Erupted coronary atheroma: insights from multi-modality imaging

Ryota Kaichi, Yu Kataoka, Satoshi Yasuda

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

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.

Original languageEnglish
Pages (from-to)1669-1671
Number of pages3
JournalInternational Journal of Cardiovascular Imaging
Volume34
Issue number10
DOIs
Publication statusPublished - 2018 Oct 1
Externally publishedYes

Keywords

  • Coronary
  • Intravascular ultrasound
  • Multi-slice computed tomography
  • Near-infrared spectroscopy
  • Plaque

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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