Abstract

AbstractOptical coherence tomography–guided percutaneous coronary angioplasties (PCI) for acute coronary syndrome is useful not only to the good stent opposition but also to the underlying pathophysiology and morphology of the plaque. Here we are reporting a case of anterior myocardial infarction thin-cap fibroatheroma (TCFA) in left main coronary artery with mid left anterior descending artery tight fibrofatty lesion. The cap of the atheromatous lesion was unruptured. This phenomenon of unruptured thin-cap fibroatheroma in the left main coronary artery in acute coronary syndrome has seldom been reported previously.

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