Key result
A 69-year-old woman experienced a rare myocardial reinfarction with simultaneous occlusion of two major coronary arteries, one due to early stent thrombosis, successfully treated with PCI.
Case Report (n=1)
No
This case highlights the rare occurrence of simultaneous multi-vessel coronary thrombosis, including early stent thrombosis, suggesting that preventive PCI in non-infarct arteries with significant stenosis may be beneficial in STEMI patients with multivessel disease.
Coronary artery stent thrombosis is a rare but often fatal complication associated with percutaneous coronary intervention. Although strict adherence to dual anti-platelet therapy minimizes this risk, stent thrombosis will still occur in rare patients, leading to acute, subacute, or late life-threatening coronary syndromes. Intracoronary thrombosis is a usual finding in acute coronary syndrome but simultaneous formation of the thrombi in two different coronary arteries is very rare. Acute coronary syndrome is not simply the result of isolated local plaque disruption and thrombosis, but rather global coronary vessel inflammation, leading to weakening of atherosclerotic plaques in multiple sites nearly simultaneously. We report a case of myocardial reinfarction with simultaneous occlusion of two major coronary branches one of which is due to the early stent thrombosis.
No takes yet. Share an insight, caveat, or question.
Kılıt et al. (2016) conducted a case report in Myocardial reinfarction with simultaneous coronary occlusions and stent thrombosis (n=1). Percutaneous coronary intervention (PCI) and dual antiplatelet therapy was evaluated. A 69-year-old woman experienced a rare myocardial reinfarction with simultaneous occlusion of two major coronary arteries, one due to early stent thrombosis, successfully treated with PCI.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: