Pharmacomechanic approach for restoration of flow in occluded ectatic right coronary artery with huge thrombus burden.

Advancements in both pharmacological and mechanical approaches have taken place to deal with thrombus-containing lesions in the coronary tree. We describe a case wherein a totally occluded large ectatic right coronary artery with a large thrombus burden was successfully revascularized by a combined pharmacological-mechanical approach, resulting in complete disappearance of the thrombi without distal embolization.