Devasia, Tom and Kareem, Hashir and Rao, Sudhakar M and Reddy, Rohith Poondru and Reddy, Sravan KT and Reddy, Rameshwar M (2015) LMCA thrombosis presenting as inferior wall myocardial infarction successfully treated with intracoronary tenecteplase. European Journal of Cardiovascular Medicine, 4 (1). pp. 498-500. ISSN 2042-4884

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Abstract

We report a case of 40 year old male who presented with chest pain and diaphoresis. General and systemic examination was unremarkable. Electrocardiogram was suggestive of inferior wall myocardial infarction. Coronary angiogram revealed large thrombus in left main coronary artery. In view of risk of distal embolisation with thrombectomy, intracoronary tenecteplase was administered following which there was complete resolution of thrombus in left main system. A thorough workup of the cause including thrombotic panel (Protein C, Protein S) was carried out and was negative. Patient made a successful recovery and is doing well on follow-up.

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