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A case with a large intracoronary mobile mass diagnosed with a calcified thrombus using optical frequency domain

Toshiki Kuno1, Kenji Hashimoto1, Syohei Imaeda1

  • 1Department of Cardiology, Japanese Red Cross Ashikaga Hospital, Ashikaga, Japan.

SAGE Open Medical Case Reports
|August 25, 2017
PubMed

Insights

A rare calcified thrombus in the coronary artery was identified using advanced imaging. Successful stenting confirmed the diagnosis, distinguishing it from a calcified nodule.

Area of Science:

  • Cardiovascular Imaging
  • Interventional Cardiology

Background:

  • Calcified thrombi are uncommon intracoronary masses.
  • Distinguishing calcified thrombi from calcified nodules is clinically important.

Observation:

  • A case of acute coronary syndrome presented with a large, mobile intracoronary mass.
  • Optical frequency domain imaging and intravascular ultrasound were utilized for characterization.

Findings:

  • The intracoronary mobile mass was definitively identified as a calcified thrombus.
  • Successful direct stenting provided functional confirmation of the thrombus diagnosis.

Implications:

  • Cardiologists must consider calcified thrombus in the differential diagnosis of intracoronary mobile masses.
  • Combined use of optical frequency domain imaging and intravascular ultrasound aids accurate diagnosis.
Abstract

Keywords:
Calcified thrombusacute coronary syndromeintravascular ultrasoundoptical frequency domain imagingpercutaneous coronary intervention

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