Aortic coarctation: guidelines mismatch across the ocean

Journal of Cardiothoracic Surgery

Stefano Favale²  Donato Quagliara²  Luca Sgarra²  Alessandro De Santis²  Arnaldo Scardapane¹  Vito Marangelli²  Filippo Masi²  Fortunato Iacovelli²  Martino Pepe² 

[1] Section of Radiology, Interdisciplinary Department of Medicine, “Aldo Moro” University, Piazza Giulio Cesare 11, 70124 Bari, Italy;Section of Cardiovascular Diseases, Emergency and Transplantations Department, “Aldo Moro” University, Piazza Giulio Cesare 11, 70124 Bari, Italy

关键词: Pseudocoarctation;    Guidelines;    Computed tomography;    Aortic coarctation;   

Others  :  811603
DOI  :  10.1186/1749-8090-9-38

 received in 2013-10-01, accepted in 2014-02-18,  发布年份 2014

【 摘 要 】

Pseudocoarctation is a rare congenital anomaly characterized by aorta elongation and kinking, without significant obstruction. We report the case of an elderly patient with history of congestive heart failure (CHF) and aortic regurgitation (AR) who was referred for progressive exertional dyspnoea. After multimodal imaging evaluation, aortic coarctation with significant trans-stenosis gradient but mild luminal narrowing was diagnosed; this borderline patient was not addressed to repair, according to ESC guidelines and in spite of AHA ones. He rather met the criteria for pseudocoarctation diagnosis. An integration of functional and anatomical data is essential for a reliable diagnostic process in similar cases.

【 授权许可】

   
2014 Pepe et al.; licensee BioMed Central Ltd.

【 图 表 】

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