October 2016 Br J Cardiol 2016;23:159–60 doi:10.5837/bjc.2016.034
Usha Rao, Timothy J Gilbert, Simon C Eccleshall
Abstract
Case history
Figure 1. Intravascular ultrasound (IVUS) image showing gross malapposition between the original stent (black arrow) and the vessel wall (transparent arrow)
A 44-year-old smoker with a history of hypertension, high cholesterol and positive family history presented with inferior wall ST-elevation myocardial infarction (STEMI). Angiography revealed the culprit was an occluded right coronary artery (RCA). A drug-eluting stent (Taxus element) 2.75 by 24 mm was deployed and the patient discharged with follow-up on dual antiplatelet therapy (DAPT) (aspirin and clopidogrel).
Three years later he was re-admitted with another inferior STE
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