Very late stent thrombosis of a paclitaxel-eluting stent after left main coronary artery stenting

Summary We report the case of a 60-year-old male who was treated by implantation of one drug-eluting stent in the distal left main coronary artery and the ostial left anterior descending artery for an acute anterior ST-elevation myocardial infarction and who developed stent thrombosis and cardiogenic shock seven-hundred thirty days after stent implantation by complete occlusion of the distal left main coronary stem. This case report highlights that very late stent thrombosis (>1 year) may occur with drugeluting stents, which requires careful clinical follow-up and particularly so with stents implanted into the left main coronary artery.