Kounis Syndrome Presenting as Very Late Stent Thrombosis in an Everolimus-Eluting Stent Following Wasp Stings.
10.4070/kcj.2013.43.8.561
- Author:
Jung Hwa MIN
1
;
Min Ho KANG
Author Information
1. Division of Cardiology, Department of Medicine, Seoul Paik Hospital, Inje University School of Medicine, Seoul, Korea. eukmh@naver.com
- Publication Type:Case Report
- Keywords:
Hypersensitivity;
Drug-eluting stent;
Thrombosis;
Acute coronary syndrome
- MeSH:
Acute Coronary Syndrome;
Angina, Stable;
Bites and Stings;
Coronary Angiography;
Drug-Eluting Stents;
Humans;
Hypersensitivity;
Mast Cells;
Middle Aged;
Myocardial Infarction;
Sirolimus;
Stents;
Thrombosis;
Wasps;
Everolimus
- From:Korean Circulation Journal
2013;43(8):561-564
- CountryRepublic of Korea
- Language:English
-
Abstract:
Kounis syndrome is the concurrence of acute coronary syndromes with conditions associated with mast cell activation following an allergic insult. We report a 56-year-old man who experienced a ST-segment elevation myocardial infarction after wasp stings. The patient presented without signs of anaphylaxis or shock. Coronary angiography showed an everolimus-eluting stent thrombosis (ST) of the left anterior descending artery occluding the vessel completely which was deployed for stable angina 3 years ago. The patient had been compliant with anti-platelet therapy, and no relevant cardiovascular events occurred until the day of admission. We interpreted our patient's condition as a manifestation of Kounis syndrome. To our knowledge, this is the first case of Kounis syndrome showing very late ST in a second-generation drug-eluting stent caused by wasp stings.
