TY - JOUR T1 - Myocardial infarction caused by distal embolisation of a ruptured left main plaque JF - Heart JO - Heart SP - 1101 LP - 1101 DO - 10.1136/hrt.2005.079798 VL - 92 IS - 8 AU - W J van Gaal AU - N West AU - A P Banning Y1 - 2006/08/01 UR - http://heart.bmj.com/content/92/8/1101.abstract N2 - A 54-year-old man presented with a non-ST elevation myocardial infarction. Coronary angiography demonstrated a hazy appearance of the distal left main (LM) stem, and a thrombotic subtotal occlusion of the distal left anterior descending (LAD) artery with TIMI grade 1 flow (lower left panel, A, B). He was discharged following conservative management with antiplatelet treatment; however, he experienced ongoing exertional angina. Repeat angiography four weeks later demonstrated an ulcerated plaque in the distal LM stem, and a patent LAD with normal antegrade flow. There was … ER -