Myocardial infarction due to late stent thrombosis following epileptic convulsive seizures.
We report the first case in the literature of acute myocardial infarction due to very late (5 years) drug-eluting stent (DES) thrombosis presenting with inferior ST-elevation myocardial infarction immediately after epileptic convulsive seizures in a patient with known coronary artery disease. A bare-metal stent had been implanted in the left anterior descending coronary artery in 2002, and a drug-eluting stent implanted in the right coronary artery in 2003. We discuss the possible pathogenetic mechanisms implied in convulsive epileptic crisis resulting in development of very late DES thrombosis.
Bonmassari
Roberto
R
Catheterization Laboratory Cardiology Department, S. Chiara Hospital, Trento, Italy. roberto.bonmassari@apss.tn.it
Zeni
Prisca
P
Spadaro
Roberta
R
Monelli
Mauro
M
Disertori
Marcello
M
D003324:Coronary Artery Disease / Q000601:surgery*; D054855:Drug-Eluting Stents / Q000009:adverse effects*; D004827:Epilepsy / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology*; D013927:Thrombosis / Q000209:etiology*