alexa A Case of Very Late Bare-Metal Coronary Stent Thrombosi
ISSN: 2155-9880

Journal of Clinical & Experimental Cardiology
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Case Report

A Case of Very Late Bare-Metal Coronary Stent Thrombosis Two Weeks after Aspirin Discontinuation, Histopathologic Thrombus Findings and Clinical Considerations

Gaetano Tanzilli*, Nicola Viceconte, Giovanni Truscelli*, Massimiliano Scappaticci and Enrico Mangieri

Department of Heart and Great Vessels “Attilio Reale”, “Sapienza” University, Rome, Italy

*Corresponding Authors:
Gaetano Tanzilli
Department of Heart and Great Vessels “Attilio Reale”
“Sapienza” University, Rome, Italy
Tel: +39 06 49972660
Fax: +39 06 49970178
E-mail: [email protected]
 
Giovanni Truscelli
Department of Heart and Great Vessels “Attilio Reale”
“Sapienza” University, Rome, Italy
Tel: +39 06 49972660
Fax: +39 06 49970178
E-mail: [email protected]

Received date: June 12, 2017; Accepted date: June 14, 2017; Published date: June 20, 2017

Citation: Tanzilli G, Viceconte N, Truscelli G, Scappaticci M, Mangieri E (2017) A Case of Very Late Bare-Metal Coronary Stent Thrombosis Two Weeks after Aspirin Discontinuation, Histopathologic Thrombus Findings and Clinical Considerations. J Clin Exp Cardiolog 8:528. doi: 10.4172/2155-9880.1000528

Copyright: © 2017 Tanzilli G, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

There have been consistent evidences that atherosclerotic changes occur inside bare metal stents (BMS) during an extended period after implantation. This report describes the histopathologic features of aspirated material harvested from a patient with definite very late stent thrombosis of a BMS implanted 18 years prior. The patient presented with a recurrent anterior acute myocardial infarction 14 day after aspirin discontinuation. We suggest that vulnerable neointimal tissue inside the stent struts of BMS may be one potential trigger of thrombosis when the protection of aspirin treatment is ceased.

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