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Intracoronary thrombus

Stephan Achenbach1, Mohamed Marwan

  • 1Department of Internal Medicine, University of Erlangen, Ulmenweg 18, Erlangen 91054, Germany. stephan.achenbach@uk erlangen.de

Journal of Cardiovascular Computed Tomography
|August 1, 2009
PubMed

Insights

A 62-year-old experienced acute chest pain due to an intracoronary thrombus. Treatment involved removing thrombus fragments from the left circumflex artery using an extraction device.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Medical Imaging

Background:

  • Acute chest pain is a common presentation requiring prompt diagnosis.
  • Coronary artery disease can manifest with intracoronary thrombus formation.
  • Left circumflex coronary artery lesions pose significant risks.

Observation:

  • A 62-year-old patient presented with acute chest pain.
  • Coronary CT angiography revealed a high-grade lesion with remodeling and suspected thrombus in the left circumflex artery.

Findings:

  • Invasive angiography confirmed the presence of an intracoronary thrombus.
  • Thrombus fragments were successfully removed using an extraction device.

Implications:

  • This case highlights the utility of coronary CT angiography in diagnosing complex coronary artery lesions.
  • Percutaneous coronary intervention with thrombus aspiration can be effective in managing acute coronary syndromes caused by thrombus.
  • Early diagnosis and intervention are crucial for favorable patient outcomes.

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