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Simultaneous single-vessel plaque rupture causing acute coronary syndrome detected by optical coherence tomography
Author(s) -
V. Mutha,
Muhammad Asrar ul Haq,
Peter Barlis
Publication year - 2014
Publication title -
european heart journal - cardiovascular imaging
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.576
H-Index - 92
eISSN - 2047-2412
pISSN - 2047-2404
DOI - 10.1093/ehjci/jeu032
Subject(s) - cardiology , medicine , myocardial infarction , culprit , thrombus , acute coronary syndrome , optical coherence tomography , right coronary artery , artery , angiography , coronary angiography , vulnerable plaque , radiology
A 67-year-old male presented with non-ST segment elevation myocardial infarction accompanied by inferior electrocardiogram (ECG) changes. Coronary angiography demonstrated a dominant right coronary artery (RCA) with two discrete regions of angiographic haziness, suggesting possible plaque ulceration and the presence of thrombus ( Panel A ). Prior studies have demonstrated non-culprit plaque rupture in acute myocardial infarction patients; however, …

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