Author + information
- Lamia Ait Ali, MD, PhDa,b,
- Nicola Martini, PhDb,
- Chrysanthos Grigoratos, MDb,c,∗ (, )@ChrysanthosGr,
- Daniele Della Latta, PhDb,
- Dante Chiappino, MDb and
- Pierluigi Festa, MDb
- aInstitute of Clinical Physiology, National Research Council, Massa, Italy
- bGabriele Monasterio Tuscany Foundation, Pisa and Massa, Italy
- cInstitute of Life Sciences, Scuola Superiore Sant'Anna, Pisa, Italy
- ↵∗Address for correspondence:
Dr. Chrysanthos Grigoratos, Scuola Superiore Sant'Anna, via Moruzzi 1, Pisa 56124, Italy.
This report describes a case of a young lady who, following extracardiac bypass between ascending and descending aorta for severe aortic coarctation, underwent 4-dimensional flow cardiac magnetic resonance, a technique that, by 3-dimensional flow assessment over time (4-dimensional), allows not only quantification of flows but also wall shear stress. In this case, increased wall shear stress was observed in the conduit's acute angle (kinking) as well as at the distal anastomosis level. The authors postulate that increased wall shear stress could help identify and risk stratify adult congenital heart disease who could develop vascular complications in the future. (Level of Difficulty: Intermediate.)
The authors have reported that they have no relationships relevant to the contents of this paper to disclose.
- Received March 22, 2019.
- Revision received May 2, 2019.
- Accepted May 2, 2019.
- 2019 The Authors