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KMID : 0356920090570060800
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Korean Journal of Anesthesiology
2009 Volume.57 No. 6 p.800 ~ p.804
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Very late stent thrombosis of DES implanted patient during noncardiac surgery
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Moon Jong-Pil
Park Choon-Hee
Choi June-Seong
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Abstract
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Very late stent thrombosis after implantation of drug eluting stent is rare, but its consequences are potentially fatal. Stent thrombosis may be occurred in perioperative period because of interruption of anticoagulation therapy and intraoperative hypercoagulability. We report a case of very late stent thrombosis in a 49-year-old male patient during total gastrectomy. ST-segment elevation in lead II occurred during the surgery and followed by cardiac arrest. After external cardiac massage and electrocardioversion, normal sinus rhythm was restored. Postoperative 12 lead ECG showed ST-segment elevation in leads II, III, aVF and serum cardiac enzymes such as CPK, CK-MB, and Troponin T were markedly elevated. Postoperative coronary angiography showed complete occlusion of the right coronary artery stent. Emergency percutaneous transluminal coronary angioplasty was performed and the patient recovered uneventfully.
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KEYWORD
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Drug eluting stent, Noncardiac surgery, Stent thrombosis
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