Abstract
Double-arterial coronary stent thrombosis in acute myocardial infarction (AMI) is an infrequent but severe complication, especially when the third main coronary artery is chronically occluded. The conus artery (CA) can serve as a major source of collateral when the left anterior descendent coronary artery (LAD) becomes obstructed. We report a case of a 48-year-old man presenting with AMI due to a very late double-arterial stent thrombosis (ST) following drug-eluting stent implantation and a chronic occlusion of LAD collateralized by a large anomalous CA, which provided for the entire vascularization of the coronary tree.
MeSH terms
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Angioplasty, Balloon, Coronary / adverse effects*
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Angioplasty, Balloon, Coronary / instrumentation
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Chronic Disease
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Collateral Circulation
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Coronary Circulation
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Coronary Occlusion / complications*
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Coronary Occlusion / physiopathology
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Coronary Occlusion / therapy
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Coronary Vessel Anomalies / complications*
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Coronary Vessel Anomalies / physiopathology
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Coronary Vessel Anomalies / therapy
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Drug-Eluting Stents
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Fibrinolytic Agents / therapeutic use
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Humans
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Male
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Metals
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Middle Aged
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Myocardial Infarction / etiology*
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Myocardial Infarction / physiopathology
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Myocardial Infarction / therapy
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Platelet Aggregation Inhibitors / therapeutic use
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Prosthesis Design
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Stents
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Thrombosis / etiology*
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Thrombosis / physiopathology
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Treatment Outcome
Substances
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Fibrinolytic Agents
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Metals
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Platelet Aggregation Inhibitors