PMC4393839_01
Right anterior oblique-caudal coronary angiographic view, indicating thrombotic occlusion of the ostial left anterior descending coronary artery
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F1
Emergent coronary angiography was done, which showed a thrombotically occluded LAD in the ostial portion, accompanied by a large clot in the non-dominant right coronary artery (RCA) (Figure 1).
Final right anterior oblique-caudal coronary angiogram after primary angioplasty of the left anterior descending coronary artery
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As a result, primary angioplasty was performed using manual thrombectomy, followed by bare-metal stenting (Liberte 3.5x16), with resultant Thrombolysis in Myocardial Infarction (TIMI) flow of 2 (Figure 2).
Large thrombosis in the right coronary artery evident in the left anterior oblique view of coronary angiogram
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F3
Apart from slow-flow coronary arteries, the previous LAD stent was patent; however, there was a small globular intraluminal filling defect (possibly thrombosis) at the distal aspect of the stent, alongside the segmental thrombosis of the RCA (Figure 3).