Lipid-rich plaque masquerading as a coronary thrombus.
A 43-year-old woman presented with exertional chest pressure. Right coronary angiography showed a clear filling defect. Intravascular ultrasound revealed a plaque with 80% stenosis and a large lipid pool. Therefore, a stent was placed, and the patient became angina-free. Lipid-rich plaques are a cause of angiographic filling defects. Intravascular ultrasound is an integral part of coronary artery evaluation.
Rezkalla
Shereif H
SH
Department of Cardiology, Marshfield Clinic, Marshfield, WI 54449, USA. rezkalla.shereif@marshfieldclinic.org
Holmes
David R
DR
D000328:Adult; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000175:diagnosis* / Q000473:pathology; D023921:Coronary Stenosis / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D003328:Coronary Thrombosis / Q000175:diagnosis* / Q000473:pathology; D003331:Coronary Vessels / Q000737:chemistry* / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008055:Lipids / Q000032:analysis*; D015607:Stents; D014463:Ultrasonography
D008055:Lipids