ABSTRACT

Coronary artery stent thrombosis is a rare but often fatal complication associated with percutaneous coronary in- tervention. Although strict adherence to dual anti-platelet therapy minimizes this risk, stent thrombosis will still occur in rare patients, leading to acute, subacute, or late life-threatening coronary syndromes. Intracoronary thrombosis is a usual finding in acute coronary syndrome but simultaneous formation of the thrombi in two dif- ferent coronary arteries is very rare. Acute coronary syndrome is not simply the result of isolated local plaque dis- ruption and thrombosis, but rather global coronary vessel inflammation, leading to weakening of atherosclerotic plaques in multiple sites nearly simultaneously. We report a case of myocardial reinfarction with simultaneous occlusion of two major coronary branches one of which is due to the early stent thrombosis.

Keywords: Acute myocardial infarction Simultaneous occlusion Stent thrombosis