successful treatment of a left main thrombus by intracoronary eptifibatide infusion in a 36-year-old patient

the acute coronary syndrome due to the left main coronary artery (lmca) thrombosis is a clinically rare and catastrophic event.   we describe a young man ( smoker, alcoholic, and drug abuser) with a history of recent surgery and typical chest pain who had non-occlusive lmca thrombosis in coronary angiography. the thrombosis was successfully treated with two 180 µ/kg intracoronary boluses of eptifibatide, which was continued through an intravenous infusion at 2 µ/kg/min for 48 hours postprocedurally. control angiography, performed 3 days later, revealed that the lmca was free of thrombosis. the patient had no complaints, including chest pain, and remained completely asymptomatic during the next 30 days' follow-up.