Mijares-Rojas Ivan A, Martinez Enrique F, Leonor Lopez George L, De Marchena Eduardo, Alfonso Carlos E
Internal Medicine, University of Miami Miller School of Medicine, Jackson Memorial Hospital, Miami, USA.
Internal Medicine, John H. Stroger, Jr. Hospital of Cook County, Chicago, USA.
Cureus. 2023 Apr 17;15(4):e37725. doi: 10.7759/cureus.37725. eCollection 2023 Apr.
A 67-year-old male presenting with an anterior ST-segment elevation myocardial infarction (STEMI) underwent stent placement in the left anterior descending coronary. The patient was discharged on an appropriate medical regimen containing dual antiplatelet therapy (DAPT). Four days later, the patient presented with repeat acute coronary syndrome symptomatology. Electrocardiogram demonstrated ongoing STEMI in the previously treated artery distribution. Emergency angiography revealed restenosis and total thrombotic occlusion. Post-intervention stenosis was 0% after aspiration thrombectomy and balloon angioplasty. Stent thrombosis is a high-mortality and therapeutically challenging condition requiring prepared clinicians who recognize predisposing risk factors and initiate early management.
一名67岁男性因前壁ST段抬高型心肌梗死（STEMI）接受了左前降支冠状动脉支架置入术。患者出院时接受了包含双重抗血小板治疗（DAPT）的适当药物治疗方案。四天后，患者再次出现急性冠状动脉综合征症状。心电图显示在先前治疗的动脉分布区域存在持续性STEMI。急诊血管造影显示再狭窄和完全血栓性闭塞。抽吸血栓切除术和球囊血管成形术后干预后狭窄率为0%。支架血栓形成是一种高死亡率且治疗具有挑战性的疾病，需要有经验的临床医生识别易患风险因素并尽早进行管理。
