title: Stent thrombosis with an aneurysm 7 years after a drug eluting stent implantation.
abstract: We report a case of very late stent thrombosis 7 years post sirolimus eluting stent implantation presenting as ST elevation MI while on dual antiplatelet therapy. Angiography revealed an aneurysm at the proximal end of the stent. The patient was managed successfully by primary percutaneous coronary intervention (PCI) with adjunct thrombus aspiration and intracoronary abciximab administration followed by deploying a mesh-covered stent MGuard. This very late complication is a rare presentation after a drug illuting stent (DES).
authors.affiliation: Senior Resident, Fortis Escorts Heart Institute, Okhla Road, New Delhi 110025, India.
authors.forename: Pritam
authors.initials: P
authors.lastname: Patil
authors.affiliation: Consultant, Fortis Escorts Heart Institute, Okhla Road, New Delhi 110025, India.
authors.forename: Arvind
authors.initials: A
authors.lastname: Sethi
authors.affiliation: Prof, Executive Director and Dean, Department Of Intervention Cardiology, Fortis Escorts Heart Institute, Okhla Road, New Delhi 110025, India. Electronic address: kaul.upendra@gmail.com.
authors.forename: Upendra
authors.initials: U
authors.lastname: Kaul
mesh_terms: D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation* / Q000379:methods; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D017023:Coronary Angiography / Q000379:methods; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000628:therapy*; D020878:Device Removal; D054855:Drug-Eluting Stents / Q000009:adverse effects*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D011475:Prosthesis Failure; D035583:Rare Diseases; D019233:Retreatment / Q000379:methods; D018570:Risk Assessment; D020123:Sirolimus / Q000494:pharmacology; D013927:Thrombosis / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D010975:Platelet Aggregation Inhibitors; D020123:Sirolimus
keywords: Coronary artery aneurysm; Drug eluting stent; Stent thrombosis