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Table 2 Flow deviations associated with different aortic diseases

From: A clinician’s guide to understanding aortic 4D flow MRI

Diseases

Associated flow parameters*

Acute aortic syndromes

↓ WSS (only in AAA)

Aortic aneurysm

↑ WSS, circumferential WSS

↓ Vorticity and helicity

↑ EL (in vitro studies)

Aortic valve regurgitation

↑ Regurgitation fraction

↑ Retrograde flow

Aortic valve stenosis

↑ Flow velocity

↑ KE, EL, and TKE

↑ Pressure gradient

Atherosclerosis

↓ Vorticity and helicity

↓ WSS

↑ Pulse wave velocity

Bicuspid aortic valve

↑ Flow velocity (if accompanied by AoS)

↑ Flow displacement and flow jet angle

↑ WSS

↑ Vorticity and helicity

↑ EL

Coarctation

↑ Flow velocity

↑ Pressure gradient

Vessel wall stiffening

↑ Pulse wave velocity

  1. WSS wall shear stress, AAA abdominal aortic aneurysm, EL energy loss, KE kinetic energy, TKE turbulent kinetic energy, AoS aortic valve stenosis
  2. *Based on the literature as cited in the respective sections