A 36-year-old man was admitted with reported short attacks of acute chest pain with small increment of troponin and CK-MB and normal ECG. The 64-slice CT coronary angiography revealed a large non-obstructing non-calcified plaque in the proximal left anterior descending artery with positive vessel remodeling. The conventional coronary angiogram was normal but the intravascular ultrasound confirmed the CT findings. A drug eluting stent was implanted to seal the plaque. During the procedure, myocardial damage had occurred. At 6-month follow-up, 64-slice CT revealed minimal in-stent hyperplasia, which was confirmed at conventional angiography.

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doi.org/10.1016/j.ijcard.2006.01.061, hdl.handle.net/1765/35843
International Journal of Cardiology
Erasmus MC: University Medical Center Rotterdam

Malagutti, P., Ligthart, J., Cademartiri, F., Meijboom, W. B., & Valgimigli, M. (2007). Plaque sealing: Are the benefits outweighing the risks?. International Journal of Cardiology, 115(2), 265–266. doi:10.1016/j.ijcard.2006.01.061