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KMID : 0368120150450030248
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Korean Circulation Journal
2015 Volume.45 No. 3 p.248 ~ p.252
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Mechanical Extraction of a Massive Intracoronary Thrombus from the Super-Dominant Right Coronary Artery in Thrombogenic Lung Cancer Patient
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Kim Dong-Kie
Ko Sung-Hyun
Seo Guang-Won
Song Pil-Sang
Kim Ki-Hun
Seol Sang-Hoon
Song Jong-Woon
Kim Doo-Il
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Abstract
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The congenital absence of the left circumflex artery and a compensatory super-dominant right coronary artery (RCA) is a very rare benign coronary anomaly in the clinic. The presence of a massive thrombus in the super-dominant RCA can lead to fatal results in cases of acute myocardial infarction, unless the thrombus is mechanically removed. Aspiration of the thrombus using a 6 Fr right Judkins guide catheter is useful to extract a massive thrombus and is both safe and effective. We report a case of complete revascularization of the super-dominant RCA after thrombus aspiration using a 6 Fr Judkins right catheter in a patient with acute inferior and inferolateral wall myocardial infarction.
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KEYWORD
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Coronary thrombosis, Coronary vessel anomalies, Inferior wall myocardial infarction
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