|
Sign In to gain access to subscriptions and/or personal tools.
|
Progression of Nonculprit Plaque Stenosis Following Successful Percutaneous Intervention
T. Jared Bunch, MD*,
Charanjit S. Rihal, MD,
Richard J. Gumina, MD, PhD,
Leslie Cooper, MD,
and
Noel M. Caplice, MD, PhD
Mayo Clinic
* To whom correspondence should be addressed. E-mail: bunch.thomas18{at}mayo.edu.
 |
Abstract |
|---|
Despite percutaneous intervention after an acute coronary syndrome, patients remain at high risk for recurrent events in the first year. Prior studies have shown that a plaque rupture can occur not only at a single culprit lesion site but also in other atherosclerotic plaques throughout the coronary vasculature in patients with stable angina, silent myocardial ischemia, and during acute coronary syndromes. A 71-year-old man who presented with exertional angina and who had a successful stent in a culprit right coronary artery is described in this article. After 4 weeks, he represented with accelerated angina. A prior lesion in the obtuse marginal artery, remote from the site of the index lesion, had progressed from a 30% to 90% stenosis. This case report demonstrates the systemic nature of acute coronary syndromes, highlights the inherent instability of coronary artery disease, and supports the notion of aggressive secondary prevention in these patients.
First published on April 2, 2008, doi:10.1177/0003319707306446
Angiology 2008;59:236.
A more recent version of this article appeared on May 1, 2008
 CiteULike  Complore  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter What's this?
|
|
