Aortic coarctation CT

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Aortic coarctation Microchapters

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Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Aortic Coarctation from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Electrocardiogram

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CT

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Echocardiography

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Priyamvada Singh, M.B.B.S.[2], Cafer Zorkun, M.D., Ph.D. [3]; Assistant Editor(s)-In-Chief: Kristin Feeney, B.S.[4]

Overview

CT is useful in older or postoperative patients as it helps in to assessing residual obstruction, hypoplasia, aneurysms, multiple surgical clips or a stent present in the area of coarctation [1].

CT

Shown below are of CT scan images of aortic coarctation.

Aortic Coarctation Aortic Coarctation

Courtesy of RadsWiki and copylefted


Aortic Coarctation Aortic Coarctation

Courtesy of Cafer Zorkun and copylefted


Courtesy of RadsWiki and copylefted




Image courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology

2018 AHA/ACC Guideline for the Management of Adults With Congenital Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines[2]

Diagnostic Recommendations for Coarctation of the Aorta

Class I
1. Initial and follow-up aortic imaging using CMR or CTA is recommended in adults with coarctation of the aorta, including those who have had surgical or catheter intervention.(Level of Evidence: B-NR)
Class IIb
1.Screening for intracranial aneurysms by magnetic resonance angiography or CTA may be reasonable in adults with coarctation of the aorta.. (Level of Evidence: B-NR)

2008 ACC/AHA Guidelines for the Management of Adults With Congenital Heart Disease (DO NOT EDIT)[3]

Recommendations for Clinical Evaluation and Follow-Up (DO NOT EDIT)[3]

Class I
"1. Every patient with coarctation (repaired or not) should have at least one cardiovascular MRI or CT scan for complete evaluation of the thoracic aorta and intracranial vessels. (Level of Evidence: B)"

References

  1. Mohiaddin RH, Kilner PJ, Rees S, Longmore DB (1993). "Magnetic resonance volume flow and jet velocity mapping in aortic coarctation". Journal of the American College of Cardiology. 22 (5): 1515–21. PMID 8227813. Retrieved 2012-04-14. Unknown parameter |month= ignored (help)
  2. Stout KK, Daniels CJ, Aboulhosn JA, Bozkurt B, Broberg CS, Colman JM; et al. (2019). "2018 AHA/ACC Guideline for the Management of Adults With Congenital Heart Disease: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines". J Am Coll Cardiol. 73 (12): 1494–1563. doi:10.1016/j.jacc.2018.08.1028. PMID 30121240.
  3. 3.0 3.1 Warnes CA, Williams RG, Bashore TM, Child JS, Connolly HM, Dearani JA; et al. (2008). "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). Developed in Collaboration With the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons". J Am Coll Cardiol. 52 (23): e1–121. doi:10.1016/j.jacc.2008.10.001. PMID 19038677.

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