A case report of very late stent thrombosis with peri-stent coronary artery aneurysm and stent-related coronary vasospasm

Morihiko Takeda, Nobuyuki Shiba, Jun Takahashi, Hiroaki Shimokawa

研究成果: Article査読

7 被引用数 (Scopus)

抄録

We describe a 42-year-old man with very late stent thrombosis (VLST) 35 months after implantation of a sirolimus-eluting stent (SES). Three months after the VLST episode, a follow-up angiography showed a formation of peri-stent coronary artery aneurysm. Sixty-five months after SES implantation, the patient suffered an out-of-hospital cardiac arrest. We performed spasm provocation test using acetylcholine to evaluate coronary vasomotor response and the coronary segments adjacent to the SES showed significant vasoconstriction. Intracoronary pretreatment of Rho-kinase inhibitor, fasudil, markedly attenuated acetylcholine-induced vasoconstriction. This report documents a unique case suffering from multiple fatal complications after SES implantation.

本文言語English
ページ(範囲)272-278
ページ数7
ジャーナルCardiovascular Intervention and Therapeutics
28
3
DOI
出版ステータスPublished - 2013 7

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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