open access

Vol 13, No 2 (2018)
Case Reports
Published online: 2018-05-30
Get Citation

Simultaneous multivessel acute myocardial infarction by double-stent thrombosis

Sofía Calero Nuñez, Miguel Corbí-Pascual, Juan Gabriel Córdoba-Soriano, Arsenio Gallardo-López, María Isabel Barrionuevo Sánchez, Jesús Jiménez Mazuecos
DOI: 10.5603/FC.2018.0030
·
Folia Cardiologica 2018;13(2):163-165.

open access

Vol 13, No 2 (2018)
Case Reports
Published online: 2018-05-30

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.

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.
Get Citation

Keywords

neoatherosclerosis, antiplatelet therapy

Supplementary Files (3)
video 1
Download
43MB
video 2
Download
14MB
video 3
Download
72MB
About this article
Title

Simultaneous multivessel acute myocardial infarction by double-stent thrombosis

Journal

Folia Cardiologica

Issue

Vol 13, No 2 (2018)

Pages

163-165

Published online

2018-05-30

DOI

10.5603/FC.2018.0030

Bibliographic record

Folia Cardiologica 2018;13(2):163-165.

Keywords

neoatherosclerosis
antiplatelet therapy

Authors

Sofía Calero Nuñez
Miguel Corbí-Pascual
Juan Gabriel Córdoba-Soriano
Arsenio Gallardo-López
María Isabel Barrionuevo Sánchez
Jesús Jiménez Mazuecos

References (4)
  1. 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.
  2. 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.
  3. 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.
  4. 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.

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

 

Wydawcą serwisu jest  "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail:  viamedica@viamedica.pl