title: Triple, simultaneous, very late coronary stent thrombosis.
abstract: Coronary artery stent thrombosis is an uncommon but potentially catastrophic complication. The risk of very late stent thrombosis (VLST) raises important safety issues regarding the first generation of drug-eluting stents (DES). Although several complex mechanisms for VLST have been suggested and various predictors have been described, its pathophysiology is not completely understood and it is not known whether longer-term dual antiplatelet therapy reduces the risk. We present a rare case of simultaneous very late DES thrombosis in the three vascular territories, following discontinuation of antiplatelet therapy seven years after stent placement, presenting as cardiogenic shock.
authors: Cardiology Department, Santo António Hospital- Centro Hospitalar do Porto, Porto, Portugal. zemiguelvieira@gmail.com
authors: Miguel Silva
authors: MS
authors: Vieira
authors: André
authors: A
authors: Luz
authors: Diana
authors: D
authors: Anjo
authors: Nuno
authors: N
authors: Antunes
authors: Mário
authors: M
authors: Santos
authors: Henrique
authors: H
authors: Carvalho
authors: Severo
authors: S
authors: Torres
mesh_terms: D003328:Coronary Thrombosis / Q000150:complications / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents / Q000009:adverse effects*; D013997:Time Factors