title: Very late in-stent restenosis (five years) presenting as an ST elevation acute myocardial infarction.
abstract: Late in-stent restenosis is a rare event. The present report discusses the case of a patient who presented with an acute inferior myocardial infarction five years after stent implantation in the distal right coronary artery. Urgent angiography revealed an occluded right coronary artery in the middle portion of the stented segment. The patient underwent uneventful repeat stenting. Late in-stent restenosis may present as an intrastent plaque rupture with a clinical presentation similar to an atherosclerotic plaque rupture.
authors.affiliation: Quebec Heart-Lung Institute, Laval Hospital, 2725 chemin Ste-Foy, Quebec City, Quebec G1V 4G5, Canada. Olivier.Bertrand@crhl.ulaval.ca
authors.forename: Olivier F
authors.initials: OF
authors.lastname: Bertrand
authors.forename: Josep
authors.initials: J
authors.lastname: Rodés-Cabau
authors.forename: Paul
authors.initials: P
authors.lastname: Poirier
mesh_terms: D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects / Q000379:methods*; D006328:Cardiac Catheterization; D002637:Chest Pain / Q000175:diagnosis / Q000209:etiology; D017023:Coronary Angiography; D023903:Coronary Restenosis / Q000175:diagnosis*; D003937:Diagnosis, Differential; D004562:Electrocardiography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000628:therapy*; D009204:Myocardial Revascularization / Q000379:methods; D018570:Risk Assessment; D015607:Stents / Q000009:adverse effects*; D013997:Time Factors; D016896:Treatment Outcome