Intracoronary Administration of Thrombolysis for Severe Coronary Artery Ectasia Presenting as an Acute Inferior ST-Segment Elevation Myocardial Infarction.

We present a 75-year-old male with acute inferior ST-elevation myocardial infarction, severe coronary artery ectasia, and large thrombus burden in the right coronary artery to support the use of intracoronary thrombolysis as a second-line therapy for a large thrombus burden in primary percutaneous coronary intervention.