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A 59-year-old woman with hypertension and previously well-controlled angina presented with acute central chest pain. ECG confirmed an inferior ST-segment elevation myocardial infarction. Emergency coronary angiography revealed severe stenosis of the right coronary artery in the mid-vessel with large thrombus burden (figure 1). Consistent with current clinical guidelines, manual thrombus aspiration using an Export® device (Medtronic, USA) was attempted but there …
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; not externally peer reviewed.