evaluation of annuloaortic ectasia by angioscopy and ivus “report of 2 cases”评价annuloaortic扩张angioscopy和ivus 2例报告》.pdfVIP

Diagnostic and Therapeutic Endoscopy, Vol. 7, pp. 35-45 (C) 2000 OPA (Overseas Publishers Association) N.V. Reprints available directly from the publisher Published by license under Photocopying permitted by license only the Harwood Academic Publishers imprint, part of The Gordon and Breach Publishing Group. Printed in Malaysia. Evaluation of Annuloaortic Ectasia by Angioscopy and IVUS Report of 2 cases KEIICHI TOKUHIRO*, YASUMI UCHIDA, KOUHEI KAWAMURA, HIROSHI SAKURAGAWA, HIROSHI MASUHARA, HIDEFUMI OOSAWA and NOBUYA KOYAMA Cardiovascular Center, Toho University Hospital at Sakura, 564-1 Shimoshizu, Sakura City, Chiba 285-8741, Japan (Received 15 May 2000; Revised 4 July 2000; In final form 4 July 2000) We attempted combined use of angioscopy and intravascular ultrasonography (IVUS) to localize the coronary ostia and determine the aortic segment to be replaced in patients with annuloaortic ectasia, because these preoperative informations are important for selection of an appropriate technique for reconstructing the coronary artery, to prevent complica- tions, and also to postoperative follow-up. Two cases with annuloaortic ectasia underwent angioscopy and IVUSboth pre- and post-operatively. Structure of aortic cusps, position of coronary ostia, the extent of ectasia with very thin wall were clearly observed by IVUS. Angioscopy showed milk