Cryptogenic left main thrombosis: Successful mechanical clot retrieval with a self-expanding trapping device


  • Conflict of interest: Nothing to report.


We present the case of a 52-year-old male with ST-segment elevation myocardial infarction due to a spontaneous large left main thrombosis, without any angiographic evidence for coronary artery disease. After multiple unsuccessful attempts of thrombaspiration the large clot was mechanically retrieved by a flow restoration device that was primarily made for intracranial interventions. Intravascular ultrasound revealed marginal lumen narrowing after the intervention, but the final coronary angiogram showed a patent left main and there was no relevant stenosis remaining. © 2013 Wiley Periodicals, Inc.