1. Very late stent thrombosis derived from thin-cap neoatheroma and fibroatheroma with plaque rupture assessed by optical coherence tomography

    Very late stent thrombosis derived from thin-cap neoatheroma and fibroatheroma with plaque rupture assessed by optical coherence tomography

    A 49-year-old woman presented with sudden onset chest pain, at rest, evident of ST-segment elevation in the anterior leads of a 12-lead electrocardiogram. She received stent implantation with a 3.5 × 23 mm sirolimus-eluting stent at the proximal portion of left anterior descending artery (LAD) 10 years ago. Dual antiplatelet therapy, however, was discontinued 3 years ago. Urgent coronary angiography demonstrated a near total occlusion at the proximal portion of LAD, which was the same segment of the previous stent implantation (Fig. 1A). Optical coherence tomography

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