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J Cardiol Cases. 2009 Dec 02;1(2):e116-e119. doi: 10.1016/j.jccase.2009.10.006. eCollection 2010 Apr.

Very late stent thrombosis after drug-eluting stent implantation in a patient with antiphospholipid syndrome.

Journal of cardiology cases

Tatsuya Hondo, Shin Eno, Keiji Matsuda, Akinori Sairaku, Tomohiko Kisaka

Affiliations

  1. Department of Cardiology, Chugoku Rosai Hospital, Hiroshima, Japan.

PMID: 30615741 PMCID: PMC6264932 DOI: 10.1016/j.jccase.2009.10.006

Abstract

A 74-year-old woman was admitted to our hospital with chest pain and shortness of breath. Coronary arteriograms revealed occlusion of a drug-eluting stent, which had been implanted 33 months earlier, in the middle right coronary artery. During percutaneous coronary intervention, distal embolization developed and a thrombus was detected with an aspiration catheter. Serological examinations performed 1 year before and during the present hospitalization revealed positive lupus anticoagulant activity. Thrombophilic tendencies, such as antiphospholipid syndrome, are noteworthy as one of the causative factors in very late stent thrombosis.

Keywords: Antiphospholipid syndrome; Drug-eluting stent; Very late stent thrombosis

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