01 October 2025
: Case report 
A Non-Stenting Approach to Left Main Thrombus in an Oncology Patient with Acute Heart Failure: A Case Report
Unusual clinical course, Management of emergency care, Educational Purpose (only if useful for a systematic review or synthesis)
Vasileios Bouratzis BEF 1*, Christos S. Katsouras EF 2, Christos Floros AE 1, Katerina K. Naka
BE 1, Lampros Lakkas F 3, Aidonis Rammos F 1, Spyridon-Athanasios Sioros CFG 1, Eftychia Papaioannou AB 1, Ilias K. Gartzonikas F 1, Lampros K. Michalis ADE 1
DOI: 10.12659/AJCR.947359
Am J Case Rep 2025; 26:e947359
Figure 2 Left coronary artery intervention. (A) Initial coronary angiography showing thrombus in LM bifurcation before wiring the LAD and LCX. (B) Angiography of left coronary artery after balloon inflation in LCX. (C) Balloon angioplasty of LM-proximal LAD. (D) Angiography of left coronary artery showing total occlusion of OM due to thrombus migration. (E) Balloon angioplasty of OM. (F) Angiography of LCX after balloon angioplasty to OM, showing improvement of flow. (G, H) Final coronary angiography of left coronary artery, showing TIMI III flow and no thrombus or residual stenosis in the LM bifurcation, as well as total occlusion of distal LCX. (Blue arrows point to the thrombus).