Clinical image; Management of Coronary Artery Thrombosis

Background: Acute myocardial infarction is an increasing cause of morbidity and mortality in the world. This condition sometimes happens as a result of coronary arteries blockage due to clot formation, spasm or plaque rupture. Cases Report: A 31-year-old man referred to our hospital with severe exertional chest pain. Electrocardiogram revealed ST- segment elevation in precordial leads. Coronary arteries angiography revealed a visible clot at  proximal part of left anterior descending artery. As the thrombolysis in myocardial infarction (TIMI)  flow of the artery was  normal and the patient became  asymptomatic , conservative management was considered. The patient was commenced on anticoagulant, glycoprotein  2b/3a  inhibitor,  aspirin, and  clopidogrel. Follow-up  angiography  showed normal flow with no clot existence. Conclusion: Coronary thrombus is an etiology of acute coronary syndrome. Patients often have varying levels of concurrent atherosclerosis. It’s management is anticoagulation, thrombolysis, and occasionally invasive strategies . Some cases can be managed conservatively, so decision-making is an import part of these patients management