title: Acute stent thrombosis in a sirolimus eluting stent after wasp sting causing acute myocardial infarction: a case report.
abstract: BACKGROUND
  Hymenoptera venoms contain thrombogenic substances that might be responsible for cardiovascular events independent of anaphylactic reactions.
  
  
  METHODS
  We report a 55-year-old man who experienced an acute ST-elevation myocardial infarction after wasp sting. The patient presented without signs of anaphylaxis or shock. The coronary angiography showed an acute stent thrombosis of the right coronary artery. Percutanous coronary intervention was performed immediately and this is an example for a cardiovascular complication associated with a hymenoptera sting, since the vasoactive, inflammatory, and thrombogenic substances of hymenoptera venoms potentially cause stent thrombosis and myocardial ischemia. To the best of our knowledge this is the first report of acute stent thrombosis in a sirolimus-eluting stent following hymenoptera sting.
  
  
  CONCLUSIONS
  Stent thrombosis is a possible complication after wasp sting induced by thrombogenic substances of the hymenoptera venom.
authors.affiliation: Department of Cardiology, Ludwig-Maximilians-University Munich, Germany Marchioninistrasse 1581377 Munich Germany. martin.greif@med.uni-muenchen.de
authors.forename: Martin
authors.initials: M
authors.lastname: Greif
authors.forename: Tilmann
authors.initials: T
authors.lastname: Pohl
authors.forename: Nico
authors.initials: N
authors.lastname: Oversohl
authors.forename: Christopher
authors.initials: C
authors.lastname: Reithmann
authors.forename: Gerhard
authors.initials: G
authors.lastname: Steinbeck
authors.forename: Alexander
authors.initials: A
authors.lastname: Becker