17 year old female with a history of coarctation of the aorta status-post repair during infancy, hypertension who is referred to cardiac MR to evaluate for residual coarctation noted on echocardiography. AortaStable aortic morphology with mild eccentric, shelflike narrowing immediately proximal to the origin of the left subclavian artery, as before, and question of mild flow acceleration at this level.There is a left sided aortic arch with a normal brachiocephalic branching pattern. The aortic root is normal in size. The left common carotid artery arises approximately 7 mm distal to the origin of the innominate artery. The distance between the left common carotid artery and the left subclavian artery is approximately 14 mm. There is mild tapering of this segment. The transverse diameter of the arch at the level of the innominate artery is approximately 14 mm while the transverse diameter of the distal portion between the left carotid artery and left subclavian artery if 10 mm. Immediately distal to the left subclavian artery the diameter is approximately 13 mm. The descending aorta is free from focal diease (maximum diameter approximately 14 mm). Pulmonary VeinsAll four pulmonary veins drain normally into the left atrium.Pulmonary ArteryThe main pulmonary artery is normal in size. Venous AnatomyThe SVC and IVC are normal in size and drain normally into the right atrium. Left VentricleQualitatively the left ventricle appears to have normal systolic function. PericardiumThere is no obvious pericardial disease.Extracardiac FindingsThis study is not designed for the specific evaluation of extra-cardiac findings; therefore, the differentiation between artifacts and real extracardiac pathology may be difficult. If clinically indicated, a separate dedicated evaluation should be considered.
Stable aortic morphology with mild eccentric, shelflike narrowing immediately proximal to the origin of the left subclavian artery, as before, and question of mild flow acceleration at this level.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.