Progression of nonculprit plaque stenosis following successful percutaneous intervention

T. Jared Bunch, Charanjit S. Rihal, Richard J. Gumina, Leslie Cooper, Noel M. Caplice

Research output: Contribution to journalArticlepeer-review


Despite percutaneous intervention after an acute coronary syndrome, patients remain at high risk for recurrent events in the first year. Prior studies have shown that a plaque rupture can occur not only at a single culprit lesion site but also in other atherosclerotic plaques throughout the coronary vasculature in patients with stable angina, silent myocardial ischemia, and during acute coronary syndromes. A 71-year-old man who presented with exertional angina and who had a successful stent in a culprit right coronary artery is described in this article. After 4 weeks, he represented with accelerated angina. A prior lesion in the obtuse marginal artery, remote from the site of the index lesion, had progressed from a 30% to 90% stenosis. This case report demonstrates the systemic nature of acute coronary syndromes, highlights the inherent instability of coronary artery disease, and supports the notion of aggressive secondary prevention in these patients.

Original languageEnglish (US)
Pages (from-to)236-239
Number of pages4
Issue number2
StatePublished - Apr 2008


  • Angina
  • Angioplasty
  • Atherosclerosis
  • Coronary arteriosclerosis
  • Percutaneous coronary
  • Transluminal
  • Unstable

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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