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 RCAB. 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.