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European Heart Journal 1994 15(1):131-133;
Copyright © 1994 by the European Society of Cardiology.
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© 1994 The European Society of Cardiology

Spontaneous plaque rupture visualized by intravascular ultrasound

J. ZAMORANO, R. ERBEL, J. GE, G. GöRGE, P. KEARNEY, L. KOCH, A. SCHOLTE and J. MEYER

II. Medizinische Klinik, University of Mainz Germany

Received 22 June 1993; .

Correspondence: José Zamorano, MD, Hospital Universitario San Carlos, Servicio de Cardiologia, C/Martin Lagos s/n, 28040 Madrid, Spain

Abstract

An intravascular ultrasound examination was performed in order to evaluate an angiographically complicated lesion. Intravascular ultrasound was able to demonstrate spontaneous plaque rupture in a patient with recent acute subendocardial infarction. The inconclusive angiographic appearance was clarified by the intravascular examination and led us to conclude that the myocardial infarction was due to plaque rupture with subsequent thrombotic occlusion, which had spontaneously resolved by the time of the study.

Key Words: Intravascular ultrasound • myocardial infarction


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