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Non-Invasive Imaging Assessment in Patients with Aortic Coarctation: A Contemporary Review
Isabella Leo1,2, Jolanda Sabatino1,3, Martina Avesani3
1Department of Experimental and Clinical Medicine, Magna Graecia University, 88100 Catanzaro, Italy.
Insights
Coarctation of the aorta (CoA) is a congenital narrowing of the aorta. Advanced cardiovascular imaging aids in early diagnosis and management of CoA complications, improving patient outcomes.
Area of Science:
- Cardiology
- Medical Imaging
Background:
- Coarctation of the aorta (CoA) is a congenital narrowing of the aortic lumen.
- Untreated CoA leads to significant morbidity and mortality.
- Repaired CoA patients face reduced long-term survival due to chronic afterload increase.
Purpose of the Study:
- To review the role of various imaging techniques in evaluating and managing native or repaired CoA.
- To highlight the strengths and limitations of each imaging modality.
Main Methods:
- Comprehensive literature review of cardiovascular imaging techniques.
- Focus on novel imaging modalities for CoA assessment.
Main Results:
- Cardiovascular imaging is crucial for CoA diagnosis and follow-up.
- Emerging techniques allow early, non-invasive identification of post-repair complications.
Conclusions:
- Advanced imaging is essential for optimal management of CoA patients.
- Understanding imaging modalities' strengths and limitations improves patient care and long-term survival.
Abstract:
Coarctation of the aorta (CoA) is a congenital abnormality characterized by a narrowing of the aortic lumen, which can lead to significant morbidity and mortality if left untreated. Even after repair and despite significant advances in therapeutic management, these patients have overall reduced long-term survival due to the consequences of chronic afterload increase. Cardiovascular imaging is key from the first diagnosis to serial follow-up. In recent years, novel imaging techniques have emerged, increasing accessibility to advanced imaging modalities and enabling early and non-invasive identification of complications after repair. The aim of this paper is to provide a comprehensive review of the role of different imaging techniques in the evaluation and management of patients with native or repaired CoA, highlighting their unique strengths and limitations.
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