Resolution of Coronary Thrombus Caused by Calcific Sheet


Video Supplement to “Coronary Thrombosis From Superficial Calcific Sheet,” by Gonzálvez-García, et al. (October 2020 Clinical Images).

We present the case of a 63-year-old woman who presented for primary percutaneous coronary intervention in the midst of anterior ST-segment elevation myocardial infarction. The following coronary angiography showed acute total occlusion of the proximal left anterior descending (LAD). After the guidewire passed through the distal LAD, TIMI-3 flow revealed severe proximal stenosis, which was treated with an everolimus-eluting stent with good outcome. Afterward, angiographic haziness was recognized at the mid right coronary artery and OCT exhibited non-occlusive thrombus, which was successfully resolved with dual-antiplatelet therapy.

Read the accompanying article here