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Simultaneous dual coronary very late stent thrombosis following noncardiac surgery
Authors:Shailja V. Parikh  Ashish Parikh  Emmanouil S. Brilakis  Subhash Banerjee
Affiliation:1. Ospedale San Raffaele, Milano, Italy;2. Ospedale Humanitas, Rozzano, Italy;3. Ospedale Bolognini, Seriate, Italy;4. Ospedale Humanitas Mater Domini, Castellanza, Italy;5. Clinica Mediterranea, Napoli, Italy;6. Centro Cardiologico Monzino, Milano, Italy;7. Ospedali Riuniti Marche Nord, Pesaro, Italy;8. Ospedale San Paolo, Bari, Italy;9. Hesperia Hospital, Modena, Italy
Abstract:Challenges arise in the care of patients with drug-eluting stents (DES) undergoing noncardiac surgery. The risk of bleeding during surgery must be balanced with the risk of stent thrombosis from interrupted dual antiplatelet therapy. We report a case of a patient with simultaneous stent thrombosis in two coronary arteries following discontinuation of clopidogrel for an elective noncardiac surgery 3 years after DES placement.
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