A Case of Subacute Stent Thrombosis

A 67-year-old male presenting with an anterior ST-segment elevation myocardial infarction (STEMI) underwent stent placement in the left anterior descending coronary. The patient was discharged on an appropriate medical regimen containing dual antiplatelet therapy (DAPT). Four days later, the patient...

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Published inCurēus (Palo Alto, CA) Vol. 15; no. 4; p. e37725
Main Authors Mijares-Rojas, Ivan A, Martinez, Enrique F, Leonor Lopez, George L, De Marchena, Eduardo, Alfonso, Carlos E
Format Journal Article
LanguageEnglish
Published United States Cureus Inc 17.04.2023
Cureus
Subjects
Acute coronary syndromes
Angioplasty
Blood clots
Cardiology
Case reports
Diabetes
Ejection fraction
Electrocardiography
Emergency services
Heart attacks
Internal Medicine
Intubation
Medical imaging
Medicine
Mortality
Patients
Stents
Thrombosis
Ultrasonic imaging
Veins & arteries
United States > US
drug eluting stent
coronary artery angiography
intravascular ultrasound (ivus)
stent thrombosis
primary percutaneous coronary intervention (pci)
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Summary:A 67-year-old male presenting with an anterior ST-segment elevation myocardial infarction (STEMI) underwent stent placement in the left anterior descending coronary. The patient was discharged on an appropriate medical regimen containing dual antiplatelet therapy (DAPT). Four days later, the patient presented with repeat acute coronary syndrome symptomatology. Electrocardiogram demonstrated ongoing STEMI in the previously treated artery distribution. Emergency angiography revealed restenosis and total thrombotic occlusion. Post-intervention stenosis was 0% after aspiration thrombectomy and balloon angioplasty. Stent thrombosis is a high-mortality and therapeutically challenging condition requiring prepared clinicians who recognize predisposing risk factors and initiate early management.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.37725