Canadian Journal of Cardiology
Images in Cardiology| Volume 30, ISSUE 4, P464.e15-464.e16, April 2014

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Plaque Rupture Within a 16-Year-Old, Bare-Metal Coronary Stent

Published:January 13, 2014DOI:
      A 65-year-old man with a history of bare-metal stent deployment to the proximal left anterior descending coronary artery 16 years previously was given thrombolysis for an anterior ST-elevation myocardial infarction (Fig. 1A). Coronary angiography the next day showed a normal flow in the left anterior descending artery and a patent stent (Fig. 1B, arrowheads) with no cause for the acute event identified.
      Figure thumbnail gr1
      Figure 1Electrocardiogram on admission (A). Initial coronary angiogram (B). Arrowheads show the location of the 16-year-old stent. Optical coherence tomography of left anterior descending coronary artery stent (C, D). Arrowheads indicate stent struts; large arrow denotes residual lipid pool; small arrow indicates the plaque rupture cavity.
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