Open AccessMyocardial reinfarction with simultaneous occlusions of two major coronary arteries one of which is due to the early stent thrombosis
Author(s) -
Celal Kılıt,
Taner Z. Sen,
Adnan Doğan,
Basri Amasyalı,
Mehmet Özgeyik
Publication year - 2016
Publication title -
international journal of the cardiovascular academy
Language(s) - English
Resource type - Journals
eISSN - 2405-819X
pISSN - 2405-8181
DOI - 10.1016/j.ijcac.2016.01.004
Subject(s) - medicine , cardiology , thrombosis , coronary arteries , acute coronary syndrome , percutaneous coronary intervention , coronary thrombosis , stent , coronary occlusion , complication , artery , myocardial infarction
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