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A 28-year-old man with no traditional coronary risk factors presented with history of retrosternal chest pain since 1 h. Physical examination revealed features of acute pulmonary oedema. Electrocardiogram showed acute anterior wall myocardial infarction. Coronary angiogram showed a large fusiform aneurysm (10 mm×6 mm) of mid-left anterior descending coronary artery with high thrombus burden producing total occlusion of vessel (figure 1 A, B and online supplementary movie 1). Thrombus aspiration was done with 5.4 F- thrombus vacuum aspiration catheter (TVAC) followed by intracoronary …
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