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Key Clinical Message  Management of intracoronary thrombus in patients presenting more than 12 hours after the onset of  ST  elevation myocardial infarction is challenging. We present such a case which had massive thrombus in left anterior descending artery. It was managed successfully with dual antiplatelet agents and factor Xa inhibitor rivaroxaban administered orally.

Dual antiplatelet agents and Rivaroxaban for massive intracoronary thrombus in STEMI