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