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Use of Noninvasive Imaging in the Evaluation of Coarctation of Aorta

Darabian, Sirous MD; Zeb, Irfan MD; Rezaeian, Panteha MD; Razipour, Aryabod MD; Budoff, Matthew MD, FACC, FAHA

Journal of Computer Assisted Tomography: January/February 2013 - Volume 37 - Issue 1 - p 75–78
doi: 10.1097/RCT.0b013e3182739f81
Cardiovascular Imaging

Abstract: Coarctation of the aorta is a congenital heart disease, which is often associated with other cardiac and noncardiac anomalies. Early diagnoses, information about associated anomalies, and defining the severity of the disease are critical for appropriate treatment planning. In this regard, several noninvasive imaging modalities, such as echocardiography, cardiac computed tomography (CT), and cardiac magnetic resonance imaging, have been used. Echocardiography, as an available and safe method, should be used as a primary screening test. It is also useful for intraoperative and hemodynamic studies, but cardiac CT is recommended before any corrective procedure or surgery. Cardiac CT angiography showed an excellent spatial resolution and a good capability for finding associated anomalies. After correction of coarctation of the aorta, serial cardiac magnetic resonance imaging is most commonly performed to avoid repeated radiation exposure.

From the St. John Cardiovascular Research Center, Los Angeles Biomedical Research Institute, UCLA-Harbor, Torrance, CA.

Received for publication June 20, 2012; accepted September 10, 2012.

Reprints: Sirous Darabian, MD, Research Fellowship, Los Angeles Biomedical Research Institute, 1124 West Carson St, Torrance, CA 90502 (e-mail: hamashena@gmail.com).

The authors report no conflicts of interest.

© 2013 Lippincott Williams & Wilkins, Inc.