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Case Reports
. 2009 Aug 12:2:7800.
doi: 10.4076/1757-1626-2-7800.

Acute stent thrombosis in a sirolimus eluting stent after wasp sting causing acute myocardial infarction: a case report

Martin Greif  1 , Tilmann Pohl, Nico Oversohl, Christopher Reithmann, Gerhard Steinbeck, Alexander Becker
Affiliations
Case Reports

Acute stent thrombosis in a sirolimus eluting stent after wasp sting causing acute myocardial infarction: a case report

Martin Greif et al. Cases J. .

Abstract

Introduction: Hymenoptera venoms contain thrombogenic substances that might be responsible for cardiovascular events independent of anaphylactic reactions.

Case presentation: We report a 55-year-old man who experienced an acute ST-elevation myocardial infarction after wasp sting. The patient presented without signs of anaphylaxis or shock. The coronary angiography showed an acute stent thrombosis of the right coronary artery. Percutanous coronary intervention was performed immediately and this is an example for a cardiovascular complication associated with a hymenoptera sting, since the vasoactive, inflammatory, and thrombogenic substances of hymenoptera venoms potentially cause stent thrombosis and myocardial ischemia. To the best of our knowledge this is the first report of acute stent thrombosis in a sirolimus-eluting stent following hymenoptera sting.

Conclusion: Stent thrombosis is a possible complication after wasp sting induced by thrombogenic substances of the hymenoptera venom.

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Figures

Figure 1.
Figure 1.
ECG registered by the emergency physician with ST-segment elevation in the inferior leads.
Figure 2.
Figure 2.
Acute stent thrombosis of the right coronary artery before (Left) and after PCI (Right).
See this image and copyright information in PMC

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