissano, G., Astore, D., Chiesa, R., Fumero, R.
• Format: Journal Article
• Language: English
• Published: England Elsevier Ltd 01.04.1998
• Subjects: Abdominal aortic aneurysm (AAA); Aged; Aged, 80 and over; Aneurysm mathematical model; Aortic Aneurysm, Abdominal - complications; Aortic Aneurysm, Abdominal - physiopathology; Aortic Aneurysm, Abdominal - surgery; Endoluminal thrombus; Humans; In Vitro Techniques; Middle Aged; Models, Cardiovascular; Stress, Mechanical; Tensile Strength; Thrombosis - complications; Thrombosis - physiopathology; Thrombosis - surgery; Thrombus mechanical properties; Weight-Bearing; Endoluminal thrombus; Aneurysm mathematical model; Abdominal aortic aneurysm (AAA); Thrombus mechanical properties
• ISSN: 1078-5884; 1532-2165
• DOI: 10.1016/S1078-5884(98)80031-2

To evaluate the role played by biomechanical and geometrical parameters of endoluminal thrombus and of aortic wall on abdominal aortic aneurysm (AAA) behaviour. Tensile tests on 21 AAA thrombus specimens from six patients undergoing AAA repair and numerical evaluation of aneurysmal aortic wall stress and strain distribution. Parameters of the analysis were lumen eccentricity, thrombus Young's Modulus and the aortic wall constitutive equation. There was a linear stress/strain for all the thrombus specimens. The numerical analyses show the mechanical behaviour of AAA as a function of lumen eccentricity and biomechanical parameters. Well organised thrombus reduces the effect of the pressure load on the aneurysmal aortic wall.