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Ascending aortic aneurysms (AAAs) are serious conditions that can lead to aortic dissections or ruptures, carrying a high risk of mortality. Their pathophysiology is based on complex mechanisms involving inflammatory and metabolic processes, as well as alterations in mitochondrial function. The presence of a bicuspid aortic valve (BAV) or tricuspid aortic valve (TAV) significantly influences the progression and severity of aneurysms. Bicuspid aortic valve (BAV) patients often develop aortic aneurysms earlier, as early as age 40-50, whereas tricuspid aortic valve (TAV) patients generally present with a degenerative condition that appears later (after age 50). The objective of this study is to compare the inflammatory, metabolic, and transcriptomic signatures of myeloid cells and total aortic tissue between BAV and TAV patients. These analyses will help identify specific molecular mechanisms, potential biomarkers, and therapeutic targets. To ensure pathophysiological homogeneity, patients with aneurysms of genetic origin (Marfan syndrome, Loeys-Dietz syndrome, Ehlers-Danlos syndrome, etc.) will be excluded.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patient with an ascending aortic aneurysm and a bicuspid aortic valve (BAV) | Patient with an ascending aortic aneurysm and a bicuspid aortic valve (BAV) |
| |
| Patient with an ascending aortic aneurysm and a tricuspid aortic valve (TAV) | Patient with an ascending aortic aneurysm and a tricuspid aortic valve (TAV) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Additional blood samples | Procedure | Additional blood sample are collected at the time of routine clinical blood sampling for recherche analyses. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Inflammatory, metabolic, and transcriptomic markers of myeloid cells and aortic tissue | At the time of surgery |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with ascending aortic aneurysms
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Comlan BLITTI | Contact | 03.80.29.33.52 | +33 | comlanmawuko.blitti@chu-dijon.fr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Chu Dijon Bourgogne | Recruiting | Dijon | 21000 | France |
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| Collection of discarded ascending aortic tissue | Procedure | The aneurysmal portion of the ascending aorta (surgical specimen), which would otherwise be discarded, is collected for research purposes. No other tissue is collected, and the research protocol does not alter the surgical procedure. |
|
| ID | Term |
|---|---|
| D000094625 | Aneurysm, Ascending Aorta |
| ID | Term |
|---|---|
| D017545 | Aortic Aneurysm, Thoracic |
| D001014 | Aortic Aneurysm |
| D000783 | Aneurysm |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D001018 | Aortic Diseases |
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