Key result
COVID-19 was associated with significantly increased proximal aortic arch diameter (30.73 mm vs 27.10 mm, p=0.001) and branch vessel dilatation compared to healthy controls.
Why the study?
Aortic arch morphometry influences endovascular surgery success, but the impact of COVID-19 on the aortic arch angle and morphometry compared to healthy individuals was unclear.
Does COVID-19 infection alter aortic arch angle and morphometry compared to healthy individuals?
Case-Control (n=120)
No
Does COVID-19 infection alter aortic arch angle and morphometry compared to healthy individuals?
COVID-19 is associated with dilatation of the aortic arch and its branches, suggesting that diseases altering oxygen saturation may impact aortic morphology.
May alter endovascular planning in COVID-19; leaves open whether disease changes aortic arch morphometry.
Aim: In endovascular surgery, knowing the morphometry of the aortic arch increases the success of surgery. The aim of this study was to examine the angle and morphometry of aortic arch in COVID 19 patients and to compare these with healthy individuals to find out the effect of the disease on the vessel. Material and Methods: A total of 120 individuals - 60 COVID 19 (30 females, 30 males) patients and 60 healthy (30 females, 30 males) individuals participated in the study. In the study, the parameters of aortic arch angle (AAA), aortic arch diameter (AAD), aortic arch (AA) branches of brachiocephalic trunk diameter (BTD), left common carotid artery diameter (LCCAD), left subclavian artery diameter (LSAD), transverse superior thoracic aperture length (TR-STAL) and anteroposterior superior thoracic aperture length (AP-STAL), transverse inferior thoracic aperture length (TR-ITAL) and anteroposterior inferior thoracic aperture length (AP-ITAL) were measured from thoracic computed tomography images. Results: As a result of the study, when female and male patients with COVID-19 were compared, LCCAD, LSAD, AP-ITAL, TR-ITAL values were found to be higher in favour of male patients. While Proximal AAD, BTD, LCCAD and LSAD values were higher in female patients with COVID 19 when compared with control group female patients, Proximal AAD, BTD, LCCAD, LSAD, AP-STAL, TR-STAL, AP-ITAL, TR-ITAL values were higher in male patients with COVID 19 when compared with control group male patients. When the measurements of COVID 19 and control group individuals were compared, Proximal AAD, BTD, ACCS, LSAD, TR-STAL, AP-ITAL and TR-ITAL values were found to be higher in favour of COVID 19 patients. Conclusion: COVID 19 is an important disease that causes dilatation of the AA and its branches. We think that diseases that can change oxygen saturation such as COVID19 can change aortic morphology.
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Çiftçi et al. (2023) conducted a case-control in COVID-19 (n=120). COVID-19 vs. Healthy individuals without COVID-19 history was evaluated on Proximal aortic arch diameter (Proximal AAD) (p=0.001). COVID-19 was associated with significantly increased proximal aortic arch diameter (30.73 mm vs 27.10 mm, p=0.001) and branch vessel dilatation compared to healthy controls.
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