The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Image in cardiology

Time does not heal all wounds: very late stent thrombosis eight years after implantation of a sirolimus-eluting stent due to positive remodelling, saccular evaginations and marked vascular inflammation

EuroIntervention 2013;9:412-413 published online ahead of print October 2012. DOI: 10.4244/EIJV9I3A66

Deutsches Herzzentrum & 1. Medizinische Klinik, Klinikum rechts der Isar, Technische Universität, Munich, Germany
A 64-year-old patient was admitted with acute lateral wall ST-elevation myocardial infarction. Past medical history was notable for a prior lateral wall myocardial infarction, which was treated with bare metal stent (BMS) implantation in the proximal segment of the LCx. Due to subsequent in-stent restenosis of the BMS as well as a de novo stenosis proximal to the old stent (Moving image 1) a sirolimus-eluting stent (SES, Cypher®; Cordis, Miami Lakes, FL, USA) was implanted nine years ago and covered both lesions.

Later, coronary angiography revealed a known aneurysmal dilation of the coronary vessels with thrombotic occlusion of the proximal ...

Sign in to read and download the full article

Forgot your password?
No account yet? Sign up for free!
Create my pcr account

Join us for free and access thousands of articles from EuroIntervention, as well as presentations, videos, cases from

Read next article
EAPCI Focus on the Working Group of Interventional Cardiology of the Croatian Cardiac Society