Myocardial reinfarction with simultaneous occlusions of two major coronary arteries one of which is due to the early stent thrombosis

Coronary artery stent thrombosis is a rare but often fatal complication associated with percutaneous coronary intervention. Although strict adherence to dual anti-platelet therapy minimizes this risk, stent thrombosis will still occur in rare patients, leading to acute, subacute, or late life-threatening coronary syndromes. Intracoronary thrombosis is a usual finding in acute coronary syndrome but simultaneous formation of the thrombi in two different coronary arteries is very rare. Acute coronary syndrome is not simply the result of isolated local plaque disruption and thrombosis, but rather global coronary vessel inflammation, leading to weakening of atherosclerotic plaques in multiple sites nearly simultaneously. We report a case of myocardial reinfarction with simultaneous occlusion of two major coronary branches one of which is due to the early stent thrombosis.

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