Aortopathy: Limitations of Diameter-Based Decision Making: A Case Report

Clicks: 13
ID: 327897
2026
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal
Steady

Ranked #308 of 408 articles by views in European Heart Journal - Case Reports

Most read Least read

Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 408 in total.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
Abstract A 75-year-old male endurance athlete was evaluated at a sports cardiology clinic to assess the safety of continued intensive exercise in the presence of a known ascending thoracic aortic aneurysm (ATAA). He had adopted a healthier lifestyle at the age of 65 and subsequently completed more than 30 Ironman 70.3 races. In 2019, at the age of 75, transthoracic echocardiography demonstrated an ATAA measuring 52 mm, a bicuspid aortic valve, and moderate aortic regurgitation. The patient declined surgery and wished to continue endurance training. Following a shared decision-making process, continued participation in training under predefined blood pressure and heart rate limits, with regular imaging surveillance. During six years of follow-up, the aneurysm remained stable in size, and aortic wall thickness was consistently measured at 2.5 mm. According to Laplace’s law, the calculated circumferential aortic wall stress remained below estimated rupture thresholds, including during exercise. This case highlights that exercise counselling patients with ATAA should consider not only aneurysm diameter but also aortic wall thickness, and wall stress.
Reference Key
openalex_W7211909578 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Juliana Senftinger, Michael Stiefel, Robert Manka, Mark J. Haykowsky, David Niederseer
Are you one of these authors? Claim your profile
Journal European Heart Journal - Case Reports
Year 2026
DOI
10.1093/ehjcr/ytag672
URL
https://doi.org/10.1093/ehjcr/ytag672
Keywords Keywords not found

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.