Rozległy ostry zawał serca spowodowany jednoczesną zakrzepicą w dwóch stentach

We report a case of a patient presenting with an anterior and inferior ST-elevation myocardial infarction due to double- -arterial coronary stent thrombosis in the left anterior descending artery and right coronary artery, despite the administration of prasugrel and acetylsalicylic acid. Stent thrombosis is an uncommon, but serious complication, usually manifested by sudden death (20–40%) or acute ST-elevation myocardial infarction (50–70%). It is a multifactor phenomenon, which involves other factors of the patient. Understanding of its histopathology and risk factors becomes necessary to try to prevent it, and we should keep in mind, that the deployment of a drug-eluting stent could be unsafe if it is not supported by a suitable evidence-based clinical guideline.