Acute total occlusion occurrence in a non-instrumented coronary artery during or after coronary intervention is a rare situation. Total occlusion of circumflex obtuse marginal branch, which is previously normal, has occured 6 hours after the intervention in a patient for whom we have performed a succesful directional coronary atherectomy. The occlusion has been opened by PTCA right away. We are presenting this case which is very rare in the Iiterature and the first in our country.
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