Disseminated Intravascular Coagulation as a Possible Cause of Acute Coronary Stent Thrombosis : A Case Report and Literature Review
Joint Authors
Shafiq, Ali
Muqeet Adnan, Mohammed
Amer, Syed
Hassan, Syed
Qureshi, Waqas
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-12-20
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Disseminated intravascular coagulation (DIC), as a cause of acute coronary stent thrombosis, has not yet been reported to our knowledge.
We report a case of 64-year-old male, who presented with non-ST-segment elevation myocardial infarction (NSTEMI).
Coronary angiography revealed right coronary artery (RCA) stenosis and a drug eluting stent was deployed.
Fifteen hours following the intervention, the patient developed an inferior wall ST elevation myocardial infarction.
Repeat cardiac catheterization showed an acute in-stent thrombosis.
Following thrombectomy, another stent was placed.
The patient noted to have an acute drop in platelet count following the second intervention.
Two hours following repeat intervention, the patient again developed chest pain and EKG showed recurrent ST-segment elevations in leads II, III, and aVF.
Prior to repeat cardiac catheterization, the patient became unresponsive and developed cardiogenic shock.
The patient was resuscitated and intubated, and repeat catheterization showed complete stent thrombosis.
Intracoronary tissue plasminogen activator (tPA) was given.
The platelet count further dropped.
Additional studies confirmed the diagnosis of DIC.
No further cardiac catheterization was done at this point.
The patient then later had a cardiac arrest and unfortunately cardiopulmonary resuscitation could not revive him.
Amongst the etiologies of acute stent thrombosis, DIC was deemed a possible cause.
American Psychological Association (APA)
Amer, Syed& Shafiq, Ali& Qureshi, Waqas& Muqeet Adnan, Mohammed& Hassan, Syed. 2012. Disseminated Intravascular Coagulation as a Possible Cause of Acute Coronary Stent Thrombosis : A Case Report and Literature Review. Case Reports in Critical Care،Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-452124
Modern Language Association (MLA)
Amer, Syed…[et al.]. Disseminated Intravascular Coagulation as a Possible Cause of Acute Coronary Stent Thrombosis : A Case Report and Literature Review. Case Reports in Critical Care No. 2012 (2012), pp.1-4.
https://search.emarefa.net/detail/BIM-452124
American Medical Association (AMA)
Amer, Syed& Shafiq, Ali& Qureshi, Waqas& Muqeet Adnan, Mohammed& Hassan, Syed. Disseminated Intravascular Coagulation as a Possible Cause of Acute Coronary Stent Thrombosis : A Case Report and Literature Review. Case Reports in Critical Care. 2012. Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-452124
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-452124