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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
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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
