Slides
Wide Spread Coronary Vulnerable Plaques in Patient with Acute Coronary Syndrome
- Operator : Myeong-Ki Hong
Widespread Coronary Vulnerable Plaques in Patient with Acute Coronary Syndrome |
- Operator : Myeong-Ki Hong MD, PhD, Korea |
Case presentation |
The patient was 72 year-old man and was presented with resting chest for 2 days. Baseline echocardiography showed normal left ventricular function without regional wall motion abnormality. Coronary angiography was performed for evaluation and management of chest pain. Both coronary angiogram revealed multiple stenotic lesion intraluminal haziness. (Figure 1, Figure 2, Figure 3). To evaluate these lesions, Intravascular ultrasound (IVUS) was performed in all 3 epicardial arteries (LAD: Figure 4, LCX: Figure 5, RCA: Figure 6). Multiple vulnerable plaques (plaque rupture, plaque excavation, plaque with intraplaque echolucent zone or plaque containing with thrombus) were noted across three vessels. LAD and RCA lesions were treated with stents (Figure 7, Figure 8), but LCX lesion without significant stenosis was not stented. Aspirin, clopidogrel, beta-blocker, and lipid lowering agent continued to be adminstered for plaque stabilization |
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