Abstract
An Unusual Case of Acute Stent Thrombosis: A Review of a Rare Cause of Acute Stent Occlusion
Highlights
The patient was commenced on dual antiplatelet therapy with aspirin 300mg and ticagrelor 180mg, and after ECG confirmation of anterior ST elevation, underwent primary percutaneous coronary intervention to the left anterior descending artery (Figure 1), which was found to be completely occluded
Our patient had no identifiable cardiovascular risk factors, and there was no evidence of plaque rupture at the angioplasty
The systemic anti-cancer treatment she was receiving at the time were not known to be associated with increased cardiovascular risk
Summary
The patient was commenced on dual antiplatelet therapy with aspirin 300mg and ticagrelor 180mg, and after ECG confirmation of anterior ST elevation, underwent primary percutaneous coronary intervention to the left anterior descending artery (Figure 1), which was found to be completely occluded. Investigations and Treatment Routine blood tests demonstrate that she exhibited thrombocytosis on routine bloods four days prior to the cardiac event (platelet count of 731), which were a few weeks after she had commenced chemotherapy (Figure 2). The aetiology of reactive thrombocytosis is a subject for debate, and may not be solely attributable to being secondary to the cardiac event.
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