title: Very late stent thrombosis 42 months after implantation of sirolimus-eluting stent and discontinuation of antiplatelet therapy.
abstract: Although safety profiles of sirolimus-eluting stents do not seem to differ in short-to-medium term from those of bare-metal stents, late stent thrombosis after deployment of drug-eluting stents has emerged as a potential safety concern in the era of high-pressure stent implantation. Here, we describe the case of a patient with acute myocardial infarction due to stent thrombosis of a sirolimus-eluting stent 42 months after stent deployment and 5 weeks after discontinuation of aspirin treatment. To the best of our knowledge, this is one of the most delayed cases of sirolimus-eluting stent thrombosis described so far. The case emphasizes the potential risk that late stent thrombosis can unpredictably occur at any time point after drug-eluting stent deployment.
authors.affiliation: Department of Cardiology, Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Lazarettstrasse 36, 80636 München, Germany.
authors.forename: Dirk
authors.initials: D
authors.lastname: Sibbing
authors.forename: Karl-Ludwig
authors.initials: KL
authors.lastname: Laugwitz
authors.forename: Lorenz
authors.initials: L
authors.lastname: Bott-Flügel
authors.forename: Jürgen
authors.initials: J
authors.lastname: Pache
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