Case report of a very late dual coronary stent thrombosis in a patient with coronavirus disease 2019 - Archive ouverte HAL
Article Dans Une Revue European Heart Journal. Case Reports Année : 2021

Case report of a very late dual coronary stent thrombosis in a patient with coronavirus disease 2019

Résumé

Background: Coronavirus disease 2019 (COVID-19) is associated with hypercoagulability and a high rate of thrombosis. Few cases of coronary stent thrombosis associated with COVID-19 have been reported. Case summary: In this report, we describe the case of a 65-year-old man with a history of coronary artery disease (CAD) who was admitted following an out-of-hospital cardiac arrest related to an ST-segment elevation myocardial infarction revealing a very late dual coronary stent thrombosis of the left anterior descending and posterior descending arteries. Ten days prior to admission, he was diagnosed with COVID-19 pneumonia and treated with dexamethasone, which led to rapid clinical improvement. After resuscitation, coronary angiography revealed an acute thrombotic occlusion in the two previous drug-eluting stents (implanted in 2010 and 2018), with a high thrombus burden. He was successfully treated by percutaneous coronary intervention. The patient did not present any further complications during his hospital stay and was transferred to a cardiac rehabilitation centre. Discussion: Dual stent thrombosis is an exceptional event highlighting the high procoagulant state promoted by coronavirus 19. This case suggests that strengthening of antithrombotic therapy in CAD patients presenting with COVID-19 should be discussed.
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hal-03287328 , version 1 (01-06-2022)

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Marie Hauguel-Moreau, Simon Lannou, Léa Bergez, Nicolas Mansencal. Case report of a very late dual coronary stent thrombosis in a patient with coronavirus disease 2019. European Heart Journal. Case Reports, 2021, 5 (6), pp.ytab114. ⟨10.1093/ehjcr/ytab114⟩. ⟨hal-03287328⟩
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