1. Coronary Thrombosis From Large, Nonprotruding, Superficial Calcified Coronary Plaques

    Coronary Thrombosis From Large, Nonprotruding, Superficial Calcified Coronary Plaques

    A 76-year-old man admitted for an acute coronary syndrome showed on angiography diffuse coronary calcification and mild lumen irregularities in the proximal left anterior descending and mid left circumflex coronary arteries. Optical coherence tomography revealed preserved coronary lumen at all segments. No features consistent with thin- or thick-cap fibroatheromas, ruptured plaques, or erosions were detected. However, a massive calcification of the left anterior descending and left circumflex coronary artery was recognized. The pattern of calcification was rather unique, involving the entire vessel circumference (ranging from 120° to 360°) and strikingly superficial, with a characteristic “concave shaped” surface apparently devoid of ...

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