TCTAP C-002 The Nightmare of Rescue PCI In Coronary Artery Ectasia: A Resistant Thrombus That Migrating Proximally in the RCA - "The Clock is Ticking"

ECG showed ST elevation in the inferior leads and RV4, consistent with the diagnosis of Acute Inferior STEMI involved Right Ventricular -Killip Class I. Aspirin 300 mg and Clopidogrel 300 mg were given.Relevant Test Results Prior to Catheterization In view of primary PCI facility was not readily available, a standard dose of fibrin-specific thrombolytic agent- i.v. 30 mg tenecteplase (body weight-56 kg) was given immediately. [...]another dose of STK 100 000 units was repeated in addition to the repetitive thrombus aspirations. [...]TIMI II flow was achieved and followed by an early hemodynamic stabilization.