title: Very late stent thrombosis associated with multiple stent fractures and peri-stent aneurysm formation after sirolimus-eluting stent implantation.
abstract: Previous randomized trials have shown that drug-eluting stents (DES) are superior to bare-metal stents in reducing the need for target lesion revascularization, but safety issues with DES have recently been raised. We report a rare case of very late stent thrombosis 35 months after sirolimus-eluting stent implantation associated with delayed 5-segment stent fractures and peri-stent aneurysm formation.
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea.
authors.forename: Shin-Eun
authors.initials: SE
authors.lastname: Lee
authors.forename: Sung-Hee
authors.initials: SH
authors.lastname: John
authors.forename: Ji-Hyun
authors.initials: JH
authors.lastname: Lim
authors.forename: Jay-Young
authors.initials: JY
authors.lastname: Rhew
mesh_terms: D015906:Angioplasty, Balloon, Coronary; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology*; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000628:therapy*; D003328:Coronary Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology*; D054855:Drug-Eluting Stents / Q000009:adverse effects*; D004562:Electrocardiography; D006801:Humans; D007166:Immunosuppressive Agents / Q000008:administration & dosage; D008297:Male; D008875:Middle Aged; D011475:Prosthesis Failure; D020123:Sirolimus / Q000008:administration & dosage; D013997:Time Factors
chemical_list: D007166:Immunosuppressive Agents; D020123:Sirolimus