Vol 13, No 2 (2018)
Case report
Published online: 2018-05-30
Simultaneous multivessel acute myocardial infarction by double-stent thrombosis
DOI: 10.5603/FC.2018.0030
Folia Cardiologica 2018;13(2):163-165.
Abstract
We report a case of a patient presenting with an anterior and inferior ST-elevation myocardial infarction due to double-
-arterial coronary stent thrombosis in the left anterior descending artery and right coronary artery, despite the administration of prasugrel and acetylsalicylic acid. Stent thrombosis is an uncommon, but serious complication, usually
manifested by sudden death (20–40%) or acute ST-elevation myocardial infarction (50–70%). It is a multifactor phenomenon, which involves other factors of the patient. Understanding of its histopathology and risk factors becomes
necessary to try to prevent it, and we should keep in mind, that the deployment of a drug-eluting stent could be unsafe
if it is not supported by a suitable evidence-based clinical guideline.
Keywords: neoatherosclerosisantiplatelet therapy
References
- Byrne RA, Joner M, Kastrati A. Stent thrombosis and restenosis: what have we learned and where are we going? The Andreas Grüntzig Lecture ESC 2014. Eur Heart J. 2015; 36(47): 3320–3331.
- Waksman R, Kirtane AJ, Torguson R, et al. DESERT Investigators. Correlates and outcomes of late and very late drug-eluting stent thrombosis: results from DESERT (International Drug-Eluting Stent Event Registry of Thrombosis). JACC Cardiovasc Interv. 2014; 7(10): 1093–1102.
- Mezzapelle G, Baglini R, Baldari D. Simultaneous double-culprit in-stent thrombosis. Who is the guilty prisoner behind bars: drug-eluting stent, bare-metal stent, or indication for treatment? Cardiovasc Revasc Med. 2006; 7(4): 258–263.
- Monopoli DE, Politi L, Sgura F, et al. Acute myocardial infarction with occlusion of all three main epicardial coronary arteries: when Mother Nature takes care more than physicians. Heart Vessels. 2011; 26(2): 222–225.
