Effective intracoronary thrombectomy with the X-sizer catheter of the right coronary artery and left anterior descending artery in a patient with acute inferior and right ventricular infarction complicated by hypotension and diffuse intracoronary thrombosis.

Intracoronary thrombosis of non infarct-related arteries during an episode of acute myocardial infarction can be correlated with a general thrombogenic state and precipitated by prolonged hypotension. We report the case of a patient with acute inferior and right ventricular infarction with acute thrombotic obstruction of the proximal right coronary artery and associated sessile thrombus in the proximal left anterior descending artery, both successfully treated by thromboaspiration with the X-Sizer catheter (ev3, Inc., Plymouth, Minnesota, USA).