Multiple plaque rupture and intracoronary thrombosis: two successful therapeutic strategies in the same patient

Interventionalists have many tools at their disposal for percutaneous revascularization and they all use every modality to restore flow. Sometimes they face challenging situations in the setting of acute coronary syndromes in which more than one strategy has to be used urgently. We are presenting a young male patient with myocardial infarction having two simultaneous occluding fresh coronary thrombi in his left anterior descending coronary artery and its diagonal side branch. Clot extraction catheter is used for aspiration of left anterior descending coronary artery thrombus and he received lytic therapy for the thrombus in the large diagonal side branch.