Coronary artery embolisation.

n the setting of an acute inferior myocardial infarction undergoing primary stent implantation, we could document a macroscopic embolus moving along the right coronary artery. Coronary embolisation is a well known drawback of percutaneous coronary interventions and dedicated devices can be used in order to minimize myocardial damage. Nonetheless, unexpected macroscopic embolisation after the first manual contrast injection through a diagnostic catheter remains a possible complication and may lead to unsatisfactory results when the upstream pharmacological therapy is not appropriate.