A case of very late stent thrombosis after sirolimus-eluting stent implantation in a patient with provoked severe coronary spasm  

作　　者：Shigenori Ito Masahiko Inomata 

机构地区：[1]Division of Cardiology, Nagoya City East Medical Center, Nagoya, Japan

出　　处：《World Journal of Cardiovascular Diseases》2013年第4期6-8,共3页心血管病（英文）

摘　　要：A 73-year-old male patient suffered from very late stent thrombosis occurred 6 years after sirolimuseluting stent (SES) implantation in the ostial and proximal left anterior descending coronary artery (LAD). He presented emergently with cardiogenic shock and emergent coronary angiography showed thombus in the ostial stent and in the ostial left circumflex artery. Optical coherence tomography found delayed healing on the ostial stent. Acetylcholine provocation test had also shown severe provoked coronary spasm in all coronary arteries 28 months after SES implantation which suggested the association of severe coronary endothelial dysfunction as a potential mechanism of very late stent thrombosis.A 73-year-old male patient suffered from very late stent thrombosis occurred 6 years after sirolimuseluting stent (SES) implantation in the ostial and proximal left anterior descending coronary artery (LAD). He presented emergently with cardiogenic shock and emergent coronary angiography showed thombus in the ostial stent and in the ostial left circumflex artery. Optical coherence tomography found delayed healing on the ostial stent. Acetylcholine provocation test had also shown severe provoked coronary spasm in all coronary arteries 28 months after SES implantation which suggested the association of severe coronary endothelial dysfunction as a potential mechanism of very late stent thrombosis.

关 键 词：STENT THROMBOSIS DRUG-ELUTING STENT CORONARY SPASM CORONARY ENDOTHELIAL Dysfunction 

分 类 号：R54[医药卫生—心血管疾病]