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Case Reports

Time does not heal every wound: Coronary stent thrombosis of a bare-metal stent more than one decade after its implantation

, , &
Pages 594-597 | Received 24 Jun 2009, Accepted 27 Aug 2009, Published online: 26 Oct 2009
 

Abstract

In the present report, we describe a unique case of very late stent thrombosis with a bare-metal stent that occurred more than a decade after stent implantation. Potential explanations for the late stent thrombosis are non-compliance to aspirin, late acquired malapposition of the stent, progression of atherosclerosis or in-stent restenosis. In our patient, none of these explanations seems to have played a role. Although the occurrence of (very) late stent thrombosis is not uncommon with drug-eluting stent (DES), it is rather unusual with bare-metal stent (BMS). Nevertheless, cardiologists should be aware of the potential complication of late stent thrombosis, even with bare-metal stents.

Abbreviations
ACE=

angiotensin-converting enzyme

ADP=

adenosine diphosphate

AA=

arachidonic acid

BMS=

bare-metal stent

CPK-MB=

creatine phosphokinase-MB

DES=

drug-eluting stent

IVUS=

intravascular ultrasound

RCA=

right coronary artery

PCI=

percutaneous coronary intervention

Abbreviations
ACE=

angiotensin-converting enzyme

ADP=

adenosine diphosphate

AA=

arachidonic acid

BMS=

bare-metal stent

CPK-MB=

creatine phosphokinase-MB

DES=

drug-eluting stent

IVUS=

intravascular ultrasound

RCA=

right coronary artery

PCI=

percutaneous coronary intervention

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