When the Going Gets Tough: Stepping-Up With the Penumbra System for Aneurismatic Right Coronary Artery.

Coronary aneurysms represent a challenge in terms of percutaneous interventions, due to the possible large amount of coronary thrombus and the subsequent risk of no-reflow phenomenon. In this case, a step-up approach from a failed manual thrombus aspiration to a mechanical system led to immediate and long-term angiographic success.