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Fig 1.

Representative images of valvular calcification and coronary artery calcification(white arrows).

Transthoracic echocardiography showed mitral annular calcification (A) and aortic valve calcification (B). VH-IVUS demonstrated mild and severe coronary calcification. Mild valvular calcification revealed the prominent fibrous (green color) plaque components (C), while severe valvular calcification showed densely calcified plaque (D).

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Table 1.

Clinical and angiographic characteristics.

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Table 2.

IVUS measurements according to the presence of valvular calcification.

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Table 3.

VH-IVUS analysis depending on valvular calcification after propensity score matching analysis.

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Fig 2.

Incidence of VH-TCFA according to the complexity (A) and severity (B) of valvular calcification. A: Patients with combined aortic and mitral valve calcification had more VH-TCFAs than those with either no detectable valvular calcification or isolated calcification. B: Patients with severe valvular calcification had a higher incidence of VH-TCFAs than those with either no detectable valvular calcification or mild to moderate calcification.

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