POST-COARCTATION INTERVENTION: CT-ANGIOGRAPHY ARCH MORPHOLOGY FINDING VERSUS ECHO FINDING

Volume 14 , Issue 3 , September 2024 , Pages 303-314

Authors

Koyan Zahir Abdulhameed 1 ; Aso Faiq Salih 2

1 Department of pediatric cardiology, Sulaimani children’s heart hospital, Iraq .

2 Department of Pediatrics, college of medicine, university of Sulaymaniyah, Iraq.

DOI logo 10.17656/jsmc.10478

Keywords

Abstract

Background
Aortic Arch Morphological Assessment with Echocardiography and Computerized Tomography-Angiography
The study is based on the case of coarctated aorta whose it is one of the most occurrence diseases among
congenital cardiovascular malformations in newborns. The study would evaluate the suitability and efficiency
between the two before and after treatment. The findings of this study may be applied to later make clinical
decisions as well as develop patient’s treatment policy.
Objectives
Compare Echocardiography findings with Computerized Tomography-Angiography outcomes for evaluation
of post-coarctation aortic arch morphology.
Patients and Methods
People in the study had undergone coarctation repair either surgical or interventional techniques; they were
subjected to echocardiography and Computerized Tomography-Angiography follow up post intervention.
Results
The study says that comparing Computerized Tomography-Angiography and echocardiography to look at
the shape of the aortic arch after coarctation intervention showed big differences. The mean aortic diameter
measurements were different between the two imaging methods (for each patient four readings were taken
for each modality). The third reading with echocardiography showed a larger mean diameter, which was
statistically significant (p 0.001). According to the findings of the Spearman test, there was no appreciable
positive correlation between the readings from the two modalities. The study emphasizes the significance
of cautious modality selection depending on the clinical circumstances for accurate assessment and the best
possible patient treatment.
Conclusion
The study thoroughly compares the evaluation of post-interventional coarctation of the Aorta patients
using the Computerized Tomography-Angiography and echocardiography methodologies. The two imaging
procedures were very close except for minute differences that proved useful. nonetheless, every patient must
be carefully evaluated independently. This study emphasized choosing imaging modality with a true picture of
the patient’s condition so that it would be appropriate for them to use Computerized Tomography-Angiography
and echocardiography. The procedure for enlarging the coarctation and assisting in post-surgical recovery of
patients. As such, further investigations may be conducted to establish if the images will predict future clinical
outcomes.

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  • Published at21 September 2024

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