Treatment of high-burden thrombus in a large right coronary artery.
Treatment of a coronary artery with a high burden of thrombus in the setting of myocardial infarction poses significant challenges to the operator. Furthermore, a high thrombus burden present in an abnormal aneurysmal artery poses an even greater obstacle. We report a unique case of a 30 year-old-male presenting with an acute myocardial infarction with a heavy thrombus burden in an aneurysmal right coronary artery. After using intravascular ultrasound to appropriately size the artery, thrombectomy and placement of a biliary stent were used to treat the lesion with excellent angiographic outcome.
Molden
Jaime
J
Harbor-UCLA Medical Center, Cardiology, St. John's Research Institute, 1124 Carson Street, 3rd Floor RB2, Torrance, CA, 90502, USA. ashah@labiomed.org
Kao
John
J
Shah
Atman P
AP
D000328:Adult; D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000000981:diagnostic imaging / Q000601:surgery*; D003331:Coronary Vessels / Q000601:surgery*; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000601:surgery*; D017131:Thrombectomy; D016896:Treatment Outcome; D014463:Ultrasonography