Peds/CHD Pre-Conference Course 02 - Basic Pediatric & CHD CMR Applications-Coarctation of the aorta -- Imaging after repair.mp4

Coarctation of the aorta -- Imaging after repair.mp4

Video Transcription

Video Summary

The talk reviews coarctation of the aorta after repair, emphasizing lifelong risks from hypertension and vascular dysfunction despite good surgical or stent results. Large-artery stiffness impairs cushioning, raising afterload and damaging organs. Key causes of late morbidity include coronary disease, sudden death, heart failure, stroke, and aneurysm rupture. MRI surveillance should assess residual or recurrent narrowing, transverse arch hypoplasia, aortic dilation, and hemodynamic significance using flow imaging and 4D flow. It also highlights intracranial aneurysm screening, with brain MRI suggested at ages 10, 20, and 30 based on decision analysis.

Keywords

coarctation of the aorta

hypertension

aortic stiffness

MRI surveillance

intracranial aneurysm screening