Intracoronary Thrombus with Normal Coronary Flow during Acute Anterior Myocardial Infarction: a case report

Abstract

Acute myocardial infarction (MI) is a clinical syndrome characterized by acute occlusion of a coronary artery caused mainly by the development of a thrombus on the substrate of various types of atherosclerotic (1). We present a case of female patient with evolving anterior acute MI referred for primary percutan transluminal coronary angioplasty (PTCA) who were successfully managed tirofiban infusion therapy after angiographic documentation of an infarct related artery with a large thrombus, normal coronary flow and absence of detectable atherosclerosis in the rest of the coronary tree.