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Evaluation of Annuloaortic Ectasia by Angioscopy and IVUS “Report of 2 cases”

机译：血管镜和IVUS“ 2例报告”评估无瓣环性蜕膜炎

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We attempted combined use of angioscopy and intravascularultrasonography (IVUS) to localize the coronary ostia anddetermine the aortic segment to be replaced in patients withannuloaortic ectasia, because these preoperative informations areimportant for selection of an appropriate technique forreconstructing the coronary artery, to prevent complications, andalso to postoperative follow-up. Two cases with annuloaorticectasia underwent angioscopy and IVUS both pre- andpost-operatively. Structure of aortic cusps, position of coronaryostia, the extent of ectasia with very thin wall were clearlyobserved by IVUS. Angioscopy showed milky white luminal surface ofthe ectasic segment. After Cabrol’s operation, the sutured portionof native aorta and graft was clearly identified by IVUS and muralthrombus and naked surface of graft were observed by angioscopy.Complications were observed in none. The results indicatefeasibility of combined use of angioscopy and IVUS fordetermination of surgical approach and follow-up in patients withAAE.
机译：我们尝试将血管镜检查和血管内超声检查（IVUS）结合使用以定位冠状动脉口并确定无主动脉扩张症患者的主动脉段，因为这些术前信息对于选择适当的重建冠状动脉技术，预防并发症以及对术后随访。两名患有肛门主动脉扩张的患者在术前和术后均进行了血管造影和IVUS。 IVUS可以清楚地观察到主动脉瓣的结构，冠状动脉口的位置，壁很薄的扩张的程度。血管镜检查可见乳白色的腔壁。 Cabrol手术后，通过IVUS可以清楚地识别出主动脉和移植物的缝合部分，并通过血管镜观察到了壁血栓和移植物的裸露表面，没有发现并发症。结果表明，在AAE患者中，合并使用血管镜检查和IVUS来确定手术方法和随访的可行性。

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