Coronary angiography in the right caudal view demonstrating a severe concentric stenosis in the left circumflex artery (*). Coronary angiography in the.

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Presentation transcript:

Coronary angiography in the right caudal view demonstrating a severe concentric stenosis in the left circumflex artery (*). Coronary angiography in the right caudal view demonstrating a severe concentric stenosis in the left circumflex artery (*). Optical coherence tomography of the lesion demonstrates severe luminal narrowing with small tissue mass protruding into the lumen consistent with thrombus (A). Distal to the lesion, the left circumflex artery is seen to contain two distinct plaque types: (A) fibrous plaque is seen with a homogeneous and bright appearance (B) lipid-rich plaque with poorly reflective regions and diffuse margins with a thin bright fibrous cap consistent with thin-cap fibroatheroma. Muhammad Asrar ul Haq et al. Heart Asia 2013;5:154-161 Copyright © Asia Pacific Heart Association, British Cardiovascular Society & BMJ Publishing Group Ltd. All rights reserved.