Progression of nonculprit plaque stenosis following successful percutaneous intervention

T. Jared Bunch, Charanjit S. Rihal, Richard J Gumina, Leslie Cooper, Noel M. Caplice

Research output: Contribution to journalArticle

Abstract

Despite percutaneous intervention after an acute coronary syndrome, patients remain at high risk for recurrent events in the first year. Prior studies have shown that a plaque rupture can occur not only at a single culprit lesion site but also in other atherosclerotic plaques throughout the coronary vasculature in patients with stable angina, silent myocardial ischemia, and during acute coronary syndromes. A 71-year-old man who presented with exertional angina and who had a successful stent in a culprit right coronary artery is described in this article. After 4 weeks, he represented with accelerated angina. A prior lesion in the obtuse marginal artery, remote from the site of the index lesion, had progressed from a 30% to 90% stenosis. This case report demonstrates the systemic nature of acute coronary syndromes, highlights the inherent instability of coronary artery disease, and supports the notion of aggressive secondary prevention in these patients.

Original languageEnglish (US)
Pages (from-to)236-239
Number of pages4
JournalAngiology
Volume59
Issue number2
DOIs
StatePublished - Apr 1 2008

Fingerprint

Acute Coronary Syndrome
Pathologic Constriction
Stable Angina
Atherosclerotic Plaques
Secondary Prevention
Stents
Myocardial Ischemia
Coronary Artery Disease
Rupture
Coronary Vessels
Arteries

Keywords

  • Angina
  • Angioplasty
  • Atherosclerosis
  • Coronary arteriosclerosis
  • Percutaneous coronary
  • Transluminal
  • Unstable

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Bunch, T. J., Rihal, C. S., Gumina, R. J., Cooper, L., & Caplice, N. M. (2008). Progression of nonculprit plaque stenosis following successful percutaneous intervention. Angiology, 59(2), 236-239. https://doi.org/10.1177/0003319707306446

Progression of nonculprit plaque stenosis following successful percutaneous intervention. / Bunch, T. Jared; Rihal, Charanjit S.; Gumina, Richard J; Cooper, Leslie; Caplice, Noel M.

In: Angiology, Vol. 59, No. 2, 01.04.2008, p. 236-239.

Research output: Contribution to journalArticle

Bunch, TJ, Rihal, CS, Gumina, RJ, Cooper, L & Caplice, NM 2008, 'Progression of nonculprit plaque stenosis following successful percutaneous intervention', Angiology, vol. 59, no. 2, pp. 236-239. https://doi.org/10.1177/0003319707306446
Bunch, T. Jared ; Rihal, Charanjit S. ; Gumina, Richard J ; Cooper, Leslie ; Caplice, Noel M. / Progression of nonculprit plaque stenosis following successful percutaneous intervention. In: Angiology. 2008 ; Vol. 59, No. 2. pp. 236-239.
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