Very late stent thrombosis associated with COVID-19 infection: a case report and review of the literature

https://doi.org/10.4081/monaldi.2021.1802

Authors

  • Shekhar Kunal | shekhar.kunal09@gmail.com Department of Cardiology, Sawai Man Singh (SMS) Medical College, Jaipur, India. https://orcid.org/0000-0002-0319-9241
  • Vijay Pathak Department of Cardiology, Sawai Man Singh (SMS) Medical College, Jaipur, India.
  • Keshav Pathak Department of Medicine, Sawai Man Singh (SMS) Medical College, Jaipur, India.
  • Monika Mishra Department of Pharmacology, Sawai Man Singh (SMS) Medical College, Jaipur, India.
  • Shashi Mohan Sharma Department of Cardiology, Sawai Man Singh (SMS) Medical College, Jaipur, India.
  • Sudhir Bhandari Department of Medicine, Sawai Man Singh (SMS) Medical College, Jaipur, India. https://orcid.org/0000-0002-3614-7579

Abstract

Coronavirus disease 2019 (COVID-19), caused by SARS-CoV-2 has varied manifestation with multisystem involvement. Acute coronary syndrome in COVID-19 as a result of stent thrombosis is an uncommon entity and is often due to hypercoagulable state. A 40-year-old male was referred to us with acute onset chest pain. He also reported fever, sore throat and dry cough for six days which mandated testing for COVID-19 which turned out to be positive. He had a prior history of coronary artery disease with a drug eluting stent implanted two years back. An electrocardiogram was suggestive of acute anterior wall myocardial infarction while echocardiogram revealed hypokinesia of left anterior descending (LAD) artery territory. Coronary angiogram revealed non-occlusive thrombus in proximal LAD stent. A Thrombolysis in Myocardial Infarction (TIMI) III flow was restored following balloon angioplasty with a non-compliant balloon and use of glycoprotein (GP) IIb-IIIa receptor antagonist. A diagnosis of very late stent thrombosis subsequent to COVID-19 was made.

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References

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Published
2021-09-16
Info
Issue
Section
COVID-19 - Collection of articles on the Coronavirus outbreak
Keywords:
Acute coronary syndrome, coronavirus, COVID-19, pneumonia, stent thrombosis
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How to Cite
Kunal, Shekhar, Vijay Pathak, Keshav Pathak, Monika Mishra, Shashi Mohan Sharma, and Sudhir Bhandari. 2021. “Very Late Stent Thrombosis Associated With COVID-19 Infection: A Case Report and Review of the Literature”. Monaldi Archives for Chest Disease, September. https://doi.org/10.4081/monaldi.2021.1802.