Simultaneous dual coronary very late stent thrombosis following noncardiac surgery

Cardiovasc Revasc Med. 2010 Jul-Sep;11(3):172-4. doi: 10.1016/j.carrev.2009.07.002.

Abstract

Challenges arise in the care of patients with drug-eluting stents (DES) undergoing noncardiac surgery. The risk of bleeding during surgery must be balanced with the risk of stent thrombosis from interrupted dual antiplatelet therapy. We report a case of a patient with simultaneous stent thrombosis in two coronary arteries following discontinuation of clopidogrel for an elective noncardiac surgery 3 years after DES placement.

Publication types

  • Case Reports

MeSH terms

  • Angioplasty, Balloon, Coronary / adverse effects*
  • Angioplasty, Balloon, Coronary / methods
  • Anticoagulants / administration & dosage*
  • Cardiac Catheterization
  • Coronary Angiography
  • Coronary Restenosis / diagnostic imaging
  • Coronary Restenosis / etiology*
  • Coronary Restenosis / therapy
  • Coronary Stenosis / diagnostic imaging
  • Coronary Stenosis / therapy
  • Defibrillators, Implantable
  • Drug-Eluting Stents / adverse effects*
  • Electrocardiography
  • Follow-Up Studies
  • Humans
  • Intraoperative Complications / diagnostic imaging
  • Intraoperative Complications / therapy*
  • Male
  • Middle Aged
  • Prosthesis Failure
  • Risk Assessment
  • Spinal Diseases / surgery
  • Tachycardia, Ventricular / diagnosis
  • Tachycardia, Ventricular / etiology
  • Tachycardia, Ventricular / therapy*
  • Treatment Outcome

Substances

  • Anticoagulants