Case Report of a Broken Tip of a Thrombus Aspiration Catheter in an Acute Coronary Syndrome in a Patient with Heart Block

We describe 67 years old male patient presenting with acute coronary syndrome (acute inferior ST elevation) with complete heart block. Primary percutaneous coronary intervention was decided with temporary pacemaker insertion. In view thrombus burden lesion in the proximal right coronary artery. We did thrombus aspiration using a thrombus aspiration catheter. After successfully aspirating thrombus, resistance was felt on withdrawal of the aspiration catheter. The tip of the thrombus aspiration catheter was broken and retained in the guide wire at the level of the proximal right coronary artery. The broken tip of the thrombus aspiration catheter was successfully retrieved percutaneously.