Title

What atherosclerosis findings can CT see in sudden coronary death: Plaque rupture versus plaque erosion

Document Type

Journal Article

Publication Date

5-1-2020

Journal

Journal of Cardiovascular Computed Tomography

Volume

14

Issue

3

DOI

10.1016/j.jcct.2019.07.005

Abstract

© 2020 Sudden death is the most abrupt clinical presentation of acute coronary syndrome. The presence of acute luminal thrombosis is the histopathological hallmark of sudden coronary death. There are 3 main etiologies that can give rise to an acute luminal thrombus: plaque rupture, plaque erosion and, less frequently, eruptive calcified nodules. Coronary computed tomography angiography (CCTA) has the ability to identify high-risk plaque features of coronary artery disease that are associated with future adverse cardiac events. In this report, we illustrate 2 cases of suspected sudden coronary death with a thorough description of how CCTA can be employed to detect high-risk plaque features using histopathology as a gold standard.

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