Artikel ; Online: Case report of a very late dual coronary stent thrombosis in a patient with coronavirus disease 2019.
European heart journal. Case reports
2021 Band 5, Heft 6, Seite(n) ytab114
Abstract: ... elevation myocardial infarction revealing a very late dual coronary stent thrombosis of the left anterior ... rate of thrombosis. Few cases of coronary stent thrombosis associated with COVID-19 have been reported ... Background: Coronavirus disease 2019 (COVID-19) is associated with hypercoagulability and a high ...
| Abstract | Background: Coronavirus disease 2019 (COVID-19) is associated with hypercoagulability and a high rate of thrombosis. Few cases of coronary stent thrombosis associated with COVID-19 have been reported. Case summary: In this report, we describe the case of a 65-year-old man with a history of coronary artery disease (CAD) who was admitted following an out-of-hospital cardiac arrest related to an ST-segment elevation myocardial infarction revealing a very late dual coronary stent thrombosis of the left anterior descending and posterior descending arteries. Ten days prior to admission, he was diagnosed with COVID-19 pneumonia and treated with dexamethasone, which led to rapid clinical improvement. After resuscitation, coronary angiography revealed an acute thrombotic occlusion in the two previous drug-eluting stents (implanted in 2010 and 2018), with a high thrombus burden. He was successfully treated by percutaneous coronary intervention. The patient did not present any further complications during his hospital stay and was transferred to a cardiac rehabilitation centre. Discussion: Dual stent thrombosis is an exceptional event highlighting the high procoagulant state promoted by coronavirus 19. This case suggests that strengthening of antithrombotic therapy in CAD patients presenting with COVID-19 should be discussed. |
|---|---|
| Sprache | Englisch |
| Erscheinungsdatum | 2021-06-07 |
| Erscheinungsland | England |
| Dokumenttyp | Case Reports |
| ISSN | 2514-2119 |
| ISSN (online) | 2514-2119 |
| DOI | 10.1093/ehjcr/ytab114 |
| Datenquelle | MEDical Literature Analysis and Retrieval System OnLINE |
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