Leo Isabella, Sabatino Jolanda, Avesani Martina, Moscatelli Sara, Bianco Francesco, Borrelli Nunzia, De Sarro Rosalba, Leonardi Benedetta, Calcaterra Giuseppe, Surkova Elena, Di Salvo Giovanni
Department of Experimental and Clinical Medicine, Magna Graecia University, 88100 Catanzaro, Italy.
CMR Unit, Royal Brompton and Harefield Hospitals, London SW3 5NP, UK.
J Clin Med. 2023 Dec 20;13(1):28. doi: 10.3390/jcm13010028.
Coarctation of the aorta (CoA) is a congenital abnormality characterized by a narrowing of the aortic lumen, which can lead to significant morbidity and mortality if left untreated. Even after repair and despite significant advances in therapeutic management, these patients have overall reduced long-term survival due to the consequences of chronic afterload increase. Cardiovascular imaging is key from the first diagnosis to serial follow-up. In recent years, novel imaging techniques have emerged, increasing accessibility to advanced imaging modalities and enabling early and non-invasive identification of complications after repair. The aim of this paper is to provide a comprehensive review of the role of different imaging techniques in the evaluation and management of patients with native or repaired CoA, highlighting their unique strengths and limitations.
主动脉缩窄（CoA）是一种先天性异常，其特征为主动脉管腔狭窄，如果不进行治疗，可导致严重的发病率和死亡率。即使在修复后，尽管治疗管理取得了重大进展，但由于慢性后负荷增加的后果，这些患者的总体长期生存率仍会降低。从首次诊断到系列随访，心血管成像都是关键。近年来，出现了新的成像技术，增加了使用先进成像方式的机会，并能够早期无创识别修复后的并发症。本文的目的是全面综述不同成像技术在评估和管理原发性或修复后的CoA患者中的作用，突出其独特的优势和局限性。
