Acute left main coronary occlusion caused by stent fracture, peri-stent aneurysm formation, and very-late stent thrombosis: revisiting the dark side of drug-eluting stents.
A patient presented with acute distal left main occlusion as a result of very late stent thrombosis of 2 drug-eluting stents. Intravascular ultrasound imaging confirmed the presence of a peri-stent aneurysm coupled with malapposition at the site of a stent fracture, reflecting an abnormal vascular response to drug-eluting stents.
Columbia University Medical Center/New-York Presbyterian Hospital, New York, New York, USA; Centre hospitalier universitaire de Sherbrooke/Université de Sherbrooke, Sherbrooke, Québec, Canada.
Benoit
B
Daneault
Columbia University Medical Center/New-York Presbyterian Hospital, New York, New York, USA.
Stacy
S
Baird
Columbia University Medical Center/New-York Presbyterian Hospital, New York, New York, USA. Electronic address: akirtane@columbia.edu.
Ajay J
AJ
Kirtane
D000208:Acute Disease; D000328:Adult; D006328:Cardiac Catheterization; D003323:Coronary Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D025401:Echocardiography, Stress; D005260:Female; D005500:Follow-Up Studies; D006083:Graft Occlusion, Vascular / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D011475:Prosthesis Failure; D012086:Reoperation; D015607:Stents; D018084:Ultrasonography, Interventional