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

Aortic coarctation is a 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 all congenital heart diseases. It can be associated with other congenital defects, such as bicuspid aortic valve (BAV), and in adulthood it is suspected in cases of severe resistant hyperten-sion. A correct diagnosis is necessary for the proper assessment and management of these patients. A multimodality imaging approach using ultrasound, CT, and MRI allows for accurate and effective diagnosis. The purpose of this review is to describe the different non-invasive imaging techniques pointing out their advantages and disadvantages, aiming to provide a guide to clinicians and cardiovascular imaging specialists in choosing the best imaging tools to use.