Simultaneous dual coronary very late stent thrombosis following noncardiac surgery.
Challenges arise in the care of patients with drug-eluting stents (DES) undergoing noncardiac surgery. The risk of bleeding during surgery must be balanced with the risk of stent thrombosis from interrupted dual antiplatelet therapy. We report a case of a patient with simultaneous stent thrombosis in two coronary arteries following discontinuation of clopidogrel for an elective noncardiac surgery 3 years after DES placement.
Parikh
Shailja V
SV
Division of Cardiovascular Diseases, VA North Texas Healthcare System, University of Texas Southwestern Medical Center, Dallas, TX 75216, USA.
Parikh
Ashish
A
Brilakis
Emmanouil S
ES
Banerjee
Subhash
S
D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000379:methods; D000925:Anticoagulants / Q000008:administration & dosage*; D006328:Cardiac Catheterization; D017023:Coronary Angiography; D023903:Coronary Restenosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000628:therapy; D017147:Defibrillators, Implantable; D054855:Drug-Eluting Stents / Q000009:adverse effects*; D004562:Electrocardiography; D005500:Follow-Up Studies; D006801:Humans; D007431:Intraoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011475:Prosthesis Failure; D018570:Risk Assessment; D013122:Spinal Diseases / Q000601:surgery; D017180:Tachycardia, Ventricular / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D016896:Treatment Outcome
D000925:Anticoagulants