title: Cryptogenic left main thrombosis: successful mechanical clot retrieval with a self-expanding trapping device.
abstract: We present the case of a 52-year-old male with ST-segment elevation myocardial infarction due to a spontaneous large left main thrombosis, without any angiographic evidence for coronary artery disease. After multiple unsuccessful attempts of thrombaspiration the large clot was mechanically retrieved by a flow restoration device that was primarily made for intracranial interventions. Intravascular ultrasound revealed marginal lumen narrowing after the intervention, but the final coronary angiogram showed a patent left main and there was no relevant stenosis remaining.
authors: Division of Cardiology, 1st Department of Medicine, University Hospital of Jena, Germany.
authors: Sylvia
authors: S
authors: Otto
authors: Thomas E
authors: TE
authors: Mayer
authors: Hans R
authors: HR
authors: Figulla
mesh_terms: D006328:Cardiac Catheterization / Q000295:instrumentation*; D062906:Cardiac Catheters; D017023:Coronary Angiography; D003326:Coronary Circulation; D023921:Coronary Stenosis / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D003328:Coronary Thrombosis / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000503:physiopathology; D004867:Equipment Design; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D011237:Predictive Value of Tests; D017131:Thrombectomy / Q000295:instrumentation*; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional; D014654:Vascular Patency
keywords: ST-segment elevation infarction; cryptogenic left main coronary artery thrombosis; thrombectomy