Document Detail

Progression of nonculprit plaque stenosis following successful percutaneous intervention.
MedLine Citation:
PMID:  18388075     Owner:  NLM     Status:  MEDLINE    
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.
T Jared Bunch; Charanjit S Rihal; Richard J Gumina; Leslie Cooper; Noel M Caplice
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-04-02
Journal Detail:
Title:  Angiology     Volume:  59     ISSN:  0003-3197     ISO Abbreviation:  Angiology     Publication Date:    2008 Apr-May
Date Detail:
Created Date:  2008-04-11     Completed Date:  2008-06-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0203706     Medline TA:  Angiology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  236-9     Citation Subset:  IM    
Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA.
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary*
Coronary Angiography
Coronary Artery Disease / radiography,  therapy*
Coronary Stenosis / radiography,  therapy*
Disease Progression

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