Sealing a ruptured non-culprit coronary plaque in a patient with acute myocardial infarction with bioresorbable vascular scaffolds | Zendy

Javier Cuesta | Zendy; Fernando Rivero | Zendy; Teresa Bastante | Zendy; Amparo Benedicto | Zendy; Guillermo Diego | Zendy; Fernándo Alfonso | Zendy

Open Access

Sealing a ruptured non-culprit coronary plaque in a patient with acute myocardial infarction with bioresorbable vascular scaffolds

Author(s) -

Javier Cuesta,

Fernando Rivero,

Teresa Bastante,

Amparo Benedicto,

Guillermo Diego,

Fernándo Alfonso

Publication year - 2015

Publication title -

revista portuguesa de cardiologia

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.266

H-Index - 26

eISSN - 2174-2030

pISSN - 0870-2551

DOI - 10.1016/j.repc.2014.08.029

Subject(s) - medicine , culprit , myocardial infarction , thrombus , conventional pci , cardiology , lumen (anatomy) , lesion , optical coherence tomography , artery , percutaneous coronary intervention , radiology , surgery

A 49-year-old man was admitted to the emergency department suffering from a large anterior myocardial infarction that was treated by rescue PCI. The patient also had a moderate but complex lesion in the proximal segment of the right coronary artery. Optical coherence tomography showed striking images of a ruptured and ulcerated plaque with significant thrombus content. Although the lumen was not compromised, these unique findings prompted us to treat this non-culprit lesion. We selected a bioresorbable vascular scaffold with the aim of sealing and passivating this complicated and high-risk plaque.

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