Comprehensive radiological and clinical evaluation of coarctation of the aorta with bicuspid aortic valve and ascending aortic aneurysm: A case report

Coarctation of the aorta (CoA) and bicuspid aortic valve (BAV) disease are frequently coexisting congenital anomalies that pose significant diagnostic and therapeutic challenges. This report highlights a rare case of severe CoA with aneurysmal dilation of the ascending aorta in a 31-year-old patient. The patient underwent advanced imaging with synchronized aortic CT angiography to assess the extent of the aortic pathology and associated vascular anomalies. Imaging revealed severe CoA, significant collateral circulation, and an aneurysmal ascending aorta. Additionally, coronary artery anomalies and left ventricular hypertrophy were identified, necessitating a multidisciplinary management approach. This case underscores the importance of comprehensive imaging in the evaluation of complex aortic diseases. Detailed visualization guided the surgical planning for this patient, emphasizing the critical role of advanced imaging modalities in improving patient outcomes.