Multimodality Imaging Approach in Diagnosis and Follow-Up of Aortic Coarctation in Adulthood

Lucia La Mura1, Luigi Mannacio1, Federica Illuminato2

  • 1Department of Advanced Biomedical Sciences, "Federico II" University of Naples, 80131 Naples, Italy.

PubMed

Insights

Aortic coarctation (CoA) is a congenital heart defect causing aortic narrowing. This review guides clinicians on using imaging techniques like ultrasound, CT, and MRI for accurate diagnosis in adults.

Area of Science:

  • Cardiology
  • Medical Imaging

Background:

  • Aortic coarctation (CoA) is a congenital heart defect affecting 5-8% of live births, characterized by aortic lumen narrowing.
  • CoA can be linked to other congenital anomalies like bicuspid aortic valve (BAV) and is a secondary cause of hypertension in adults under 40.

Purpose of the Study:

  • To review non-invasive imaging modalities for diagnosing native aortic coarctation in adults.
  • To provide guidance for clinicians and imaging specialists in selecting optimal imaging tools.

Main Methods:

  • Review of non-invasive imaging techniques including ultrasound, computed tomography (CT), and magnetic resonance imaging (MRI).

Main Results:

  • Multimodality imaging approaches enable accurate and effective diagnosis of aortic coarctation.
  • Each imaging technique (ultrasound, CT, MRI) presents distinct advantages and disadvantages for CoA assessment.

Conclusions:

  • Accurate diagnosis of aortic coarctation is crucial for patient management.
  • A comprehensive understanding of imaging techniques aids in choosing the best diagnostic tools for adult patients with native CoA.

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