Cryptogenic left main thrombosis: successful mechanical clot retrieval with a self-expanding trapping device

Catheter Cardiovasc Interv. 2014 Mar 1;83(4):553-5. doi: 10.1002/ccd.25162. Epub 2013 Sep 30.

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.

Keywords: ST-segment elevation infarction; cryptogenic left main coronary artery thrombosis; thrombectomy.

Publication types

  • Case Reports

MeSH terms

  • Cardiac Catheterization / instrumentation*
  • Cardiac Catheters*
  • Coronary Angiography
  • Coronary Circulation
  • Coronary Stenosis / diagnosis
  • Coronary Stenosis / etiology
  • Coronary Stenosis / physiopathology
  • Coronary Stenosis / therapy*
  • Coronary Thrombosis / complications
  • Coronary Thrombosis / diagnosis
  • Coronary Thrombosis / physiopathology
  • Coronary Thrombosis / therapy*
  • Coronary Vessels* / diagnostic imaging
  • Coronary Vessels* / physiopathology
  • Equipment Design
  • Humans
  • Male
  • Middle Aged
  • Myocardial Infarction / diagnosis
  • Myocardial Infarction / etiology
  • Myocardial Infarction / physiopathology
  • Myocardial Infarction / therapy*
  • Predictive Value of Tests
  • Thrombectomy / instrumentation*
  • Treatment Outcome
  • Ultrasonography, Interventional
  • Vascular Patency