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Images in cardiology
Intimal hyperplasia and cystic medial necrosis as substrate of acute coronary syndrome in a cocaine abuser: an in vivo/ex vivo pathological correlation
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A 28-year-old man, cocaine abuser, was admitted because of anterior ST-segment elevation myocardial infarction. Urgent coronary angiography showed a severe ostial lesion of the left anterior descending artery, with normal coronary flow (panel A). The …