eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
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3/2008
vol. 5
 
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Technika obrazowania
Coexistence of coarctation of aorta and anomalies of aortic arch arteries on the basis of vascular examinations in 64-slice computed tomography

Jan Głowacki
,
Patrycja Maślanka
,
Karol Miszalski-Jamka
,
Małgorzata Szkutnik
,
Jarosław Wasilewski
,
Piotr Jarski
,
Jacek Białkowski

Kardiochirurgia i Torakochirurgia Polska 2008; 5 (3): 328–331
Online publish date: 2008/09/11
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Background: Aortic coarctation is an aortic stenosis at the
level of the isthmus, next to the ductus arteriosus or attachment of the ligament arteriosus, below the beginning of the left subclavian artery. This defect occurs as an isolated stenosis or associated with other failures.

Aim: The aim of the study was to compare the occurrence frequency of aortic coarctation and anomalies of aortic arch arteries.

Material and Methods: Retrospective analysis included 53 patients with diagnosed coarctation of aorta with 64-slice CT in the Silesian Centre of Heart Diseases in the last 13 months.

Results: The structure of aortic arch arteries was typical in
37 cases, brachio-cephalic trunk, left common carotid artery and left subclavian artery. Anomalies of aortic arch arteries were observed in 15 cases (28.85%).

Conclusions: Multislice computed tomography proved to be very useful in the evaluation of coarctation and coexisting anatomic structures. A diagnostic examination can significantly influence the choice of treatment type (angioplasty, stenting, surgery); the analyses of CT examinations can indicate an
increased frequency of the coexistence of aortic coarctation and anomalies of aortic arch arteries in comparison to normal aorta.
keywords:

aortic coarctation, aortic arch anomalies, multislice computed tomography

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