Erschienen in:
24.05.2018 | Case In Point
Erupted coronary atheroma: insights from multi-modality imaging
verfasst von:
Ryota Kaichi, Yu Kataoka, Satoshi Yasuda
Erschienen in:
The International Journal of Cardiovascular Imaging
|
Ausgabe 10/2018
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Abstract
A 58-year-old gentleman with prolonged chest pain and 20-min ST-segment elevation in inferior lead on Holter monitoring was hospitalized. Multi-slice computed tomography identified severe stenosis with low density area and positive remodeling. Despite the suggestive features of vulnerable lesion, intravascular ultrasound and near-infrared spectroscopy imaging identified ruptured plaque without any lipidic material which were contrary to findings from multi-slice computed tomography. Lipidic materials may travel into coronary circulation following its spontaneous rupture, resulting in zero lipid core burden index. Multi-modality imaging has the potential to elucidate the pathophysiology of eruption of coronary atheroma in vivo.