Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
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Kounis Syndrome Presenting as Very Late Stent Thrombosis in an Everolimus-Eluting Stent Following Wasp Stings

  • Min, Jung Hwa (Division of Cardiology, Department of Medicine, Seoul Paik Hospital, Inje University School of Medicine) ;
  • Kang, Min-Ho (Division of Cardiology, Department of Medicine, Seoul Paik Hospital, Inje University School of Medicine)
  • Published : 2013.08.30
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Abstract

Kounis syndrome is the concurrence of acute coronary syndromes with conditions associated with mast cell activation following an allergic insult. We report a 56-year-old man who experienced a ST-segment elevation myocardial infarction after wasp stings. The patient presented without signs of anaphylaxis or shock. Coronary angiography showed an everolimus-eluting stent thrombosis (ST) of the left anterior descending artery occluding the vessel completely which was deployed for stable angina 3 years ago. The patient had been compliant with anti-platelet therapy, and no relevant cardiovascular events occurred until the day of admission. We interpreted our patient's condition as a manifestation of Kounis syndrome. To our knowledge, this is the first case of Kounis syndrome showing very late ST in a secondgeneration drug-eluting stent caused by wasp stings.

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References

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