title: Multiple and recurrent coronary stent fractures.
abstract: Coronary stent fracture is an increasingly recognized complication mainly involving drug-eluting stents. Important clinical implications, including in-stent restenosis and stent thrombosis, have been associated with this phenomenon. Variable incidence rates and several predisposing factors have been reported, but no general agreement exists on the best treatment strategy. We report a case of recurrent multiple left anterior descending artery sirolimus-eluting stent fractures, with variable clinical presentations ranging from recurrent angina to acute myocardial infarction and ventricular fibrillation cardiac arrest, that were ultimately treated with coronary artery bypass surgery.
authors.affiliation: Department of Medicine, Division of Cardiology, Heart and Vascular Institute, Henry Ford Hospital, 2799 West Grand Boulevard, Detroit, MI 48202 USA. MGUERRE1@hfhs.org.
authors.forename: Mohammad
authors.initials: M
authors.lastname: Alqarqaz
authors.forename: Derar
authors.initials: D
authors.lastname: Albashaireh
authors.forename: Mayra
authors.initials: M
authors.lastname: Guerrero
mesh_terms: D000328:Adult; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging / Q000628:therapy*; D054855:Drug-Eluting Stents / Q000009:adverse effects*; D004868:Equipment Failure; D005260:Female; D006801:Humans; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects*; D012008:Recurrence; D016896:Treatment Outcome