“Catch Me If You Can”

• Main Authors: Xinzhe James Cai, MBBS, MMed (Int Med), Thuan Ngee Tan, MBBS (Malaya), Siang Chew Chai, MBBS, Charlene Jin Yee Liew, MBBS, MMed (NUS), Boon Wah Matthew Liew, MBBS, MMed (Int Med), Benji Yaozong Lim, MB BCh, BAO
• Format: Article
• Language: English
• Published: Elsevier 2020-10-01
• Series: JACC: Case Reports
• Subjects: acute coronary syndrome; aorta; thrombus
• Online Access: http://www.sciencedirect.com/science/article/pii/S266608492031072X
• ISSN: 2666-0849

A 42-year-old male patient presented with recurrent inferior ST-segment elevation myocardial infarction with minimal atherosclerotic disease on intracoronary imaging. Transesophageal echocardiogram and computed tomography aortogram revealed the underlying cause to be a mobile aortic thrombus in the right coronary cusp, prolapsing into and out of the right coronary ostium. (Level of Difficulty: Beginner.)