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Aortic Coarctation
Tyler H. Ternes, MD; Santiago Martínez-Jiménez, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Abbreviations

                • Aortic coarctation (CoA)
              • Definitions

                • Congenital narrowing of aorta, most commonly occurring just distal to left subclavian artery origin

              IMAGING

              • General Features

                • Radiographic Findings

                  • CT Findings

                    • MR Findings

                      • Echocardiographic Findings

                        • Angiographic Findings

                          • Imaging Recommendations

                            DIFFERENTIAL DIAGNOSIS

                              PATHOLOGY

                              • General Features

                                • Staging, Grading, & Classification

                                  • Gross Pathologic & Surgical Features

                                    CLINICAL ISSUES

                                    • Presentation

                                      • Demographics

                                        • Natural History & Prognosis

                                          • Treatment

                                            DIAGNOSTIC CHECKLIST

                                            • Consider

                                              • Image Interpretation Pearls

                                                Selected References

                                                1. Kim HK et al: Cardiovascular anomalies in Turner syndrome: spectrum, prevalence, and cardiac MRI findings in a pediatric and young adult population. AJR Am J Roentgenol. 196(2):454-60, 2011
                                                2. Muzzarelli S et al: Prediction of Hemodynamic Severity of Coarctation by Magnetic Resonance Imaging. Am J Cardiol. Epub ahead of print, 2011
                                                3. Teo LL et al: Prevalence of Associated Cardiovascular Abnormalities in 500 Patients With Aortic Coarctation Referred for Cardiovascular Magnetic Resonance Imaging to a Tertiary Center. Pediatr Cardiol. Epub ahead of print, 2011
                                                4. Gaca AM et al: Repair of congenital heart disease: a primer--Part 2. Radiology. 248(1):44-60, 2008
                                                5. Hom JJ et al: Velocity-encoded cine MR imaging in aortic coarctation: functional assessment of hemodynamic events. Radiographics. 28(2):407-16, 2008
                                                6. Warnes CA et al: ACC/AHA 2008 Guidelines for the Management of Adults with Congenital Heart Disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (writing committee to develop guidelines on the management of adults with congenital heart disease). Circulation. 118(23):e714-833, 2008
                                                7. Shih MC et al: Surgical and endovascular repair of aortic coarctation: normal findings and appearance of complications on CT angiography and MR angiography. AJR Am J Roentgenol. 187(3):W302-12, 2006
                                                8. de Bono JP et al: Long term follow up of patients with repaired aortic coarctations. Heart. 91(4):537-8, 2005
                                                9. Konen E et al: Coarctation of the aorta before and after correction: the role of cardiovascular MRI. AJR Am J Roentgenol. 182(5):1333-9, 2004
                                                10. Lee EY et al: MDCT evaluation of thoracic aortic anomalies in pediatric patients and young adults: comparison of axial, multiplanar, and 3D images. AJR Am J Roentgenol. 182(3):777-84, 2004
                                                11. Sebastià C et al: Aortic stenosis: spectrum of diseases depicted at multisection CT. Radiographics. 23 Spec No:S79-91, 2003
                                                12. Sloan RD et al: Coarctation of the aorta; the roentgenologic aspects of one hundred and twenty-five surgically confirmed cases. Radiology. 61(5):701-21, 1953
                                                Related Anatomy
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                                                Related Differential Diagnoses
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                                                References
                                                Tables

                                                Tables

                                                KEY FACTS

                                                • Terminology

                                                  • Imaging

                                                    • Top Differential Diagnoses

                                                      • Pathology

                                                        • Clinical Issues

                                                          • Diagnostic Checklist

                                                            TERMINOLOGY

                                                            • Abbreviations

                                                              • Aortic coarctation (CoA)
                                                            • Definitions

                                                              • Congenital narrowing of aorta, most commonly occurring just distal to left subclavian artery origin

                                                            IMAGING

                                                            • General Features

                                                              • Radiographic Findings

                                                                • CT Findings

                                                                  • MR Findings

                                                                    • Echocardiographic Findings

                                                                      • Angiographic Findings

                                                                        • Imaging Recommendations

                                                                          DIFFERENTIAL DIAGNOSIS

                                                                            PATHOLOGY

                                                                            • General Features

                                                                              • Staging, Grading, & Classification

                                                                                • Gross Pathologic & Surgical Features

                                                                                  CLINICAL ISSUES

                                                                                  • Presentation

                                                                                    • Demographics

                                                                                      • Natural History & Prognosis

                                                                                        • Treatment

                                                                                          DIAGNOSTIC CHECKLIST

                                                                                          • Consider

                                                                                            • Image Interpretation Pearls

                                                                                              Selected References

                                                                                              1. Kim HK et al: Cardiovascular anomalies in Turner syndrome: spectrum, prevalence, and cardiac MRI findings in a pediatric and young adult population. AJR Am J Roentgenol. 196(2):454-60, 2011
                                                                                              2. Muzzarelli S et al: Prediction of Hemodynamic Severity of Coarctation by Magnetic Resonance Imaging. Am J Cardiol. Epub ahead of print, 2011
                                                                                              3. Teo LL et al: Prevalence of Associated Cardiovascular Abnormalities in 500 Patients With Aortic Coarctation Referred for Cardiovascular Magnetic Resonance Imaging to a Tertiary Center. Pediatr Cardiol. Epub ahead of print, 2011
                                                                                              4. Gaca AM et al: Repair of congenital heart disease: a primer--Part 2. Radiology. 248(1):44-60, 2008
                                                                                              5. Hom JJ et al: Velocity-encoded cine MR imaging in aortic coarctation: functional assessment of hemodynamic events. Radiographics. 28(2):407-16, 2008
                                                                                              6. Warnes CA et al: ACC/AHA 2008 Guidelines for the Management of Adults with Congenital Heart Disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (writing committee to develop guidelines on the management of adults with congenital heart disease). Circulation. 118(23):e714-833, 2008
                                                                                              7. Shih MC et al: Surgical and endovascular repair of aortic coarctation: normal findings and appearance of complications on CT angiography and MR angiography. AJR Am J Roentgenol. 187(3):W302-12, 2006
                                                                                              8. de Bono JP et al: Long term follow up of patients with repaired aortic coarctations. Heart. 91(4):537-8, 2005
                                                                                              9. Konen E et al: Coarctation of the aorta before and after correction: the role of cardiovascular MRI. AJR Am J Roentgenol. 182(5):1333-9, 2004
                                                                                              10. Lee EY et al: MDCT evaluation of thoracic aortic anomalies in pediatric patients and young adults: comparison of axial, multiplanar, and 3D images. AJR Am J Roentgenol. 182(3):777-84, 2004
                                                                                              11. Sebastià C et al: Aortic stenosis: spectrum of diseases depicted at multisection CT. Radiographics. 23 Spec No:S79-91, 2003
                                                                                              12. Sloan RD et al: Coarctation of the aorta; the roentgenologic aspects of one hundred and twenty-five surgically confirmed cases. Radiology. 61(5):701-21, 1953