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CARDIOVASCULAR JOURNAL OF AFRICA • Volume 26, No 4, July/August 2015
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AFRICA
poorly defined. Independent predictors of stent thrombosis
are premature discontinuation of antiplatelet therapy, renal
failure, bifurcation lesions, diabetes, and lower ejection fraction.
10
There are other presumed causes of BMS thrombosis, such
as brachytherapy, exercise-induced procoagulant state, under-
deployment of stents, malignancy, greater stent length, and small
stent size.
11
With the exception of the early discontinuation of antiplatelet
therapy, our patient had none of these predisposing conditions.
Interestingly, stent thrombosis did not occur immediately after
the discontinuation of acetyl salicylic acid; it appeared after 20
years.
Fig. 1.
Upon admission, the ECG showed ST elevation in the V2–6 leads.
Fig. 2.
Left coronary angiogram. A. Left caudal spider view shows acute total occlusion of the LAD stent. B. Right caudal view shows
acute thrombotic occlusion of the LAD stent. C. Right cranial view shows TIMI III flow after balloon angioplasty.
A
B
C