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Abdominal aortic coarctation: CT, MRI, and angiographic correlation
1Department of Radiology, Mount Sinai Hospital, City University of New York, NY 10029, USA.
Summary
Abdominal aortic coarctation is rare in older adults. This case highlights computed tomography (CT) and magnetic resonance imaging (MRI) in diagnosing this condition, confirmed by angiography.
Area of Science:
- Cardiovascular Imaging
- Vascular Surgery
- Geriatric Medicine
Background:
- Abdominal aortic coarctation (AAC) is a rare congenital or acquired narrowing of the abdominal aorta.
- It is infrequently diagnosed in the elderly population, often presenting with nonspecific symptoms.
Observation:
- A case of AAC in an elderly patient is presented.
- Computed tomography (CT) and magnetic resonance imaging (MRI) were utilized for initial assessment.
- Conventional angiography served as the gold standard for confirming the diagnosis.
Findings:
- Imaging revealed an abnormal abdominal aorta distal to the celiac axis origin.
- The diagnosis of AAC was definitively established through conventional angiography.
- The location of the coarctation relative to renal arteries influences clinical presentation and imaging findings.
Implications:
- Early and accurate diagnosis of AAC is crucial for appropriate management in elderly patients.
- Multimodal imaging, including CT and MRI, plays a vital role in identifying AAC.
- Understanding the anatomical relationship of AAC to renal vessels aids in predicting clinical outcomes.