Narrowing of aortic lumen with obstruction to blood flow
Category of congenital heart disease: Acyanotic, normal heart size (most commonly), normal pulmonary vascularity
Hemodynamics: Left ventricular (LV) pressure overload
IMAGING
General Features
Radiographic Findings
Fluoroscopic Findings
CT Findings
MR Findings
Ultrasonographic Findings
Echocardiographic Findings
Angiographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Arar Y et al: 3D advanced imaging overlay with rapid registration in CHD to reduce radiation and assist cardiac catheterisation interventions. Cardiol Young. 30(5):656-62, 2020
Cassar MP et al: Ascending aortic dissection in a pregnant patient with neonatally repaired coarctation of aorta and bicuspid aortic valve. BMJ Case Rep. 12(12), 2019
Kleszcz J et al: Assessing a new coarctation repair simulator based on real patient's anatomy. Cardiol Young. 29(12):1517-21, 2019
Kang SL et al: Stent therapy for aortic coarctation in children <30 kg: use of the low profile valeo stent. Pediatr Cardiol. 38(7):1441-9, 2017
Rose-Felker K et al: Preoperative use of CT angiography in infants with coarctation of the aorta. World J Pediatr Congenit Heart Surg. 8(2):196-202, 2017
Thakkar AN et al: Imaging adult patients with coarctation of the aorta. Curr Opin Cardiol. 32(5):503-12, 2017
Casas B et al: 4D flow MRI-based pressure loss estimation in stenotic flows: evaluation using numerical simulations. Magn Reson Med. 75(4):1808-21, 2016
Chen CK et al: Left ventricular myocardial and hemodynamic response to exercise in young patients after endovascular stenting for aortic coarctation. J Am Soc Echocardiogr. 29(3):237-46, 2016
Nance JW et al: Coarctation of the aorta in adolescents and adults: a review of clinical features and CT imaging. J Cardiovasc Comput Tomogr. 10(1):1-12, 2016
Urbina J et al: Realistic aortic phantom to study hemodynamics using MRI and cardiac catheterization in normal and aortic coarctation conditions. J Magn Reson Imaging. 44(3):683-97, 2016
Karaosmanoglu AD et al: CT and MRI of aortic coarctation: pre- and postsurgical findings. AJR Am J Roentgenol. 204(3):W224-33, 2015
Rengier F et al: Noninvasive 4D pressure difference mapping derived from 4D flow MRI in patients with repaired aortic coarctation: comparison with young healthy volunteers. Int J Cardiovasc Imaging. 31(4):823-30, 2015
Shepherd B et al: MRI in adult patients with aortic coarctation: diagnosis and follow-up. Clin Radiol. 70(4):433-45, 2015
Valverde I et al: 3D printed models for planning endovascular stenting in transverse aortic arch hypoplasia. Catheter Cardiovasc Interv. 85(6):1006-12, 2015
Riesenkampff E et al: Pressure fields by flow-sensitive, 4D, velocity-encoded CMR in patients with aortic coarctation. JACC Cardiovasc Imaging. 7(9):920-6, 2014
Meyer S et al: A 13-year-old girl with arterial hypertension - mid-aortic syndrome. Klin Padiatr. 223(1):38-9, 2011
Mohammadi A et al: Bilateral tardus-parvus waveforms in a patient with aortic coarctation. J Ultrasound Med. 30(7):1030-1, 2011
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Pathology
Clinical Issues
TERMINOLOGY
Definitions
Narrowing of aortic lumen with obstruction to blood flow
Category of congenital heart disease: Acyanotic, normal heart size (most commonly), normal pulmonary vascularity
Hemodynamics: Left ventricular (LV) pressure overload
IMAGING
General Features
Radiographic Findings
Fluoroscopic Findings
CT Findings
MR Findings
Ultrasonographic Findings
Echocardiographic Findings
Angiographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Arar Y et al: 3D advanced imaging overlay with rapid registration in CHD to reduce radiation and assist cardiac catheterisation interventions. Cardiol Young. 30(5):656-62, 2020
Cassar MP et al: Ascending aortic dissection in a pregnant patient with neonatally repaired coarctation of aorta and bicuspid aortic valve. BMJ Case Rep. 12(12), 2019
Kleszcz J et al: Assessing a new coarctation repair simulator based on real patient's anatomy. Cardiol Young. 29(12):1517-21, 2019
Kang SL et al: Stent therapy for aortic coarctation in children <30 kg: use of the low profile valeo stent. Pediatr Cardiol. 38(7):1441-9, 2017
Rose-Felker K et al: Preoperative use of CT angiography in infants with coarctation of the aorta. World J Pediatr Congenit Heart Surg. 8(2):196-202, 2017
Thakkar AN et al: Imaging adult patients with coarctation of the aorta. Curr Opin Cardiol. 32(5):503-12, 2017
Casas B et al: 4D flow MRI-based pressure loss estimation in stenotic flows: evaluation using numerical simulations. Magn Reson Med. 75(4):1808-21, 2016
Chen CK et al: Left ventricular myocardial and hemodynamic response to exercise in young patients after endovascular stenting for aortic coarctation. J Am Soc Echocardiogr. 29(3):237-46, 2016
Nance JW et al: Coarctation of the aorta in adolescents and adults: a review of clinical features and CT imaging. J Cardiovasc Comput Tomogr. 10(1):1-12, 2016
Urbina J et al: Realistic aortic phantom to study hemodynamics using MRI and cardiac catheterization in normal and aortic coarctation conditions. J Magn Reson Imaging. 44(3):683-97, 2016
Karaosmanoglu AD et al: CT and MRI of aortic coarctation: pre- and postsurgical findings. AJR Am J Roentgenol. 204(3):W224-33, 2015
Rengier F et al: Noninvasive 4D pressure difference mapping derived from 4D flow MRI in patients with repaired aortic coarctation: comparison with young healthy volunteers. Int J Cardiovasc Imaging. 31(4):823-30, 2015
Shepherd B et al: MRI in adult patients with aortic coarctation: diagnosis and follow-up. Clin Radiol. 70(4):433-45, 2015
Valverde I et al: 3D printed models for planning endovascular stenting in transverse aortic arch hypoplasia. Catheter Cardiovasc Interv. 85(6):1006-12, 2015
Riesenkampff E et al: Pressure fields by flow-sensitive, 4D, velocity-encoded CMR in patients with aortic coarctation. JACC Cardiovasc Imaging. 7(9):920-6, 2014
Meyer S et al: A 13-year-old girl with arterial hypertension - mid-aortic syndrome. Klin Padiatr. 223(1):38-9, 2011
Mohammadi A et al: Bilateral tardus-parvus waveforms in a patient with aortic coarctation. J Ultrasound Med. 30(7):1030-1, 2011
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