title: Aortic coarctation: guidelines mismatch across the ocean.
abstract: Pseudocoarctation is a rare congenital anomaly characterized by aorta elongation and kinking, without significant obstruction. We report the case of an elderly patient with history of congestive heart failure (CHF) and aortic regurgitation (AR) who was referred for progressive exertional dyspnoea. After multimodal imaging evaluation, aortic coarctation with significant trans-stenosis gradient but mild luminal narrowing was diagnosed; this borderline patient was not addressed to repair, according to ESC guidelines and in spite of AHA ones. He rather met the criteria for pseudocoarctation diagnosis. An integration of functional and anatomical data is essential for a reliable diagnostic process in similar cases.
authors.forename: Martino
authors.initials: M
authors.lastname: Pepe
authors.affiliation: Section of Cardiovascular Diseases, Emergency and Transplantations Department, "Aldo Moro" University, Piazza Giulio Cesare 11, 70124 Bari, Italy. fortunato.iacovelli@teletu.it.
authors.forename: Fortunato
authors.initials: F
authors.lastname: Iacovelli
authors.forename: Filippo
authors.initials: F
authors.lastname: Masi
authors.forename: Vito
authors.initials: V
authors.lastname: Marangelli
authors.forename: Arnaldo
authors.initials: A
authors.lastname: Scardapane
authors.forename: Alessandro
authors.initials: A
authors.lastname: De Santis
authors.forename: Luca
authors.initials: L
authors.lastname: Sgarra
authors.forename: Donato
authors.initials: D
authors.lastname: Quagliara
authors.forename: Stefano
authors.initials: S
authors.lastname: Favale
mesh_terms: D000368:Aged; D000792:Angiography; D001017:Aortic Coarctation / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed