Korean Circulation Journal

  • 제43권8호
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  • Pages.561-564
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  • 2013
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  • 1738-5520(pISSN)
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  • 1738-5555(eISSN)
대한심장학회 (The Korean Society of Cardiology)
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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)
  • 발행 : 2013.08.30
⟨ 이전 논문 다음 논문 ⟩

초록

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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참고문헌

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피인용 문헌

  1. A case of Kounis syndrome with anaphylactic shock secondary to penicillin G injection in a 32-year old woman vol.1, pp.2, 2015, https://doi.org/10.1016/j.ijcac.2015.07.007
  2. Kounis syndrome with contrast medium treated with percutaneous coronary intervention vol.24, pp.3, 2013, https://doi.org/10.3918/jsicm.24_341