title: Very late stent thrombosis immediately after recurrent inappropriate shock delivery by an implantable cardioverter defibrillator.
abstract: The case of a 49-year-old man who developed an ST segment elevation myocardial infarction because of very late stent thrombosis occurring in the immediate aftermath of a "storm" of recurrent inappropriate implantable cardioverter defibrillator (ICD) shocks caused by a fracture of a Medtronic Sprint Fidelis (Medtronic Inc., Minneapolis, MN) right ventricular lead is described. A causal relationship between recurrent ICD shocks and stent thrombosis is proposed. This deleterious association is an important observation given the increasing population of patients who receive both coronary stents and ICDs.
authors.affiliation: St James's Hospital, Dublin, Ireland. johngroarke1@eircom.net
authors.forename: John
authors.initials: J
authors.lastname: Groarke
authors.forename: Dermot
authors.initials: D
authors.lastname: Phelan
authors.forename: David
authors.initials: D
authors.lastname: Burke
authors.forename: Peter
authors.initials: P
authors.lastname: Crean
authors.forename: Brendan
authors.initials: B
authors.lastname: Foley
mesh_terms: D017147:Defibrillators, Implantable / Q000009:adverse effects*; D004556:Electric Injuries / Q000175:diagnosis / Q000209:etiology; D006331:Heart Diseases / Q000175:diagnosis* / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents / Q000009:adverse effects*; D013927:Thrombosis / Q000175:diagnosis* / Q000209:etiology*