Very late stent thrombosis of DES implanted patient during noncardiac surgery: A case report.
10.4097/kjae.2009.57.6.800
- Author:
Jong Pil MOON
1
;
Cheon Hee PARK
;
June Seog CHOI
Author Information
1. Department of Anesthesiology and Pain Medicine, Gwangju Christian Hospital, Gwangju, Korea. pch1962@hanmail.net
- Publication Type:Case Report
- Keywords:
Drug eluting stent;
Noncardiac surgery;
Stent thrombosis
- MeSH:
Angioplasty, Balloon, Coronary;
Coronary Angiography;
Coronary Vessels;
Electrocardiography;
Emergencies;
Gastrectomy;
Heart Arrest;
Heart Massage;
Humans;
Male;
Middle Aged;
Perioperative Period;
Stents;
Thrombophilia;
Thrombosis;
Troponin T
- From:Korean Journal of Anesthesiology
2009;57(6):800-804
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Very late stent thrombosis after implantation of drug eluting stent is rare, but its consequences are potentially fatal. Stent thrombosis may be occurred in perioperative period because of interruption of anticoagulation therapy and intraoperative hypercoagulability. We report a case of very late stent thrombosis in a 49-year-old male patient during total gastrectomy. ST-segment elevation in lead II occurred during the surgery and followed by cardiac arrest. After external cardiac massage and electrocardioversion, normal sinus rhythm was restored. Postoperative 12 lead ECG showed ST-segment elevation in leads II, III, aVF and serum cardiac enzymes such as CPK, CK-MB, and Troponin T were markedly elevated. Postoperative coronary angiography showed complete occlusion of the right coronary artery stent. Emergency percutaneous transluminal coronary angioplasty was performed and the patient recovered uneventfully.
