Late coronary thrombosis secondary to implantation of paclitaxel-eluting stent without restenosis of conventional stents.
A male 39 year-old patient with post-infarction angina. The coronary angiography showed total proximal obstruction of right coronary artery (RCA), obstructive lesions of 95% of the anterior descending artery (ADA), 80% of the second left marginal branch (LM2), and 95% of the circumflex artery (CXA). The patient was successfully implanted with a Taxus 3.0 x 24 mm stent and an Express 2.75 x 24 mm stent in the proximal and distal thirds of the RCA, respectively, and with an Infinnium 3.0 x 24 mm stent in the ADA. After seven months, the patient had an anterior acute myocardial infarct (AMI) due to thrombosis of the Infinnium stent and restenosis of the Taxus stent, with no loss of results in the conventional stents.
de Abreu
Luciano Maurício
LM
Hospital Stella Maris, Guarulhos, SP, Brazil. lucianoabreu@cardiol.br
Meireles
George César Ximenes
GC
Sumita
Marcos Kiyoshi
MK
Forte
Antonio Artur da Cruz
AA
Aliaga
Jose Del Carmen Solano
Jdel C
Hayashi
Jorge
J
D000328:Adult; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D000972:Antineoplastic Agents, Phytogenic / Q000008:administration & dosage; D017023:Coronary Angiography; D023903:Coronary Restenosis; D023921:Coronary Stenosis / Q000628:therapy*; D003328:Coronary Thrombosis / Q000175:diagnosis / Q000209:etiology*; D054855:Drug-Eluting Stents / Q000009:adverse effects; D006801:Humans; D008297:Male; D017239:Paclitaxel / Q000008:administration & dosage*; D015607:Stents / Q000009:adverse effects*; D016896:Treatment Outcome
D000972:Antineoplastic Agents, Phytogenic; D017239:Paclitaxel