case_images: PMC10999311_01
case_images: Initial Coronary Angiography. A) Left main coronary artery, left anterior descending artery, and left circumflex artery without significant stenotic lesions. B) Right coronary artery occluded in the distal segment.
case_images: apcyccv-5-45-gf1.jpg
case_images: PMC10999311_01_apcyccv-5-45-gf1.jpg
case_images: f1
case_images: In the CA, the distal segment of the right coronary artery (RCA) was found to be occluded by thrombus, while the rest of the coronary arteries did not show significant lesions (Figure 1).
case_images: A) Initial Coronary Angiography showing thrombotic occlusion in the right coronary artery. B) Balloon angioplasty with a semi-compliant balloon of 2.0 x 15 mm up to 14 atm. C) Mechanical thrombus aspiration obtaining abundant thrombus material. D) and E) Post-mechanical thrombus aspiration with improvement of distal flow. F) Intravascular ultrasound (IVUS) in the right coronary artery performed at 48 hours showing no evidence of atherosclerotic lesion, thrombus, or dissection.
case_images: apcyccv-5-45-gf2.jpg
case_images: PMC10999311_01_apcyccv-5-45-gf2.jpg
case_images: f2
case_images: TIMI 3 distal flow (Figure 2).