Lipid-rich plaque masquerading as a coronary thrombus

Shereif H. Rezkalla, David R. Holmes

Research output: Contribution to journalArticlepeer-review


A 43-year-old woman presented with exertional chest pressure. Right coronary angiography showed a clear filling defect. Intravascular ultrasound revealed a plaque with 80% stenosis and a large lipid pool. Therefore, a stent was placed, and the patient became angina-free. Lipid-rich plaques are a cause of angiographic filling defects. Intravascular ultrasound is an integral part of coronary artery evaluation.

Original languageEnglish (US)
Pages (from-to)119-122
Number of pages4
JournalClinical Medicine and Research
Issue number2
StatePublished - Jun 2006


  • Coronary calcification
  • Intravascular ultrasound
  • Lipid plaques and filling defects
  • Percutaneous coronary intervention

ASJC Scopus subject areas

  • Community and Home Care


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