title: Simultaneous two-vessel very late stent thrombosis and coronary aneurysm formation after sirolimus-eluting stent implantation: an intravascular ultrasound evaluation.
abstract: Very late stent thrombosis is a rare but devastating complication. Several factors are known to contribute to its occurrence, and are related to the patient, procedure, lesion and premature discontinuation of antiplatelet therapy. This report describes the case of a 49-year-old patient with simultaneous two-vessel stent thrombosis (left anterior descending and circumflex arteries) 24 months after sirolimus-eluting stent implantation. The importance of intravascular ultrasound is enhanced. The potential contributing factors to the stent thrombosis are analyzed.
authors.affiliation: Cardiology Department, University Hospital German Trias i Pujol, Badalona, Barcelona, Spain. joanadelgadosilva@gmail.com
authors.forename: Joana
authors.initials: J
authors.lastname: Silva
authors.forename: Xavier
authors.initials: X
authors.lastname: Carrillo
authors.forename: Neus
authors.initials: N
authors.lastname: Salvatella
mesh_terms: D003323:Coronary Aneurysm / Q000175:diagnosis* / Q000209:etiology*; D003328:Coronary Thrombosis / Q000175:diagnosis* / Q000209:etiology*; D054855:Drug-Eluting Stents; D006801:Humans; D008297:Male; D008875:Middle Aged; D018084:Ultrasonography, Interventional