Biomechanical analysis of Ascending Thoracic Aortic Aneurysm (ATAA)

According to the reports of the World Health Organisation (WHO), cardiovascular diseases are the number one cause of death worldwide. Specifically, arterial disease and degeneration are the major reasons for cardiovascular death and disability. Because these diseases are dependent on the changes of the mechanical properties of the arterial wall, it is very important to know as much as possible about the structural composition of arteries. The human aorta is the biggest artery in the body and consists of three main parts, ascending aorta, aortic arch and descending aorta. The walls of the arteries consist of three layers, the intima, media and adventitia, where each of the layers has different physiological functions and therefore distinct mechanical properties. These were investigated using, i.e., uniaxial tensile, inflation or planar biaxial-testing. Purpose of this thesis was to apply the biomechanical approach by mean of numerical and experimental test referring to patient-specific aortic geometries with ascending thoracic aortic aneurysms. However, despite the ample literature and the related scientific and industrial activity in this field, many different phenomena are not yet consolidated. The PhD Thesis is then divided into two main sections: the first is composed by a brief introduction on ATAA, with some background about mechanical properties of soft tissues, the evolution of the constitutive model, some remarks of the continuum. The second section of the thesis is based on the different research activities developed during the PhD.