EuroPCR2025-images-A60690WC-When imaging resolves the dispute on angiography

What is the diagnosis?
Old plaque rupture with no evidence of thrombus and recanalisation.
Spontaneous coronary artery dissection with catheter in false lumen
Acute plaque rupture
Correct! The correct answer is "Old plaque rupture with no evidence of thrombus and recanalisation".
 
The image shows old plaque rupture with no evidence of thrombus and spontaneous recanalisation of the vessel. At the top, the true lumen can be seen with the catheter and wire present in the true lumen. Below, there is evidence of old plaque with no evidence of rupture. There is no visible thrombus, thereby excluding an acute process.
 
Good try! The correct answer is "Old plaque rupture with no evidence of thrombus and recanalisation".
 
The image shows old plaque rupture with no evidence of thrombus and spontaneous recanalisation of the vessel. At the top, the true lumen can be seen with the catheter and wire present in the true lumen. Below, there is evidence of old plaque with no evidence of rupture. There is no visible thrombus, thereby excluding an acute process.
 
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