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Case Reports in Vascular Medicine
Volume 2012 (2012), Article ID 579097, 2 pages
Case Report

The Main Coronary Artery (LMCA) Thrombus Presented as an ST Elevation Myocardial Infarction in a Hypercoagulable Patient

Department of Cardiology, St. John Hospital & Medical Center, 22101 Moross Road, Detroit, MI 48236, USA

Received 17 November 2012; Accepted 17 December 2012

Academic Editors: N. Espinola-Zavaleta, C.-L. Hung, L. Masotti, and N. Papanas

Copyright © 2012 Nithin Gottam et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Left main coronary artery (LMCA) thrombus is a clinically rare event and is thought to be secondary to plaque rupture with subsequent thrombus formation, persistent hypercoagulable state, cocaine use, or vasospasm. (Klein et al., 2008) here we present a case of LMCA thrombus that presented as an ST elevation myocardial infarction (STEMI) in a hypercoagulable patient.