“The Sticky LAD”: Large Intracoronary Thrombus in an Aneurysmal Left Anterior Descending Artery Presenting as ST-Elevation Myocardial Infarction

Management of acute coronary syndrome in coronary ectasia and large intracoronary thrombi has been culled from case reports. A 55-year-old male sought consult for severe chest pain. On angiography, there was note of large burden intracoronary thrombus. Various percutaneous coronary techniques were done. Angiographic success was not achieved, and then he was maintained on tirofiban. Repeat angiography after 2 weeks revealed dissolution of thrombus with optimal medical therapy. Management of atypical cases should be individualized. J Med Cases. 2018;9(8):243-245 doi: https://doi.org/10.14740/jmc3101w