Rdzanek Adam, Pietrasik Arkadiusz, Kochman Janusz, Wilczynska Joanna, Opolski Grzegorz
Int J Cardiol. 2007 May 2;117(3):e92-4. doi: 10.1016/j.ijcard.2006.11.180. Epub 2007 Mar 9.
The article presents a case of a 68-year old male admitted to coronary care unit because of acute coronary syndrome without ST segment elevation. In coronary angiography a lesion in the left main coronary artery (LMCA) is found. Intravascular ultrasound (IVUS) examination confirms the diagnosis of the ruptured plaque with the presence of thrombus. Because of the well preserved lumen area a decision to continue intensive pharmacotherapy is made. Follow-up angiography and IVUS show a complete resolution of thrombus. The article discusses different management strategies in patients with confirmed ruptured plaque in LMCA.
本文介绍了一例68岁男性因非ST段抬高型急性冠状动脉综合征入住冠心病监护病房的病例。冠状动脉造影发现左主干冠状动脉（LMCA）有病变。血管内超声（IVUS）检查证实斑块破裂并伴有血栓形成。由于管腔面积保存良好，决定继续强化药物治疗。随访血管造影和IVUS显示血栓完全溶解。本文讨论了LMCA确诊斑块破裂患者的不同管理策略。
