Ruptured atherosclerotic plaque distant from maximal stenosis in acute myocardial infarction

被引：0

作者：

Seguchi, O ^{[1
]}

Maehara, A ^{[1
]}

Morii, I ^{[1
]}

Otsuka, Y ^{[1
]}

Yasuda, S ^{[1
]}

Miyazaki, S ^{[1
]}

Yamagishi, M ^{[1
]}

机构：

[1] Natl Cardiovasc Ctr, Div Cardiol, Osaka 5658565, Japan

来源：

INTERNAL MEDICINE | 2003年 / 42卷 / 01期

关键词：

acute coronary syndrome; intravascular ultrasound; unstable plaque; plaque rupture;

D O I：

10.2169/internalmedicine.42.53

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We describe a patient with acute myocardial infarction who showed ruptured plaque distant from the maximally stenotic lesion. In a 54-year-old male patient with acute antero-lateral myocardial infarction, coronary angiography showed a resolution of occlusive lesion with residual stenotic lesion in the middle portion of the left anterior descending artery (LAD) following t-PA administration. One month later, coronary angiography again disclosed significant stenosis of the middle LAD. Intravascular ultrasound revealed ruptured plaque that was located proximal to the maximally stenotic site which is generally considered as the culprit lesion. In this case, transient vessel occlusion occurred at the maximally stenotic site probably associated with plaque rupture distant from this lesion.

引用

页码：53 / 55

页数：3

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