Mechanical Extraction of a Massive Intracoronary Thrombus from the Super-Dominant Right Coronary Artery in Thrombogenic Lung Cancer Patient.
10.4070/kcj.2015.45.3.248
- Author:
Dong Kie KIM
1
;
Sung Hyun KO
;
Guang Won SEO
;
Pil Sang SONG
;
Ki Hun KIM
;
Sang Hoon SEOL
;
Jong Woon SONG
;
Doo Il KIM
Author Information
1. Division of Cardiology, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea. jo1216@inje.ac.kr
- Publication Type:Case Report
- Keywords:
Coronary thrombosis;
Coronary vessel anomalies;
Inferior wall myocardial infarction
- MeSH:
Catheters;
Coronary Thrombosis;
Coronary Vessel Anomalies;
Coronary Vessels*;
Humans;
Inferior Wall Myocardial Infarction;
Lung Neoplasms*;
Myocardial Infarction;
Thrombosis*
- From:Korean Circulation Journal
2015;45(3):248-252
- CountryRepublic of Korea
- Language:English
-
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.
