Late stent thrombosis associated with coronary aneurysm formation after sirolimus-eluting stent implantation.

Abstract

Stent thrombosis is a rare but potentially fatal complication of coronary stent implantation. Its occurrence late after drug-eluting stent (DES) deployment has led to concerns regarding their long-term safety. We report a case of late stent thrombosis 26 months after sirolimus-eluting stent (SES) (Cypher, Cordis Corp., Miami, Florida) implantation. This was associated with marked positive vessel remodeling and coronary aneurysm formation involving the stented segment of the coronary artery. The patient was on dual antiplatelet therapy at the time.

• Authors: Shahid Aziz, John L Morris, Raphael A Perry
• Journal: The Journal of invasive cardiology (J Invasive Cardiol) Vol. 19 Issue 4 Pg. E96-8 (Apr 2007) ISSN: 1557-2501 [Electronic] United States
• PMID: 17404416 (Publication Type: Case Reports, Journal Article)

Chemical References

• Immunosuppressive Agents
• Sirolimus

Topics

• Aged
• Angioplasty, Balloon, Coronary
• Coronary Aneurysm (etiology, physiopathology)
• Coronary Angiography
• Coronary Thrombosis (etiology, physiopathology)
• Female
• Humans
• Immunosuppressive Agents (administration & dosage)
• Myocardial Infarction (etiology, therapy)
• Recurrence
• Retreatment
• Sirolimus (administration & dosage)
• Stents (adverse effects)
• Time Factors