A case report of very late stent thrombosis observed simultaneously in all three vessels 5 years after sirolimus-eluting stent implantation

Shigefumi Fukui, Hideaki Endo, Sota Nakajima, Tohru Takahashi, Akihiro Nakamura, Eiji Nozaki

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

A 67-year-old man with recent myocardial infarction underwent a total of five sirolimus-eluting stents (SES) implantation for three vessels stage by stage. A follow-up angiography showed no significant restenosis except one in the side branch. Thereafter, he had remained asymptomatic. Sixty-six months later, he had an acute myocardial infarction with cardiogenic shock due to simultaneous 3-vessel very late stent thrombosis (VLST). After successful percutaneous coronary intervention, final angiography revealed serious peri-stent contrast staining along with positive remodeling and grade V stent fracture. This rare case illustrates simultaneous 3-vessel VLST, associating with multiple SES-related problems, under continuation of aspirin and cilostazol.

Original languageEnglish
Pages (from-to)151-156
Number of pages6
JournalCardiovascular Intervention and Therapeutics
Volume29
Issue number2
DOIs
Publication statusPublished - 2014 Jan 1
Externally publishedYes

Keywords

  • Antiplatelet therapy
  • Myocardial infarction
  • Sirolimus-eluting stent
  • Very late stent thrombosis

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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