PMID- 20042159 OWN - NLM STAT- MEDLINE DCOM- 20100402 LR - 20101118 IS - 1022-386X (Print) IS - 1022-386X (Linking) VI - 19 IP - 12 DP - 2009 Dec TI - Primary percutaneous coronary aspiration of thrombus from infarct related artery. PG - 791-3 AB - We are reporting the case of a 48-year-old man hypertensive, and smoker presenting with acute inferoposterior ST elevation myocardial infarction (STEMI) with right ventricular infarction. He underwent diagnostic angiogram which revealed total occlusion of mid right coronary artery (RCA) by thrombus. Multiple runs of aspiration were performed using Export Aspiration Catheter-6F and thrombus was aspirated from RCA. Postaspiration stenting was deferred due to absence of any significant obstructive lesion. Some thrombus had migrated to distal right posteriolateral branch (RPLB). He was started on glycoprotein (GP) IIb IIIa inhibitors which had to stopped after a few hours due to upper gastrointestinal bleed. After 48 hours a re-look angiogram demonstrated good flow in RCA with resolution of the residual thrombus. FAU - Shaikh, Ayaz Hussain AU - Shaikh AH AD - Department of Cardiology, Tabba Heart Institute, Karachi. ahsdr1977@yahoo.com FAU - Pathan, Asad AU - Pathan A FAU - Hasan, Khursheed AU - Hasan K FAU - Malik, Faiza AU - Malik F FAU - Qazi, Hammad Ali AU - Qazi HA FAU - Mujtaba, Iqbal AU - Mujtaba I LA - eng PT - Case Reports PT - Journal Article PL - Pakistan TA - J Coll Physicians Surg Pak JT - Journal of the College of Physicians and Surgeons--Pakistan : JCPSP JID - 9606447 SB - IM MH - *Angioplasty, Balloon, Coronary MH - Coronary Occlusion/etiology MH - Coronary Thrombosis/complications/*therapy MH - Humans MH - Male MH - Middle Aged MH - Myocardial Infarction/complications EDAT- 2010/01/01 06:00 MHDA- 2010/04/03 06:00 CRDT- 2010/01/01 06:00 PHST- 2008/11/11 00:00 [received] PHST- 2009/09/26 00:00 [accepted] PHST- 2010/01/01 06:00 [entrez] PHST- 2010/01/01 06:00 [pubmed] PHST- 2010/04/03 06:00 [medline] AID - 040579197 [pii] PST - ppublish SO - J Coll Physicians Surg Pak. 2009 Dec;19(12):791-3.