title: Mechanical extraction of a massive intracoronary thrombus from the super-dominant right coronary artery in thrombogenic lung cancer patient.
abstract: The congenital absence of the left circumflex artery and a compensatory super-dominant right coronary artery (RCA) is a very rare benign coronary anomaly in the clinic. The presence of a massive thrombus in the super-dominant RCA can lead to fatal results in cases of acute myocardial infarction, unless the thrombus is mechanically removed. Aspiration of the thrombus using a 6 Fr right Judkins guide catheter is useful to extract a massive thrombus and is both safe and effective. We report a case of complete revascularization of the super-dominant RCA after thrombus aspiration using a 6 Fr Judkins right catheter in a patient with acute inferior and inferolateral wall myocardial infarction.
authors.affiliation: Division of Cardiology, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.
authors.forename: Dong-Kie
authors.initials: DK
authors.lastname: Kim
authors.affiliation: Division of Cardiology, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.
authors.forename: Sung-Hyun
authors.initials: SH
authors.lastname: Ko
authors.affiliation: Division of Cardiology, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.
authors.forename: Guang-Won
authors.initials: GW
authors.lastname: Seo
authors.affiliation: Division of Cardiology, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.
authors.forename: Pil-Sang
authors.initials: PS
authors.lastname: Song
authors.affiliation: Division of Cardiology, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.
authors.forename: Ki-Hun
authors.initials: KH
authors.lastname: Kim
authors.affiliation: Division of Cardiology, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.
authors.forename: Sang-Hoon
authors.initials: SH
authors.lastname: Seol
authors.affiliation: Department of Radiology, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.
authors.forename: Jong-Woon
authors.initials: JW
authors.lastname: Song
authors.affiliation: Division of Cardiology, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.
authors.forename: Doo-Il
authors.initials: DI
authors.lastname: Kim
keywords: Coronary thrombosis; Coronary vessel anomalies; Inferior wall myocardial infarction