Abstract
We present a case in which a 64-year-old man was su ering from accelerated angina for one week. Con - ventional coronary angiography and intravascular ultrasound (IVUS) was unable to detect the culprit coronary lesion. However, optical coherence tomography (OCT) obtained superior images to detect a rupture with thin-cap broatheroma plaque in the proximal right coronary artery. The symptom of angina disappeared after one coronary stent covering the ruptured plaque. This case indicates that OCT is a new intravascular imaging modality that allows clear visualization of vulnerable plaques.
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