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

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.

• Bare-metal stent
• late stent thrombosis
• platelets

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