A Case of Complete Stent Facture at Proximal and Distal Site in One Drug Eluting Stent

Korean J Med > Volume 80(2); 2011 > Article

Original Article

The Korean Journal of Medicine 2011;80(2):146-151.

A Case of Complete Stent Facture at Proximal and Distal Site in One Drug Eluting Stent

Won Seop Lee, Seong Ill Woo, Dae Hyeok Kim, Sung Hee Shin, Man Jong Lee, Woong Cheon, Ju Hong Jeong

근위부와 말단부에 완전골절이 같이 동반된 약물 용출성 스텐트 골절 1예

이원섭, 우성일, 김대혁, 신성희, 이만종, 천웅, 정주홍

Abstract

A patient came to the hospital with chest pain and was diagnosed with acute myocardial infarction. Coronary angioplasty was performed at the right coronary artery (RCA) and left anterior descending artery (LAD). A bare metal stent (BMS) was inserted in the RCA and a drug eluting stent (DES) was inserted in mid-LAD. The patient was discharged and was followed up as an outpatient without any symptoms. After 6 years, the patient complained of intermittent chest pain. A treadmill test was performed, and the results were positive. Follow-up coronary angiography was performed, and it showed that the DES inserted in mid-LAD had a complete stent fracture at the distal and proximal sites of the stent. Thus, we report a case of complete stent fracture at the proximal and distal sites in one drug eluting stent.

Key Words: Chest pain; Drug eluting stent; Fracture