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(Circulation. 2000;101:1754.)
© 2000 American Heart Association, Inc.

Images in Cardiovascular Medicine

Plaque Rupture Causing Spontaneous Coronary Artery Dissection in a Patient With Acute Myocardial Infarction

Naoya Ichiba, MD; Kenei Shimada, MD; Makoto Hirose, MD; Yoshiki Kobayashi, MD; Kumiko Hirata, MD; Yuji Sakanoue, MD; Iku Toda, MD; Masakazu Teragaki, MD; Kaname Akioka, MD; Kazuhide Takeuchi, MD; Junichi Yoshikawa, MD

From the First Department of Internal Medicine, Osaka City University Medical School, Osaka, Japan.

Correspondence to Kenei Shimada, MD, First Department of Internal Medicine, Osaka City University Medical School, Asahimachi, Abenoku, Osaka, Japan.

A 68-year-old man was admitted to the hospital because of chest oppression. ECGs on admission revealed ST-segment elevation in leads II, III, and aVF. Urgent coronary angiography showed spontaneous dissection in the right coronary artery (Figure 1). Color intravascular ultrasound in the corresponding area demonstrated plaque rupture, defined as an echolucent intraplaque area communicating with the coronary artery lumen (Figure 2). Primary angioplasty was performed successfully by multiple implantation of stents.

View larger version (104K): [in this window] [in a new window]   Figure 1.

View larger version (81K): [in this window] [in a new window]   Figure 2.

Footnotes

The editor of Images in Cardiovascular Medicine is Hugh A. McAllister, Jr, MD, Chief, Department of Pathology, St Luke’s Episcopal Hospital and Texas Heart Institute, and Clinical Professor of Pathology, University of Texas Medical School and Baylor College of Medicine.

Circulation encourages readers to submit cardiovascular images to the Circulation Editorial Office, St Luke’s Episcopal Hospital and Texas Heart Institute, 6720 Bertner Ave, MC1-267, Houston, TX 77030.

This Article Extract Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Ichiba, N. Articles by Yoshikawa, J. Search for Related Content PubMed PubMed Citation Articles by Ichiba, N. Articles by Yoshikawa, J. Related Collections Catheter-based coronary interventions: stents Coronary imaging: angiography/ultrasound/Doppler/CC Acute myocardial infarction Angiography