[In-stent-stenosis of a bare-metal stent 11 years after its implantation].
METHODS
A 52-year-old man was admitted to our hospital with unstable angina pectoris. A balloon angioplasty of his left anterior descending artery had been performed 12 years ago and two bare-metal stents had been implanted two months later for an early restenosis.


METHODS
Bicycle ergometry was stopped because the patient experienced angina pectoris and the electrocardiogram showed ST-segment depression in leads V4-V6.


RESULTS
A coronary angiography was performed and a single-vessel disease with a significant in-stent stenosis of the proximal left anterior descending artery was diagnosed. Another successful percutaneous coronary intervention was performed with implantation of a drug-eluting stent. The further hospital course was uneventful.


CONCLUSIONS
Even after more than 11 years an in-stent stenosis of a bare-metal stent can occur without progression of coronary artery disease in the other coronary arteries.
Skarlos
A C
AC
Herzzentrum, Kardiologie, Klinikum Ludwigshafen. skarlos@gmx.de
Zahn
R
R
Zeymer
U
U
D000787:Angina Pectoris / Q000175:diagnosis / Q000628:therapy*; D015906:Angioplasty, Balloon, Coronary; D017023:Coronary Angiography; D023903:Coronary Restenosis / Q000175:diagnosis / Q000209:etiology*; D054855:Drug-Eluting Stents; D004868:Equipment Failure; D005080:Exercise Test; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D019233:Retreatment; D015607:Stents