Abstract
IntroductionAlthough stents have improved the safety and efficacy of percutaneous coronary interventions, coronary stent thrombosis remains a serious complication.Case presentationWe present the case of a 64-year-old Caucasian man from Greece, with symptoms and electrocardiographic findings suggestive of acute inferior myocardial infarction, who complained of chest pain and rapidly developed cardiogenic shock 48 hours after primary percutaneous coronary intervention.ConclusionThe most common cause of early bare-metal stent thrombosis is stent malapposition. Intravascular ultrasound is the preferred method to recognize predictors of coronary events that are not detected by angiography.
Highlights
Stents have improved the safety and efficacy of percutaneous coronary interventions, coronary stent thrombosis remains a serious complication.Case presentation: We present the case of a 64-year-old Caucasian man from Greece, with symptoms and electrocardiographic findings suggestive of acute inferior myocardial infarction, who complained of chest pain and rapidly developed cardiogenic shock 48 hours after primary percutaneous coronary intervention
Stents have improved the safety and efficacy of percutaneous coronary interventions (PCI) by reducing acute or imminent vessel closure and by reducing restenosis rates compared with conventional balloon angioplasty [1]
Coronary stent thrombosis remains a serious complication of PCI
Summary
Stents have improved the safety and efficacy of percutaneous coronary interventions (PCI) by reducing acute or imminent vessel closure and by reducing restenosis rates compared with conventional balloon angioplasty [1]. Case presentation A 64-year-old male Caucasian patient was admitted to our hospital with clinical and electrocardiographical findings suggesting acute inferior myocardial infarction. Laboratory findings were suggestive of acute cardiac ischemia. The intervention started with a predilatation of the severe lesion with a compliant balloon 2 × 20 mm at 10 Atm, followed by the deployment of a bare-metal chromium-cobalt stent 4 × 16 mm at 14 Atm. The final result was deemed satisfactory with TIMI III flow, and the fully expanded stent appropriately sized in length and diameter (Figure 1B). Forty-eight hours after admission, our patient complained of chest pain and developed complete heart block and asystole, suggestive of acute inferior myocardial infarction. Balloon dilatation of the stent and a postdilatation IVUS study took place (Figure 1F). Our patient went on to a full and uneventful recovery after that and was discharge seven days later without any further complications
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