Rapid disappearance of an endothelial ulceration in the left main coronary artery.
A case is presented of a 65-year-old male who presented with an acute anterior wall myocardial infarction. An initial coronary angiogram demonstrated an ulcerated atherosclerotic plaque in the left main coronary artery. After 48 h of aggressive medical therapy including a 2b3a glycoprotein blocking agent, repeat angiography demonstrated resolution of the ulcerated plaque. The process of atherosclerotic plaque rupture is of dynamic nature.
Bokhari
Ismail A H
IA
Kingman Regional Medical Center, Kingman, AZ, USA.
Bokhari
Ravia
R
Alpert
Joseph S
JS
D000368:Aged; D050197:Atherosclerosis / Q000188:drug therapy / Q000473:pathology*; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000473:pathology*; D004730:Endothelium, Vascular / Q000473:pathology*; D000077542:Eptifibatide; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000473:pathology; D010455:Peptides / Q000627:therapeutic use*; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use*; D014945:Wound Healing / Q000502:physiology
D010455:Peptides; D010975:Platelet Aggregation Inhibitors; D000077542:Eptifibatide