Very late stent thrombosis associated with multiple stent fractures and peri-stent aneurysm formation after sirolimus-eluting stent implantation.
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.
Lee
Shin-Eun
SE
Division of Cardiology, Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea.
John
Sung-Hee
SH
Lim
Ji-Hyun
JH
Rhew
Jay-Young
JY
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
D007166:Immunosuppressive Agents; D020123:Sirolimus