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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 ...

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