Acute Coronary Syndrome after 17 Years of Bare Metal Stent Implantation: “Very” Very Late Stent Thrombosis

Very late stent thrombosis (VLST) is a catastrophic and life-threatening complication after percutaneous coronary intervention which presents as an acute coronary syndrome with significantly high mortality and morbidity. VLST is a rare entity with drug-eluting stents and even rarer with bare metal s...

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Main Authors:	Raghavendra Rao K, S. Reddy, J. R. Kashyap, K. Vikas, Hithesh Reddy, Vadivelu Ramalingam
Format:	Article
Language:	English
Published:	Hindawi Limited 2020-01-01
Series:	Case Reports in Cardiology
Online Access:	http://dx.doi.org/10.1155/2020/9628719

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spelling	doaj-74d6eea5bc094c44869ef993293516612020-11-25T02:06:20ZengHindawi LimitedCase Reports in Cardiology2090-64042090-64122020-01-01202010.1155/2020/96287199628719Acute Coronary Syndrome after 17 Years of Bare Metal Stent Implantation: “Very” Very Late Stent ThrombosisRaghavendra Rao K0S. Reddy1J. R. Kashyap2K. Vikas3Hithesh Reddy4Vadivelu Ramalingam5Department of Cardiology, Government Medical College and Hospital, Sector 32, Chandigarh 160030, IndiaDepartment of Cardiology, Government Medical College and Hospital, Sector 32, Chandigarh 160030, IndiaDepartment of Cardiology, Government Medical College and Hospital, Sector 32, Chandigarh 160030, IndiaDepartment of Cardiology, Government Medical College and Hospital, Sector 32, Chandigarh 160030, IndiaDepartment of Cardiology, Government Medical College and Hospital, Sector 32, Chandigarh 160030, IndiaDepartment of Cardiology, Velammal Medical College Hospital and Research Institute, Madurai 625009, IndiaVery late stent thrombosis (VLST) is a catastrophic and life-threatening complication after percutaneous coronary intervention which presents as an acute coronary syndrome with significantly high mortality and morbidity. VLST is a rare entity with drug-eluting stents and even rarer with bare metal stents. The exact pathophysiologic mechanism of VLST after BMS implantation is not known although various mechanisms have been proposed. Recently, in-stent neoatherosclerosis with intimal plaque rupture has been proposed as a potential mechanism of VLST after BMS. We report a rare case of VLST occurring 17 years after BMS implantation with angiographic and intravascular imaging evidence which provides insight into the mechanisms of VLST.http://dx.doi.org/10.1155/2020/9628719
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Raghavendra Rao K S. Reddy J. R. Kashyap K. Vikas Hithesh Reddy Vadivelu Ramalingam
spellingShingle	Raghavendra Rao K S. Reddy J. R. Kashyap K. Vikas Hithesh Reddy Vadivelu Ramalingam Acute Coronary Syndrome after 17 Years of Bare Metal Stent Implantation: “Very” Very Late Stent Thrombosis Case Reports in Cardiology
author_facet	Raghavendra Rao K S. Reddy J. R. Kashyap K. Vikas Hithesh Reddy Vadivelu Ramalingam
author_sort	Raghavendra Rao K
title	Acute Coronary Syndrome after 17 Years of Bare Metal Stent Implantation: “Very” Very Late Stent Thrombosis
title_short	Acute Coronary Syndrome after 17 Years of Bare Metal Stent Implantation: “Very” Very Late Stent Thrombosis
title_full	Acute Coronary Syndrome after 17 Years of Bare Metal Stent Implantation: “Very” Very Late Stent Thrombosis
title_fullStr	Acute Coronary Syndrome after 17 Years of Bare Metal Stent Implantation: “Very” Very Late Stent Thrombosis
title_full_unstemmed	Acute Coronary Syndrome after 17 Years of Bare Metal Stent Implantation: “Very” Very Late Stent Thrombosis
title_sort	acute coronary syndrome after 17 years of bare metal stent implantation: “very” very late stent thrombosis
publisher	Hindawi Limited
series	Case Reports in Cardiology
issn	2090-6404 2090-6412
publishDate	2020-01-01
description	Very late stent thrombosis (VLST) is a catastrophic and life-threatening complication after percutaneous coronary intervention which presents as an acute coronary syndrome with significantly high mortality and morbidity. VLST is a rare entity with drug-eluting stents and even rarer with bare metal stents. The exact pathophysiologic mechanism of VLST after BMS implantation is not known although various mechanisms have been proposed. Recently, in-stent neoatherosclerosis with intimal plaque rupture has been proposed as a potential mechanism of VLST after BMS. We report a rare case of VLST occurring 17 years after BMS implantation with angiographic and intravascular imaging evidence which provides insight into the mechanisms of VLST.
url	http://dx.doi.org/10.1155/2020/9628719
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Acute Coronary Syndrome after 17 Years of Bare Metal Stent Implantation: “Very” Very Late Stent Thrombosis

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