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. 2022 May 11;9:854554. doi: 10.3389/fcvm.2022.854554

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Copyright © 2022 Gupta, Shrivastava, Vijayvergiya, Chhikara, Datta, Aziz, Singh Meena, Nath and Kumar.

This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

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OCT in acute coronary syndrome. (A–C) A case of acute inferior wall STEMI with mid dominant right coronary artery (RCA) thrombotic occlusion. Thrombus aspiration followed by OCT revealed plaque rupture. (D–F) A 4-day old case of inferior wall STEMI showing Mid-RCA haziness. OCT revealed proximal RCA plaque rupture and mid-RCA recanalized thrombus in a Swiss-cheese pattern. (G–I) A case of NSTEMI having a separate origin of LAD and LCx with a significant stenosis in the proximal LAD. OCT showed luminal irregularities, intact thick fibrous cap, and intraluminal white thrombus suggestive of plaque erosion. Areas of interest are highlighted with arrows.