Key result
Coronary endarterectomy with stent removal in a 65-year-old man was complicated by acute thrombosis and myocardial infarction, which was successfully treated with aggressive anticoagulation and pacing.
Case Report (n=1)
Aggressive anticoagulation and mechanical support can successfully treat acute thrombosis following coronary endarterectomy of a stented artery.
Aggressive anticoagulation and pacing may manage post-endarterectomy thrombosis in select cases; leaves open generalizability beyond this single report.
Acute thrombosis of the endarterectomized coronary artery is a serious complication after coronary endarterectomy. Herein, we describe a case of a 65-year-old man who had undergone percutaneous stent implantation in the left anterior descending artery, then after he received an endarterectomy with the removal of stents severe in-stent restenosis occurred. Three days after the operation, sick sinus syndrome developed with acute myocardial infarction. Coronary angiography revealed thrombosis at the reconstructed site of the left anterior descending artery. Pacemaker implantation, intra-aortic balloon pumping, and aggressive anticoagulation produced recanalization of the left anterior descending artery.
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Uchimuro et al. (2009) conducted a case report in Acute thrombosis after coronary endarterectomy (n=1). Coronary endarterectomy with removal of stents was evaluated on Acute thrombosis and acute myocardial infarction. Coronary endarterectomy with stent removal in a 65-year-old man was complicated by acute thrombosis and myocardial infarction, which was successfully treated with aggressive anticoagulation and pacing.
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