The sky is the limit to the number of stents

Abstract

We present the case of a 65-year-old man with type 2 diabetes mellitus, arterial hypertension, hypercholesterolemia, salicylate allergy and diagnosed with ischemic heart disease since 2000. The patient, despite intensive pharmacotherapy according to European Society of Cardiology guidelines and the insertion of as many as 11 stents into the coronary arteries, had persistent recurrent acute coronary syndromes, including 4 myocardial infarctions (twice ST-elevation myocardial infarction, twice non-ST-elevation myocardial infarction) between 2000 and 2021. Eventually, the patient underwent left coronary artery bypass surgery. Some potential options for the pharmacological treatment of recurrent acute coronary syndromes are presented in the discussion.