Acute Myocardial Infarction Caused by Distal Embolization From a Proximal Ruptured Plaque

Acute Myocardial Infarction Caused by Distal Embolization From a Proximal Ruptured Plaque

Generally, in acute myocardial infarction, the plaque rupture site is around the occluded site. In this case, coronary angioscopy effectively detected a rupture at a nonstenotic lesion, and the consequent thrombotic occlusion may lead to acute myocardial infarction apart from rupture. Aspirated plaq...

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Bibliographic Details
Main Authors: Sei Komatsu, MD, PhD, Chikao Yutani, MD, PhD, Satoru Takahashi, MD, Kazuhisa Kodama, MD, PhD
Format: Article
Language:English
Published: Elsevier 2020-01-01
Series:JACC: Case Reports
Subjects:
acute coronary syndrome
cholesterol crystals
coronary artery
nonobstructive general angioscopy
Online Access:http://www.sciencedirect.com/science/article/pii/S2666084919305777
Description
Summary:Generally, in acute myocardial infarction, the plaque rupture site is around the occluded site. In this case, coronary angioscopy effectively detected a rupture at a nonstenotic lesion, and the consequent thrombotic occlusion may lead to acute myocardial infarction apart from rupture. Aspirated plaques contained atheromatous materials, cholesterol crystals, and fibrin. (Level of Difficulty: Intermediate.)
ISSN:2666-0849

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