Background: Spontaneous recanalization of a chronically occluded artery is rare and reported anecdotally.

Case Summary: We report a case of a patient with a chronically occluded right coronary artery, found on a coronary angiography performed due to acute ST elevation myocardial infarction with an occluded circumflex artery as a culprit lesion. Three months later, a follow-up angiography was performed and a recanalization of the occluded right coronary artery was detected.

Discussion: There is a possibility that intrinsic fibrinolytic mechanisms with the additional effect of standard antithrombotic drugs administrated after the acute coronary event led to the recanalization.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6481135PMC
http://dx.doi.org/10.1155/2019/7979316DOI Listing

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