Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
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Mechanical Extraction of a Massive Intracoronary Thrombus from the Super-Dominant Right Coronary Artery in Thrombogenic Lung Cancer Patient

  • Kim, Dong-Kie (Division of Cardiology, Inje University Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Ko, Sung-Hyun (Division of Cardiology, Inje University Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Seo, Guang-Won (Division of Cardiology, Inje University Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Song, Pil-Sang (Division of Cardiology, Inje University Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Kim, Ki-Hun (Division of Cardiology, Inje University Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Seol, Sang-Hoon (Division of Cardiology, Inje University Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Song, Jong-Woon (Department of Radiology, Inje University Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Kim, Doo-Il (Division of Cardiology, Inje University Haeundae Paik Hospital, Inje University College of Medicine)
  • Received : 2014.06.03
  • Accepted : 2014.09.16
  • Published : 2015.05.30
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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.

Keywords

References

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