Longitudinal visualization of spontaneous coronary plaque rupture by 3D intravascular ultrasound

A 60-year-old man, 4 years after an anterior myocardial infarction at the middle segment of the left anterior descending coronary artery (LAD), underwent coronary angiography (CAG) because of severe continuous chest pain for >3 hours 3 weeks earlier. CAG revealed no significant stenosis but showed a wall fissure with a double-contrast opacification at the proximal segment of the LAD (short arrow on CAG in the Figure⇓), which had not been detected by …