Left Main Coronary Artery Bifurcation Thrombus Interventionally Removed
A 43-year-old male heavy smoker presented with acute inferolateral myocardial infarction. Coronary angiography showed a thrombus mounted upon the carina of the left main coronary artery (LMCA) bifurcation, protruding into the origin of the left anterior descending (LAD) coronary artery and completely occluding the left circumflex (LCX). There followed immediate thromboaspiration of the LAD thrombus. The LCX remained completely obliterated. A glycoprotein IIb/IIIa inhibitor was given for 48 hours and the patient received dual antiplateled treatment. On the eighth day, a repeat coronary angiogram was obtained, which showed patent LMCA and LAD while the LCX was now visible and patent with a TIMI III flow and no sign of thrombus.
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