The presence of a thrombus in the left main coronary artery is a rare but serious situation. Although there are no clear guidelines for such cases, a coronary artery bypass grafting (CABG) surgery is generally performed. Also, in the literature, there are limited reports on cases treated successfully through percutaneous procedures or medical therapy. In this article, we report the case of a patient with a thrombus in his left main coronary artery, a completely obstructed right coronary artery, and chronic renal failure. Because an immediate CABG was highly risky, the patient was given a tirofiban infusion for 48 hours. After the tirofiban infusion, the patient’s thrombus had shrunk and his clinical situation had stabilized, paving the way for a successful surgical intervention.
Keywords: Coronary, thrombosis, tirofiban