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Published on: October 6, 2022
Aortic Coarctation
Yuli Y Kim1, Lauren Andrade1, Stephen C Cook2
1Philadelphia Adult Congenital Heart Center, Perelman School of Medicine at the University of Pennsylvania, Penn Medicine and Children's Hospital of Philadelphia, Perelman Center for Advanced Medicine, 3400 Civic Center Boulevard, Philadelphia, PA 19104, USA.
Insights
Aortic coarctation, a thoracic aorta narrowing, presents vascular issues beyond obstruction. Lifelong surveillance is crucial for adults with this condition to manage risks like hypertension and heart complications.
Area of Science:
- Cardiology
- Vascular Biology
- Medical Imaging
Background:
- Aortic coarctation involves thoracic aorta narrowing and abnormal vascular properties, including stiffness.
- Despite interventions, patients face risks of hypertension, aortic issues, and left ventricular dysfunction.
Purpose of the Study:
- To review the etiology, pathophysiology, diagnosis, and management of adult aortic coarctation.
- To emphasize multimodality imaging and lifelong surveillance for long-term complications.
Main Methods:
- Literature review focusing on adult aortic coarctation.
- Analysis of etiology, pathophysiology, diagnostic methods, and treatment options.
- Emphasis on imaging characteristics and surveillance strategies.
Main Results:
- Aortic coarctation is a complex aortopathy requiring comprehensive management.
- Multimodality imaging is key for diagnosis and monitoring complications.
- Lifelong surveillance is essential for identifying and managing long-term risks.
Conclusions:
- Adult aortic coarctation management requires a multidisciplinary approach.
- Early diagnosis and continuous monitoring improve patient outcomes.
- Understanding the aortopathy aspect is critical for effective lifelong care.
Abstract:
Aortic coarctation is a discrete narrowing of the thoracic aorta. In addition to anatomic obstruction, it can be considered an aortopathy with abnormal vascular properties characterized by stiffness and impaired relaxation. There are surgical and transcatheter techniques to address the obstruction but, despite relief, patients with aortic coarctation are at risk for hypertension, aortic complications, and abnormalities with left ventricular performance. This review covers the etiology, pathophysiology, diagnosis, and management of adults with aortic coarctation, with emphasis on multimodality imaging characteristics and lifelong surveillance to identify long-term complications.
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