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Journal of Radiological Review 2021 September;8(3):260-4

DOI: 10.23736/S2723-9284.21.00104-5


language: English

A case of pediatric aortic coarctation: role of imaging

Giuseppe PAVIGLIANITI 1, Sabrina SPOTO 2, Maria A. GAROFALO 2, Francesca CACCIATORE 3, Maria A. CANGEMI 4, Enrica ROSSI 5, Maria F. SANFILIPPO 2, Francesca FINAZZO 1, Giuseppe PIPITONE 6, Donatella IRACE 7, Rocco MINELLI 8 , Eugenio ROSSI 9

1 Unit of Pediatric Radiology, G. Di Cristina Hospital, ARNAS Civico Benefratelli, Palermo, Italy; 2 Unit of Pediatric Cardiology, G. Di Cristina Hospital, ARNAS Civico Benefratelli, Palermo, Italy; 3 Department of Sciences for the Promotion of Health and Maternal and Childhood “G. D’Alessandro,” University of Palermo, Palermo, Italy; 4 Unit of Pediatrics, PO Vittorio Emanuele Castelvetrano, Trapani, Italy; 5 Meyer Children’s Hospital, Department of Radiology, Florence, Italy; 6 Unit of Immunosuppressed Systemic Infections, L. Spallanzani, Rome, Italy; 7 Federico II University, Naples, Italy; 8 Department Life and Health “V. Tiberio,” University of Molise, Campobasso, Italy; 9 Unit of Radiology and Ultrasound, A.O.R.N. Santobono-Pausilipon, Pausilipon Hospital, Naples, Italy

Aortic coarctation is a local narrowing of the aortic lumen, which is located at the level of the isthmus in 95% of patients. Aortic coarctation presents a fetal incidence of 6-7% and represents 4-7% of all congenital heart disease, with a ratio M:F=3:1. Postnatally, ultrasound and chest radiography are the basic imaging workup. Transthoracic echocardiography is the primary imaging modality for suspected coarctation of the aorta. Computed tomography is often the second line imaging investigation in infants and young children for whom magnetic resonance imaging fails to confirm the diagnosis. The surgical indication for this cardiac anomaly is peremptory, therefore, once the diagnosis has been made, the need for surgery is linked to the patient’s clinical condition and the presence of associated cardiac or non-cardiac anomalies. We presented an interesting case of 4-year-old child with aortic coarctation.

KEY WORDS: Aortic coarctation; Pediatrics; Positron emission tomography computed tomography

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