A Variety of Atherosclerotic Lesions in the Aortoiliac Wall Visualized by Non-obstructive Angioscopy

• Published in: Angioscopy Vol. 6; no. 1; pp. 10 - 13
• Main Authors: Masunaga, Nobutaka, Iwanaga, Yoshitaka, Shimada, Seijiro, Hama, Junkichi
• Format: Journal Article
• Language: English
• Published: Japanese Association of Cardioangioscopy 2020
• Subjects: aortoiliac atheroma; coronary artery disease; non-obstructive angioscopy
• ISSN: 2188-6571; 2188-7500
• DOI: 10.15791/angioscopy.cr.20.0032

The existence of aortoiliac atheroma is highly associated with aortoiliac aneurysm, dissection, and peripheral arterial embolism. Accordingly, it is crucial to clarify the mechanism and process of the atherosclerotic plaque progression in the aorta and iliac arteries. Here, we report visualization of various plaques along with the entire aorta and iliac artery by non-obstructive angioscopy in a 45-year-old man with coronary artery disease (CAD). Especially, the significant ulcerative lesions below the infra renal aortoiliac wall were observed, one of which was like a tiny fish mouth opening and closing with the heartbeats. The angioscopic observation on the aortoiliac wall may provide the clue of the atherosclerotic plaque progression.