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Coronary plaque ulceration documented at sequential angiography and confirmed by optical coherence tomography in a patient with recurrent acute coronary syndrome

Ferlini, Marco; Potenza, Antonella; Ferrara, Erica; Ferrario, Maurizio; Repetto, Alessandra; Marinoni, Barbara; Visconti, Luigi O.; Bramucci, Ezio

Journal of Cardiovascular Medicine: December 2016 - Volume 17 - Issue - p e144–e145
doi: 10.2459/JCM.0000000000000167
Images in cardiovascular medicine

A 51-year-old man was hospitalized for recurrence of acute coronary syndrome after few months. Coronary angiography during first hospitalization showed no significant coronary stenosis, while the second time, right coronary artery presented an expansion at the proximal segment. Optical coherence tomography documented a long fibroatheroma with an ulceration and residual white thrombus

UO Cardiologia, Laboratorio di Emodinamica, Fondazione IRCCS, Policlinico San Matteo, Pavia, Italy

Correspondence to Marco Ferlini, MD, Division of Cardiology, Fondazione IRCCS Policlinico San Matteo, piazzale Golgi 1, 27100 Pavia, ItalyTel: +39 0382501592; fax: +39 0382501279; e-mail:

Received 26 September, 2013

Revised 24 November, 2013

Accepted 8 May, 2014

© 2016 Italian Federation of Cardiology. All rights reserved.