Cardiovascular Revascularization Medicine
Volume 11, Issue 3 , Pages 172-174, July 2010

Simultaneous dual coronary very late stent thrombosis following noncardiac surgery

  • Shailja V. Parikh

      Affiliations

    • Division of Cardiovascular Diseases, VA North Texas Healthcare System, University of Texas Southwestern Medical Center
  • ,
  • Ashish Parikh

      Affiliations

    • University of Missouri Kansas City School of Medicine
  • ,
  • Emmanouil S. Brilakis

      Affiliations

    • Division of Cardiovascular Diseases, VA North Texas Healthcare System, University of Texas Southwestern Medical Center
  • ,
  • Subhash Banerjee

      Affiliations

    • Division of Cardiovascular Diseases, VA North Texas Healthcare System, University of Texas Southwestern Medical Center
    • Corresponding Author InformationCorresponding author. Dallas VA Medical Center, 4500 South Lancaster Road (111a), Dallas, TX 75216, USA. Tel.: +1 214 857 1608; fax: +1 214 857 1474.

Received 2 May 2009; received in revised form 3 July 2009; accepted 7 July 2009.

Abstract 

Challenges arise in the care of patients with drug-eluting stents (DES) undergoing noncardiac surgery. The risk of bleeding during surgery must be balanced with the risk of stent thrombosis from interrupted dual antiplatelet therapy. We report a case of a patient with simultaneous stent thrombosis in two coronary arteries following discontinuation of clopidogrel for an elective noncardiac surgery 3 years after DES placement.

Keywords: Drug-eluting stents, Stent thrombosis, Dual antiplatelet therapy

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PII: S1553-8389(09)00243-7

doi:10.1016/j.carrev.2009.07.002

Cardiovascular Revascularization Medicine
Volume 11, Issue 3 , Pages 172-174, July 2010