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.
Copyright © 2013 Wiley Periodicals, Inc.
MeSH terms
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Cardiac Catheterization / instrumentation*
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Cardiac Catheters*
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Coronary Angiography
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Coronary Circulation
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Coronary Stenosis / diagnosis
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Coronary Stenosis / etiology
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Coronary Stenosis / physiopathology
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Coronary Stenosis / therapy*
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Coronary Thrombosis / complications
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Coronary Thrombosis / diagnosis
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Coronary Thrombosis / physiopathology
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Coronary Thrombosis / therapy*
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Coronary Vessels* / diagnostic imaging
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Coronary Vessels* / physiopathology
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Equipment Design
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Humans
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Male
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Middle Aged
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Myocardial Infarction / diagnosis
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Myocardial Infarction / etiology
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Myocardial Infarction / physiopathology
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Myocardial Infarction / therapy*
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Predictive Value of Tests
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Thrombectomy / instrumentation*
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Treatment Outcome
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Ultrasonography, Interventional
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Vascular Patency