Recurrent acute stent thrombosis associated with protein C and S deficiencies

Int J Cardiovasc Imaging. 2006 Jun-Aug;22(3-4):333-7. doi: 10.1007/s10554-005-9074-3. Epub 2006 Feb 25.

Abstract

Protein C and protein S deficiencies may uncommonly be responsible for coronary arterial thrombosis. We report a young woman with recurrent acute stent thrombosis due to the deficiency of protein C and S. After coronary stenting, stent thrombosis occurred two times despite aggressive antiplatelet therapy, including aspirin, clopidogrel and glycoprotein IIb/IIIa inhibitor. This report suggests that the deficiency of protein C and S should be born in mind in a young patient with recurrent thrombotic events, and that anticoagulants in addition to antiplatelet agents considered in the presence of their deficiency.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Adult
  • Coronary Angiography
  • Coronary Thrombosis / diagnostic imaging
  • Coronary Thrombosis / etiology*
  • Coronary Thrombosis / prevention & control
  • Electrocardiography
  • Female
  • Humans
  • Protein C Deficiency / complications*
  • Protein S Deficiency / complications*
  • Recurrence
  • Stents / adverse effects*