Kounis syndrome manifesting as left main coronary aneurysm with late coronary stent thrombosis
| Autor: | Anand Kumar M, Prasad M. R, Sameer Ambar, Sanjay Porwal, Vishwanath Hesarur, Suresh V Patted |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Bare-metal stent
Acute coronary syndrome medicine.medical_specialty business.industry medicine.medical_treatment Stent Kounis syndrome 030204 cardiovascular system & hematology equipment and supplies medicine.disease Clopidogrel Thrombosis 03 medical and health sciences surgical procedures operative 0302 clinical medicine Aneurysm Internal medicine Coronary stent medicine Cardiology cardiovascular diseases 030212 general & internal medicine business medicine.drug |
| Zdroj: | Journal of Indian College of Cardiology. 8:152-156 |
| ISSN: | 1561-8811 |
| DOI: | 10.1016/j.jicc.2018.04.002 |
| Popis: | Kounis syndrome (KS) is defined as the occurrence of an acute coronary syndrome (ACS) concomitantly with hypersensitivity reactions triggered by an allergenic event. Patients with Drug Eluting Stents (DES) implantation are prone to hypersensitivity reactions from five potential antigens namely metal stent, polymer coating, eluted drug and antiplatelets (aspirin, clopidogrel). Coronary aneurysms are seen in 1.25–3.9% of patients after stent implantation and have been detected as early as three days after drug-eluting, and as late as nine years after bare metal stent implantation and are usually associated with dangerous stent thrombosis. Here we report a case of 25 year old female presented with KS manifesting as Intra-stent left main coronary aneurysm with late stent thrombosis. |
| Databáze: | OpenAIRE |
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