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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.
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.
Abstract:
Aortic coarctation (CoA) comprises local narrowing of the aortic lumen, which is located at the level of the isthmus in 95% of patients and accounts for 5 to 8% of live births with congenital heart disease. It can be associated with other congenital defects, such as a bicuspid aortic valve (BAV), and in adulthood should be considered a secondary cause of hypertension in patients younger than 40 years, particularly in the presence of severe or resistant hypertension, in accordance with current hypertension guidelines. A correct diagnosis is necessary for the proper assessment and management of these patients. A multimodality imaging approach using ultrasound, computed tomography (CT), and MRI allows for accurate and effective diagnosis. The purpose of this review is to describe different non-invasive imaging techniques and highlight their advantages and disadvantages, aiming to provide a guide to clinicians and cardiovascular imaging specialists in choosing the best imaging tools to use in adults with native CoA.
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