Case Report

Cardiovascular Intervention and Therapeutics

, Volume 29, Issue 4, pp 339-343

Lone aspiration thrombectomy without stenting for a patient with ST-segment elevation myocardial infarction associated with coronary ectasia

  • Tetsuro YokokawaAffiliated withDepartment of Cardiology, Hoshi General Hospital Email author 
  • , Yuichi UjiieAffiliated withDepartment of Cardiology, Hoshi General Hospital
  • , Hironori KanekoAffiliated withDepartment of Cardiology, Hoshi General Hospital
  • , Yoshitane SeinoAffiliated withDepartment of Cardiology, Hoshi General Hospital
  • , Mikihiro KijimaAffiliated withDepartment of Cardiology, Hoshi General Hospital
  • , Yasuchika TakeishiAffiliated withDepartment of Cardiology and Hematology, Fukushima Medical University

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Abstract

A 57-year-old male with a previous history of inferior myocardial infarction suffered from chest pain and diagnosed as ST-segment elevation myocardial infarction (STEMI). Coronary angiography revealed a thrombus with delayed filling in the distal right coronary artery. After an aspiration thrombectomy, TIMI 3 flow was restored successfully. An intracoronary ultrasound imaging revealed coronary ectasia. Stenting and ballooning were deferred. A successful lone aspiration thrombectomy was performed for a patient with STEMI associated with coronary ectasia.

Keywords

Aspiration thrombectomy ST-segment elevation myocardial infarction Coronary ectasia