Intravascular ultrasound (IVUS) of the LAD

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A 50-year-old woman with no significant cardiovascular risk factors underwent open reduction and internal fixation (ORIF) for an ankle fracture.
Two days after surgery, while recovering on the ward, she developed sudden-onset central chest pain with ECG changes suggestive of anterior wall ischaemia.
Coronary angiography demonstrated:
- distal LAD occlusion
- diffuse narrowing of the proximal and mid LAD

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Author

Reddy K.¹, Toor I. S.¹

1. Manchester Royal Infirmary, Manchester, UNITED KINGDOM