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Spontaneous plaque rupture and thrombus formation in the left main coronary artery documented by intravascular ultrasound.


This case documents the finding of a spontaneous plaque rupture with thrombus formation in the left main coronary artery of a patient who presented with an infarction of the circumflex artery. This serendipitous observation supports the hypothesis that spontaneous plaque ruptures occur sporadically and do not necessarily lead to occlusion.

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