Fig. 2

Coronary angiography. a Thrombotic total occlusion of the mid portion of the right coronary artery (RCA) with TIMI grade 0 flow. b After thrombus aspiration, a large filling defect remained due to extensive thrombus in the mid portion of the RCA with distal embolization in the posterior descending artery (PDA). c After initial intracoronary thrombolysis and repeated thrombus aspiration, improvement of TIMI flow, distal embolization, and residual thrombus at the mid portion of the RCA were noted. d After balloon angioplasty and second intracoronary thrombolysis, the culprit stenotic lesion was dilated, but TIMI flow worsened with distal embolization. e On the ninth day after the primary percutaneous intervention, TIMI flow was restored, but focal eccentric intermediate stenosis with some residual thrombus remained at the mid portion of the RCA. f Six months after discharge, marked dissolution of the thrombus and only minimal stenosis at the mid portion of the RCA was noted