1. Identification of multiple plaque ruptures by optical coherence tomography in a patient with acute myocardial infarction: a three-vessel study

    Optical coherence tomography (OCT) is a new imaging modality capable of obtaining cross-sectional images of coronary vessels with a high resolution of about 10 ┬Ám, which is about 10-fold greater than that of intravascular ultrasound. A 57-year-old man was admitted to our hospital with acute posterior myocardial infarction. An emergency coronary angiography demonstrated 99% stenosis (TIMI 2 flow) in segment 11 of the left circumflex artery, and 75% stenosis in segment 3 of the right coronary artery, but no significant stenosis in the left anterior descending coronary artery (panels A, F). Thin-cap fibroatheroma (TCFA; panel B), plaque rupture (panel C ...
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