Case report demonstrating the use of angiogram and IVUS to visualize a large thrombus overlying the main stem crista in a patient with unstable angina.
IVUS may delineate thrombus extent across left main bifurcation in unstable angina; case reports leave applicability to practice open.
A 67 year old patient was referred to our hospital for diagnostic catheterisation. For six days she had been suffering from unstable angina, which was stabilised medically. She had no coronary risk factors. The diagnostic angiogram showed a large thrombus reaching from the first diagonal branch through the proximal left anterior descending artery (LAD), overlying the main stem crista and reaching distally of the first marginal branch into the left circumflex artery (LCX). Intravascular ultrasound (IVUS) of the LAD showed a smooth, organised thrombus crossing the first diagonal an
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Glenn Van Langenhove (2001) studied this question.
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