Mechanical Extraction of a Massive Intracoronary Thrombus from the Super-Dominant Right Coronary Artery in Thrombogenic Lung Cancer Patient

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, unl...

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Autores principales: Kim, Dong-Kie, Ko, Sung-Hyun, Seo, Guang-Won, Song, Pil-Sang, Kim, Ki-Hun, Seol, Sang-Hoon, Song, Jong-Woon, Kim, Doo-Il
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Cardiology 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4446821/
https://www.ncbi.nlm.nih.gov/pubmed/26023315
http://dx.doi.org/10.4070/kcj.2015.45.3.248
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author Kim, Dong-Kie
Ko, Sung-Hyun
Seo, Guang-Won
Song, Pil-Sang
Kim, Ki-Hun
Seol, Sang-Hoon
Song, Jong-Woon
Kim, Doo-Il
author_facet Kim, Dong-Kie
Ko, Sung-Hyun
Seo, Guang-Won
Song, Pil-Sang
Kim, Ki-Hun
Seol, Sang-Hoon
Song, Jong-Woon
Kim, Doo-Il
author_sort Kim, Dong-Kie
collection PubMed
description 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.
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spelling pubmed-44468212015-05-28 Mechanical Extraction of a Massive Intracoronary Thrombus from the Super-Dominant Right Coronary Artery in Thrombogenic Lung Cancer Patient Kim, Dong-Kie Ko, Sung-Hyun Seo, Guang-Won Song, Pil-Sang Kim, Ki-Hun Seol, Sang-Hoon Song, Jong-Woon Kim, Doo-Il Korean Circ J Case Report 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. The Korean Society of Cardiology 2015-05 2015-05-27 /pmc/articles/PMC4446821/ /pubmed/26023315 http://dx.doi.org/10.4070/kcj.2015.45.3.248 Text en Copyright © 2015 The Korean Society of Cardiology http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Kim, Dong-Kie
Ko, Sung-Hyun
Seo, Guang-Won
Song, Pil-Sang
Kim, Ki-Hun
Seol, Sang-Hoon
Song, Jong-Woon
Kim, Doo-Il
Mechanical Extraction of a Massive Intracoronary Thrombus from the Super-Dominant Right Coronary Artery in Thrombogenic Lung Cancer Patient
title Mechanical Extraction of a Massive Intracoronary Thrombus from the Super-Dominant Right Coronary Artery in Thrombogenic Lung Cancer Patient
title_full Mechanical Extraction of a Massive Intracoronary Thrombus from the Super-Dominant Right Coronary Artery in Thrombogenic Lung Cancer Patient
title_fullStr Mechanical Extraction of a Massive Intracoronary Thrombus from the Super-Dominant Right Coronary Artery in Thrombogenic Lung Cancer Patient
title_full_unstemmed Mechanical Extraction of a Massive Intracoronary Thrombus from the Super-Dominant Right Coronary Artery in Thrombogenic Lung Cancer Patient
title_short Mechanical Extraction of a Massive Intracoronary Thrombus from the Super-Dominant Right Coronary Artery in Thrombogenic Lung Cancer Patient
title_sort mechanical extraction of a massive intracoronary thrombus from the super-dominant right coronary artery in thrombogenic lung cancer patient
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4446821/
https://www.ncbi.nlm.nih.gov/pubmed/26023315
http://dx.doi.org/10.4070/kcj.2015.45.3.248
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