Abstract
A patient with an acute inferior wall with right ventricular myocardial infarction was presented in Killip class I in a hemodynamically stable condition. He was taken up for primary angioplasty; coronary angiogram revealed a mass in the right coronary sinus extending into the ascending aorta which on a subsequent contrast CT scan was found to be suggestive of a thrombus. He was treated with IV thrombolysis (Tenecteplase) which led to a shower of microemboli into the renal and mesenteric circulation. Patient recovered without any need for further intervention.
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