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

Inge J. van den Hoogen, Umberto Gianni, Omar Al Hussein Alawamlh, Rashmi Wijeratne, Hiroyuki Jinnouchi, Aloke Finn, James P. Earls, Renu Virmani, Fay Y. Lin

Research output: Contribution to journalReview articlepeer-review

7 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)214-218
Number of pages5
JournalJournal of Cardiovascular Computed Tomography
Volume14
Issue number3
DOIs
StatePublished - 1 May 2020
Externally publishedYes

Fingerprint

Dive into the research topics of 'What atherosclerosis findings can CT see in sudden coronary death: Plaque rupture versus plaque erosion'. Together they form a unique fingerprint.

Cite this