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Updated: Jun 26, 2026

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques

Published on: June 11, 2019

Multivessel coronary artery thrombosis.

Yumiko Kanei¹, Rajesh Janardhanan, John T Fox

¹Beth Israel Medical Center, Cardiac Catheterization Laboratory, 11 Dazian, 1st Avenue at 16th Street, New York, NY 10003, USA. yumikanei@hotmail.com

The Journal of Invasive Cardiology

|February 3, 2009

Summary

Simultaneous thrombosis in multiple coronary arteries is rare in ST-elevation myocardial infarction (STEMI). Recognizing this critical condition is vital for appropriate patient treatment and management.

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Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques

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Area of Science:

Cardiology
Interventional Cardiology
Vascular Medicine

Background:

ST-segment elevation myocardial infarction (STEMI) typically involves a single culprit artery.
Multivessel coronary artery thrombosis is an infrequent presentation of acute myocardial infarction.

Observation:

A case of a 37-year-old male with inferior STEMI and simultaneous large thrombi in the right coronary artery (RCA) and left anterior descending artery (LAD) is presented.
A literature review identified 23 patients with multivessel thrombosis during acute myocardial infarction.

Findings:

The average patient age was 53 years, with 74% males, often presenting with multiple cardiovascular risk factors.
The LAD (78%) and RCA (87%) were the most commonly affected arteries in multivessel thrombosis.
Aspiration thrombectomy was employed in 3 reviewed cases.

Implications:

Multivessel coronary thrombosis in STEMI, though rare, necessitates prompt recognition for effective therapeutic strategies.
Patients with this condition are often critically ill, highlighting the need for specialized care.
Understanding the prevalence and patterns of multivessel thrombosis can guide clinical decision-making in complex myocardial infarction cases.