Acute coronary syndrome on non-electrocardiogram-gated contrast-enhanced computed tomography

Figure 11 Corresponding invasive coronary angiography in acute coronary syndrome of left main trunk. Same patient as Figure 10. A: Invasive coronary angiography showed thrombotic occlusion in the left main trunk (arrow). Subsequent percutaneous coronary intervention (PCI) was tried. B: After guidewire was crossed to the left anterior descending artery, there was minimal improvement in flow and 99% stenosis in the proximal site of the left anterior descending artery appeared (arrowhead); C: The right coronary artery showed no significant stenosis. The patient died during PCI because of uncontrollable ventricular fibrillation. LMT: Left main trunk; LAD: Left anterior descending artery; LCX: Left circumflex coronary artery.