The influence of aorta-aneurysm geometry upon stress in the aneurysm wall.

Finite element analysis (FEA), a computer-based method for solving complex structural problems, was used to determine the wall stress distribution in three cases of model infrarenal abdominal aortic aneurysms representing common problems in determining risk of aneurysm rupture. The point of maximum circumferential wall stress in a spherical model aneurysm was located near the junction of the aneurysm and the nondilated aorta, while maximum longitudinal wall stress was located at the point of maximum diameter of the aneurysm. FEA showed that cylindrically shaped constant thickness model aneurysms had a higher maximum circumferential stress (sigma c = 11.9 X 10(5) dyn/cm2) and a comparable maximum longitudinal wall stress (sigma L = 6.6 X 10(5) dyn/cm2) when compared with spherical model aneurysms of the same diameter (sigma c = 8.1 X 10(5) dyn/cm2 and sigma L = 6.2 X 10(5) dyn/cm2). Analysis of the aorta to aneurysm diameter ratio (A:a gradient) indicated that aortic size is important in determining aneurysm wall stress and that the relationship between aortic size and wall stress is dependent upon aneurysm wall thickness. We conclude that the ability of the aneurysm wall to withstand stress in the longitudinal as well as the circumferential direction is an important factor determining aneurysm rupture. Finally, this investigation showed that FEA is a versatile tool for use in studying the mechanics of vascular structures, making it potentially more useful than size alone in estimating the clinical significance of abdominal aortic aneurysms.