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Case Reports
. 2021 Dec 30:2021:2658094.
doi: 10.1155/2021/2658094. eCollection 2021.

Simultaneous Multi-Vessel Very Late Stent Thrombosis in Acute ST-Segment Elevation Myocardial Infarction

Yuefeng Chen  1 , Michael Amponsah  1 , Cyril Nathaniel  1
Affiliations
Case Reports

Simultaneous Multi-Vessel Very Late Stent Thrombosis in Acute ST-Segment Elevation Myocardial Infarction

Yuefeng Chen et al. Case Rep Cardiol. .

Abstract

Simultaneous multi-vessel very later stent thrombosis (VLST) is a very rare complication of percutaneous coronary intervention (PCI). We present a case of simultaneous multi-vessel VLST as the cause of acute ST-segment elevation myocardial infarction (STEMI). PCI of the culprit vessel was performed at acute presentation. Resolution of in-stent thrombosis in non-culprit vessels was noted on coronary angiography 2 days later. Our case suggests that PCI for culprit lesion in acute setting may be a reasonable option for simultaneous multi-vessel VLST.

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Conflict of interest statement

The Authors declare that there is no conflict of interest.

Figures

Figure 1
Figure 1
Coronary angiography and LAD primary PCI. Thrombotic occlusion at the site of the proximal LAD stent with TIMI 0 flow (A, B, arrow) and evidence of thrombus at the site of the proximal LCX stent (A, B, arrow) and the mid RCA stent (C, arrows). Following PCI and restoration of TIMI 3 flow in the LAD, there was evidence of remaining thrombus at the site of proximal LCX stent (D, arrow). Resolution of thrombus at the site of the proximal LCX stent (E, arrow) and the mid RCA stent (F, arrow) on day 3 of admission. LAD: left anterior descending artery; LCX: left circumflex artery; RCA: right coronary artery; PCI: percutaneous coronary intervention.
See this image and copyright information in PMC

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