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Aortic Imaging With CMR
Aortic Imaging With CMR
Aortic Imaging With CMR
This presentation posted for members of scmr as an educational guide – it represents the
views and practices of the author, and not necessarily those of SCMR.
• Background
• Good identification of
aortic wall and motion
• Excellent representation of
course of the aorta without
mental re-construction
* *
Dilated aortic arch with small calibre entry and exit vessel. Note left subclavian
arises from dilated section, and requires re-implantation at surgery
Dissection (1)
a b c
Dissection (5)
True lumen
False lumen
Pleural effusion
• The dissection flap usually spirals from the root around the
lesser curve of the arch
• The true lumen is often smaller and commonly medial
• The dissection may extend into branch vessels
Coarctation (1)
• Aim for a longitudinal plane through the
coarctation site
• Ideally obtain in-plane flow in this plane - can be
tricky to obtain, and in severe or complete
coarctation, impossible
Coarctation (2) – angiography
• Be careful not to
overestimate the tightness
of the coarctation by poor
threshold setting
Coarctation (3) - tips