Repeated percutaneous coronary intervention due to repeated acute coronary syndrome caused by different coronary arteries

Abstract

We are presenting the case of a 74 year-old female who was hospitalised twice within 6 months with acute coronary syndrome (ACS) and on both occasions was treated with coronary stenting. Both ACS were caused by an angiographically single vessel disease which occurred in different arteries (1^st — left anterior descending and 2^nd — right coronary artery). The case exemplifies that vulnerability persists despite pharmaco-mechanical management and that ACS after stenting can be due not only to an ‘in-stent event’ (thrombosis or restenosis) which is suspected at first but also due to stenosis occurring in any artery of coronary tree — anatomically unrelated to the initial event. Many efforts are made to identify vulnerable plaques and patients, unfortunately to date without success in everyday practice. A close follow-up after ACS is therefore mandatory.
Kardiol Pol 2011; 69, 7: 728–732