Cardiology>>>>>Ischaemic heart disease
Question 124#

A 69-year-old man known for hypertension and diabetes consulted emergency department for typical chest pain. The ECG did not show significant changes. Troponins were elevated (1.4 μg/L). Coronary angiography (Fig. below)

shows

a. No significant lesion of the RCA
b. Perforation of the mid-portion of the RCA
c. Anomalous origin of the RCA
d. Visible thrombus in the mid-portion of the RCA
e. Dissection of the mid-portion of the RCA

Correct Answer is D

Comment:

Visible thrombus in the mid-portion of the RCA. The coronary angiography showed a subtotal stenosis of the mid-RCA followed by a filling defect compatible with a large thrombus. The thromboaspiration was successfully performed and the lesion was subsequently treated with stenting.