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. 2017 Feb 24;6(3):e004730. doi: 10.1161/JAHA.116.004730

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© 2017 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley Blackwell.

This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

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Representative optical coherence tomography (OCT) images of plaque rupture. A 60‐year‐old woman with ST‐segment elevation myocardial infarction was admitted after 11 hours of chest pain. Results from diagnostic angiogram showed total occlusion in the proximal left anterior descending artery (LAD). Angiogram results after thrombectomy demonstrates dissection lesion in the proximal LAD (white arrow, left upper panel). Cross‐sectional OCT images of the culprit lesion show disrupted fibrous cap (white arrows) and cavity (asterisk) formation (A through C). The patient was treated with a drug‐eluting stent (3.0×18 mm). Poststenting OCT revealed in‐stent thrombus (red arrows, D), malapposed struts (white arrows, E), and stent protrusion (yellow arrows, F).