# Multimodality Imaging Approach in Diagnosis and Follow-Up of Aortic Coarctation in Adulthood

## TL;DR

This paper reviews the use of multiple imaging techniques to diagnose and monitor aortic coarctation in adults, helping doctors choose the best tools for accurate diagnosis.

## Contribution

The paper provides a comprehensive guide on multimodality imaging for diagnosing aortic coarctation in adults, emphasizing non-invasive methods.

## Key findings

- Multimodality imaging using ultrasound, CT, and MRI is effective for diagnosing aortic coarctation.
- Aortic coarctation should be considered a secondary cause of hypertension in young adults.
- Non-invasive imaging techniques allow accurate assessment and management of patients with native CoA.

## Abstract

Aortic coarctation (CoA) comprises local narrowing of the aortic lumen, which is located at the level of the isthmus in 95% of patients and accounts for 5 to 8% of live births with congenital heart disease. It can be associated with other congenital defects, such as a bicuspid aortic valve (BAV), and in adulthood should be considered a secondary cause of hypertension in patients younger than 40 years, particularly in the presence of severe or resistant hypertension, in accordance with current hypertension guidelines. A correct diagnosis is necessary for the proper assessment and management of these patients. A multimodality imaging approach using ultrasound, computed tomography (CT), and MRI allows for accurate and effective diagnosis. The purpose of this review is to describe different non-invasive imaging techniques and highlight their advantages and disadvantages, aiming to provide a guide to clinicians and cardiovascular imaging specialists in choosing the best imaging tools to use in adults with native CoA.