PMC7640541_01
Multiple ectatic segments (blue arrow) with 100% stenosis (red arrow) in the middle segment of the right coronary artery.
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Cathlab was activated for primary PCI and initial coronary angiogram showed normal left main and left circumflex (LCX) arteries, mild atherosclerosis in left anterior descending artery (LAD), and multiple ectatic segments with 100% stenosis in the middle segment of the right coronary artery (RCA) (Fig. 1).
Big clot burden (blue arrow) on ectatic segment as shown.
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He underwent PCI to RCA and after crossing the lesion, coronary angiography showed big clot burden on the ectatic segment (Fig. 2).
Complete resolution of the clot (blue arrow) after aggrastat infusion.
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The second cath showed complete resolution of the clot (Fig. 3) and the lesion was stented by a drug eluting stent 5 x 12 with excellent final result (Fig. 4).