| Literature DB >> 30532912 |
Kazutaka Mori1, Satoko Hayakawa1, Hitoshi Yamaguchi1, Yasuhiro Shimizu1, Akihiro Suzuki1, Takaaki Yamada1, Tomomichi Suzuki1, Harumitsu Yamamoto1, Masahumi Inagaki1, Yasushi Tomita1, Tomoki Kitano1.
Abstract
A 70-year-old man presented to the emergency department at our hospital with chest pain, 24 months after sirolimus-eluting stents (SESs) were implanted in the proximal left anterior descending coronary artery (LAD), middle right coronary artery (RCA), and middle left circumflex artery (LCX), respectively. Electrocardiogram showed complete right bundle branch block and ST-segment elevation in leads II, III, and aVF. He suddenly went to ventricular tachycardia, followed by ventricular fibrillation. Administration of electrical shock led to cardiac arrest. Immediately, we inserted a percutaneous cardiopulmonary system and intra-aortic balloon pumping. Subsequent emergent coronary angiography showed 100% thrombotic total stent obstruction of triple vessels with thrombolysis in myocardial infarction 0 flow. Thrombectomy and balloon angioplasty were performed at the in-stent thrombotic sites. Despite our intensive care, he died due to heart failure on the third day after hospitalization.Entities:
Keywords: Drug-eluting stent; Peri-stent contrast staining; Sirolimus-eluting stent; Very late stent thrombosis
Year: 2012 PMID： 30532912 PMCID： PMC6265430 DOI： 10.1016/j.jccase.2011.12.004
Source DB: PubMed Journal: J Cardiol Cases ISSN： 1878-5409