INTRODUCTION: Although stents have improved the safety and efficacy of percutaneous coronary interventions, coronary stent thrombosis remains a serious complication. CASE PRESENTATION: We present the case of a 64-year-old Caucasian man from Greece, with symptoms and electrocardiographic findings suggestive of acute inferior myocardial infarction, who complained of chest pain and rapidly developed cardiogenic shock 48 hours after primary percutaneous coronary intervention. CONCLUSION: The most common cause of early bare-metal stent thrombosis is stent malapposition. Intravascular ultrasound is the preferred method to recognize predictors of coronary events that are not detected by angiography.
INTRODUCTION: Although stents have improved the safety and efficacy of percutaneous coronary interventions, coronary stent thrombosis remains a serious complication. CASE PRESENTATION: We present the case of a 64-year-old Caucasian man from Greece, with symptoms and electrocardiographic findings suggestive of acute inferior myocardial infarction, who complained of chest pain and rapidly developed cardiogenic shock 48 hours after primary percutaneous coronary intervention. CONCLUSION: The most common cause of early bare-metal stent thrombosis is stent malapposition. Intravascular ultrasound is the preferred method to recognize predictors of coronary events that are not detected by angiography.
Authors: Andrew T L Ong; Eugène P McFadden; Evelyn Regar; Peter P T de Jaegere; Ron T van Domburg; Patrick W Serruys Journal: J Am Coll Cardiol Date: 2005-06-21 Impact factor: 24.094
Authors: Christian Mueller; Helmut Roskamm; Franz-Josef Neumann; Patrick Hunziker; Stephan Marsch; André Perruchoud; Heinz J Buettner Journal: J Am Coll Cardiol Date: 2003-03-19 Impact factor: 24.094