Left Main Coronary Artery Stent Thrombosis: A Challenging Case

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Left Main Coronary Artery Stent Thrombosis: A Challenging Case Kyle Pfahl, MD, Konstantinos Dean Boudoulas, MD The American Journal of Medicine Volume 127, Issue 5, Pages e9-e10 (May 2014) DOI: 10.1016/j.amjmed.2014.01.026 Copyright © 2014 Elsevier Inc. Terms and Conditions

Figure (A) Coronary arteriogram demonstrating left main (LM) coronary artery stent thrombosis (white arrow) with complete occlusion of the LM. (B) Intravascular ultrasound was performed after manual aspiration thrombectomy showing LM stent strut (white arrows) malapposition to vessel wall (asterisk). (C) The stent in the LM was appropriately expanded using coronary balloon inflation; note coronary guidewires in the left anterior descending (LAD) and left circumflex (LCx) arteries. (D) Coronary arteriogram post procedure performed in the left anterior oblique and caudal projection demonstrating a patent LM stent (white arrow) with restoration of flow in the LAD and LCx arteries. The American Journal of Medicine 2014 127, e9-e10DOI: (10.1016/j.amjmed.2014.01.026) Copyright © 2014 Elsevier Inc. Terms and Conditions