Images in cardiovascular medicine. Recoarctation of the aorta associated with ascending aortic aneurysm demonstrated by ECG-gated multislice CT.

Abstract

HomeCirculationVol. 107, No. 12Recoarctation of the Aorta Associated With Ascending Aortic Aneurysm Demonstrated by ECG-Gated Multislice CT Free AccessReview ArticlePDF/EPUBAboutView PDFView EPUBSections ToolsAdd to favoritesDownload citationsTrack citationsPermissions ShareShare onFacebookTwitterLinked InMendeleyReddit Jump toFree AccessReview ArticlePDF/EPUBRecoarctation of the Aorta Associated With Ascending Aortic Aneurysm Demonstrated by ECG-Gated Multislice CT Alexander Lembcke, Pascal Dohmen, Jens Rodenwaldt, Lars Kopka, Jürgen Mews and Patrik Rogalla Alexander LembckeAlexander Lembcke From the Departments of Radiology (A.L., J.R., L.K., P.R.) and Cardiovascular Surgery (P.D.), Charité Medical School, Humboldt Universität zu Berlin, Germany, and Toshiba Medical Systems (J.M.), Neuss, Germany. Search for more papers by this author , Pascal DohmenPascal Dohmen From the Departments of Radiology (A.L., J.R., L.K., P.R.) and Cardiovascular Surgery (P.D.), Charité Medical School, Humboldt Universität zu Berlin, Germany, and Toshiba Medical Systems (J.M.), Neuss, Germany. Search for more papers by this author , Jens RodenwaldtJens Rodenwaldt From the Departments of Radiology (A.L., J.R., L.K., P.R.) and Cardiovascular Surgery (P.D.), Charité Medical School, Humboldt Universität zu Berlin, Germany, and Toshiba Medical Systems (J.M.), Neuss, Germany. Search for more papers by this author , Lars KopkaLars Kopka From the Departments of Radiology (A.L., J.R., L.K., P.R.) and Cardiovascular Surgery (P.D.), Charité Medical School, Humboldt Universität zu Berlin, Germany, and Toshiba Medical Systems (J.M.), Neuss, Germany. Search for more papers by this author , Jürgen MewsJürgen Mews From the Departments of Radiology (A.L., J.R., L.K., P.R.) and Cardiovascular Surgery (P.D.), Charité Medical School, Humboldt Universität zu Berlin, Germany, and Toshiba Medical Systems (J.M.), Neuss, Germany. Search for more papers by this author and Patrik RogallaPatrik Rogalla From the Departments of Radiology (A.L., J.R., L.K., P.R.) and Cardiovascular Surgery (P.D.), Charité Medical School, Humboldt Universität zu Berlin, Germany, and Toshiba Medical Systems (J.M.), Neuss, Germany. Search for more papers by this author Originally published1 Apr 2003https://doi.org/10.1161/01.CIR.0000057863.95792.69Circulation. 2003;107:e80–e81A 54-year-old man had global aphasia and hemiparesis after an acute cerebral embolism. He had undergone unspecified cardiac surgery as a child. An ECG-gated multislice CT study demonstrated dilated aneurysm of the ascending aorta (Figure 1), large internal thoracic arteries (Figures 1, 2A), and a synthetic patch sutured over a kinked luminal narrowing of the aortic isthmus (Figure 2B–C). The diagnosis of combined ascending aortic aneurysm and aortic recoarctation after synthetic patch aortoplasty with good collateralization was made and confirmed by additional MRI (Figure 3). Catheter examination demonstrated good collateralization of the stenosis and a systolic pressure gradient of 30 mm Hg with an average gradient of 13 mm Hg. Download figureDownload PowerPointFigure 1. Contrast-enhanced multislice CT scan. Axial section at the level of the dilated ascending aorta (asterisk). Note the large internal thoracic arteries (arrows).Download figureDownload PowerPointFigure 2. Contrast-enhanced multislice-CT scan; three-dimensional reconstruction. A, Anterior view of the dilated aortic bulb—note the dilated and tortuous internal thoracic arteries (arrows). B, Left anterior oblique view of the aortic arch. Good delineation of the synthetic patch sutured onto the aortic isthmus (arrow). C, Right posterior oblique view of the aortic arch. Clear visualization of the membrane-like constriction of the aortic isthmus (arrow).Download figureDownload PowerPointFigure 3. Contrast-enhanced magnetic resonance angiography (MRA); three-dimensional reconstruction. Right posterior oblique view of the aortic arch as in Figure 2C. MRA likewise shows recoarctation of the aorta (arrow) but is known to frequently overestimate the extent of luminal narrowing.The editor of Images in Cardiovascular Medicine is Hugh A. McAllister, Jr, MD, Chief, Department of Pathology, St Luke’s Episcopal Hospital and Texas Heart Institute, and Clinical Professor of Pathology, University of Texas Medical School and Baylor College of Medicine.Circulation encourages readers to submit cardiovascular images to the Circulation Editorial Office, St Luke’s Episcopal Hospital/Texas Heart Institute, 6720 Bertner Ave, MC1-267, Houston, TX 77030.FootnotesCorrespondence to Alexander Lembcke, MD, Department of Radiology, Charité Medical School, Campus Charité Mitte, Humboldt-Universität zu Berlin Schumannstraβe 20/21, 10098 Berlin, Germany. E-mail [email protected] Previous Back to top Next FiguresReferencesRelatedDetailsCited By Corno A and Salazar J (2021) Role of Cardiac CT in Preopertaive and Postoperative Evaluation of Congenital Heart Defects in Children Pediatric Cardiac CT in Congenital Heart Disease, 10.1007/978-3-030-74822-7_30, (219-268), . (2009) Aortic coarctation Congenital Heart Defects, 10.1007/978-3-7985-1719-6_14, (94-105), . Rubin G and Kalra M (2008) MDCT Angiography of the Thoracic Aorta MDCT, 10.1007/978-88-470-0832-8_17, (225-235), . Utuk O, Karaca M, Bayturan O, Oncel G, Tezcan U and Bilge A (2006) Coarctation of the aorta evaluated with 64-row multislice computed tomography, International Journal of Cardiology, 10.1016/j.ijcard.2005.06.024, 111:1, (169-171), Online publication date: 1-Jul-2006. Rubin G and Kalra M MDCT Angiography of the Thoracic Aorta MDCT:A Practical Approach, 10.1007/88-470-0413-6_10, (111-121) April 1, 2003Vol 107, Issue 12 Advertisement Article InformationMetrics https://doi.org/10.1161/01.CIR.0000057863.95792.69PMID: 12668508 Originally publishedApril 1, 2003 PDF download Advertisement