Kounis Syndrome Presenting as Very Late Stent Thrombosis in an Everolimus-Eluting Stent Following Wasp Stings
| Autor: | Min-Ho Kang, Jung Hwa Min |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
Acute coronary syndrome business.industry medicine.medical_treatment Stent Case Report Thrombosis Kounis syndrome medicine.disease Surgery Drug-eluting stent Internal medicine Shock (circulatory) Hypersensitivity Internal Medicine medicine Cardiology Myocardial infarction medicine.symptom Cardiology and Cardiovascular Medicine business Anaphylaxis |
| Zdroj: | Korean Circulation Journal |
| ISSN: | 1738-5555 1738-5520 |
| DOI: | 10.4070/kcj.2013.43.8.561 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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