case_images: PMC4217758_01
case_images: (A, B) Coronary computed tomography showing normal coronary arteries without stenosis.
case_images: jocmr-07-062-g001.jpg
case_images: PMC4217758_01_jocmr-07-062-g001.jpg
case_images: F1
case_images: He was a 45 pack-years current smoker and previously he was diagnosed mild fatty liver disease and minimal coronary artery disease by coronary computed tomography (CT) 1 year ago (Fig. 1) and recommended for life style modification.
case_images: Coronary angiography (CAG) at the time of acute coronary syndrome. (A) Complete obstruction of proximal right coronary artery (RCA). (B) Restoration of RCA flow after angioplasty and thrombus suction. (C, D) CAG at the time of recurred angina showing stenosis of distal right coronary artery with aneurysmal change.
case_images: jocmr-07-062-g002.jpg
case_images: PMC4217758_01_jocmr-07-062-g002.jpg
case_images: F2
case_images: CAG revealed total occlusion of proximal right coronary artery (RCA) by heavy thrombus (Fig. 2A). We did balloon angioplasty and suction of thrombus with restoration of RCA flow (Fig. 2B). We again performed CAG which revealed significant stenosis of distal RCA (Fig. 2C, D).