Intravascular ultrasound evaluation of ruptured plaque in the left main coronary artery misinterpreted as an aneurysm by angiography.
We report a patient who demonstrated a left main coronary aneurysm by angiography. Intravascular ultrasound (IVUS) revealed that it was in fact an ulceration, which indicated ruptured plaque. This case provides evidence that IVUS can permit a more powerful definition of ruptured plaque than angiography. On IVUS, ulceration exhibits significantly different characteristics from aneurysm.
Li
Yuxin
Y
Division of Cardiology, Second Department of Medicine, Nihon University School of Medicine, Tokyo, Japan.
Honye
Junko
J
Takayama
Tadateru
T
Saito
Satoshi
S
D003323:Coronary Aneurysm / Q000000981:diagnostic imaging*; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging; D003327:Coronary Disease / Q000000981:diagnostic imaging*; D003331:Coronary Vessels / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008875:Middle Aged; D018084:Ultrasonography, Interventional