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KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Abbreviations
Coarctation of aorta (CoA, coarc)
Definitions
Congenital narrowing of aorta, most commonly occurring just distal to left subclavian artery origin
Atypical coarctation: Not involving isthmus (usually abdominal aorta)
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
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Bhave NM et al: Multimodality imaging of thoracic aortic diseases in adults. JACC Cardiovasc Imaging. 11(6):902-19, 2018
Dijkema EJ et al: Diagnosis, imaging and clinical management of aortic coarctation. Heart. 103(15):1148-55, 2017
Gach P et al: Multimodality imaging of aortic coarctation: from the fetus to the adolescent. Diagn Interv Imaging. 97(5):581-90, 2016
Karaosmanoglu AD et al: CT and MRI of aortic coarctation: pre- and postsurgical findings. AJR Am J Roentgenol. 204(3):W224-33, 2015
Muzzarelli S et al: Usefulness of cardiovascular magnetic resonance imaging to predict the need for intervention in patients with coarctation of the aorta. Am J Cardiol. 109(6):861-5, 2012
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
Muzzarelli S et al: Prediction of hemodynamic severity of coarctation by magnetic resonance imaging. Am J Cardiol. 108(9):1335-40, 2011
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. 32(8):1120-7, 2011
Hope MD et al: Clinical evaluation of aortic coarctation with 4D flow MR imaging. J Magn Reson Imaging. 31(3):711-8, 2010
Kimura-Hayama ET et al: Uncommon congenital and acquired aortic diseases: role of multidetector CT angiography. Radiographics. 30(1):79-98, 2010
Gaca AM et al: Repair of congenital heart disease: a primer--Part 2. Radiology. 248(1):44-60, 2008
Hom JJ et al: Velocity-encoded cine MR imaging in aortic coarctation: functional assessment of hemodynamic events. Radiographics. 28(2):407-16, 2008
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
Ou P et al: Aortic arch shape deformation after coarctation surgery: effect on blood pressure response. J Thorac Cardiovasc Surg. 132(5):1105-11, 2006
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
de Bono JP et al: Long term follow up of patients with repaired aortic coarctations. Heart. 91(4):537-8, 2005
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
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
Sebastià C et al: Aortic stenosis: spectrum of diseases depicted at multisection CT. Radiographics. 23 Spec No:S79-91, 2003
Steffens JC et al: Quantification of collateral blood flow in coarctation of the aorta by velocity encoded cine magnetic resonance imaging. Circulation. 90(2):937-43, 1994
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
Coarctation of aorta (CoA, coarc)
Definitions
Congenital narrowing of aorta, most commonly occurring just distal to left subclavian artery origin
Atypical coarctation: Not involving isthmus (usually abdominal aorta)
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
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Bhave NM et al: Multimodality imaging of thoracic aortic diseases in adults. JACC Cardiovasc Imaging. 11(6):902-19, 2018
Dijkema EJ et al: Diagnosis, imaging and clinical management of aortic coarctation. Heart. 103(15):1148-55, 2017
Gach P et al: Multimodality imaging of aortic coarctation: from the fetus to the adolescent. Diagn Interv Imaging. 97(5):581-90, 2016
Karaosmanoglu AD et al: CT and MRI of aortic coarctation: pre- and postsurgical findings. AJR Am J Roentgenol. 204(3):W224-33, 2015
Muzzarelli S et al: Usefulness of cardiovascular magnetic resonance imaging to predict the need for intervention in patients with coarctation of the aorta. Am J Cardiol. 109(6):861-5, 2012
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
Muzzarelli S et al: Prediction of hemodynamic severity of coarctation by magnetic resonance imaging. Am J Cardiol. 108(9):1335-40, 2011
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. 32(8):1120-7, 2011
Hope MD et al: Clinical evaluation of aortic coarctation with 4D flow MR imaging. J Magn Reson Imaging. 31(3):711-8, 2010
Kimura-Hayama ET et al: Uncommon congenital and acquired aortic diseases: role of multidetector CT angiography. Radiographics. 30(1):79-98, 2010
Gaca AM et al: Repair of congenital heart disease: a primer--Part 2. Radiology. 248(1):44-60, 2008
Hom JJ et al: Velocity-encoded cine MR imaging in aortic coarctation: functional assessment of hemodynamic events. Radiographics. 28(2):407-16, 2008
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
Ou P et al: Aortic arch shape deformation after coarctation surgery: effect on blood pressure response. J Thorac Cardiovasc Surg. 132(5):1105-11, 2006
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
de Bono JP et al: Long term follow up of patients with repaired aortic coarctations. Heart. 91(4):537-8, 2005
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
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
Sebastià C et al: Aortic stenosis: spectrum of diseases depicted at multisection CT. Radiographics. 23 Spec No:S79-91, 2003
Steffens JC et al: Quantification of collateral blood flow in coarctation of the aorta by velocity encoded cine magnetic resonance imaging. Circulation. 90(2):937-43, 1994
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
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