title: Myocardial infarction due to late stent thrombosis following epileptic convulsive seizures.
abstract: 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.
authors: Catheterization Laboratory Cardiology Department, S. Chiara Hospital, Trento, Italy. roberto.bonmassari@apss.tn.it
authors: Roberto
authors: R
authors: Bonmassari
authors: Prisca
authors: P
authors: Zeni
authors: Roberta
authors: R
authors: Spadaro
authors: Mauro
authors: M
authors: Monelli
authors: Marcello
authors: M
authors: Disertori
mesh_terms: 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*