Acute Myocardial Infarction Caused by Distal Embolization From a Proximal Ruptured Plaque

Sei Komatsu, MD, PhD; Chikao Yutani, MD, PhD; Satoru Takahashi, MD; Kazuhisa Kodama, MD, PhD

JACC: Case Reports (Jan 2020)

Acute Myocardial Infarction Caused by Distal Embolization From a Proximal Ruptured Plaque

Sei Komatsu, MD, PhD,
Chikao Yutani, MD, PhD,
Satoru Takahashi, MD,
Kazuhisa Kodama, MD, PhD

Affiliations

Sei Komatsu, MD, PhD: Department of Cardiology, Cardiovascular Center, Osaka Gyoumeikan Hospital, Osaka, Japan; Address for correspondence: Dr. Sei Komatsu, Department of Cardiology, Cardiovascular Center, Osaka Gyoumeikan Hospital, 5-4-8, Nishi-kujo, Konohana, Osaka 554-0012, Japan.
Chikao Yutani, MD, PhD: Division of Pathology, Cardiovascular Center, Osaka Gyoumeikan Hospital, Osaka, Japan
Satoru Takahashi, MD: Department of Cardiology, Cardiovascular Center, Osaka Gyoumeikan Hospital, Osaka, Japan
Kazuhisa Kodama, MD, PhD: Department of Cardiology, Cardiovascular Center, Osaka Gyoumeikan Hospital, Osaka, Japan

Journal volume & issue: Vol. 2, no. 1
pp. 33 – 34

Abstract

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Generally, in acute myocardial infarction, the plaque rupture site is around the occluded site. In this case, coronary angioscopy effectively detected a rupture at a nonstenotic lesion, and the consequent thrombotic occlusion may lead to acute myocardial infarction apart from rupture. Aspirated plaques contained atheromatous materials, cholesterol crystals, and fibrin. (Level of Difficulty: Intermediate.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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