Author/Authors :
Rao K, Raghavendra Department of Cardiology - Government Medical College and Hospital - Sector 32, Chandigarh, India , Reddy, S. Department of Cardiology - Government Medical College and Hospital - Sector 32, Chandigarh, India , Kashyap, J. R. Department of Cardiology - Government Medical College and Hospital - Sector 32, Chandigarh, India , Vikas, K. Department of Cardiology - Government Medical College and Hospital - Sector 32, Chandigarh, India , Reddy, Hithesh Department of Cardiology - Government Medical College and Hospital - Sector 32, Chandigarh, India , Ramalingam, Vadivelu Department of Cardiology - Velammal Medical College Hospital and Research Institute, Madurai, India
Abstract :
Very late stent thrombosis (VLST) is a catastrophic and life-threatening complication after percutaneous coronary intervention
which presents as an acute coronary syndrome with significantly high mortality and morbidity. VLST is a rare entity with
drug-eluting stents and even rarer with bare metal stents. The exact pathophysiologic mechanism of VLST after BMS
implantation is not known although various mechanisms have been proposed. Recently, in-stent neoatherosclerosis with intimal
plaque rupture has been proposed as a potential mechanism of VLST after BMS. We report a rare case of VLST occurring 17
years after BMS implantation with angiographic and intravascular imaging evidence which provides insight into the mechanisms
of VLST.
