Recurrent Stent Thrombosis Following Myocardial Infarction Associated With VITT-Like Antibodies

Zulqarnain Khan, MD; Imari Patel, MD; Tiffany Gardner, PharmD; Xin Wei, MD; Michael Cheng, MD; Mark R. Vesely, MD; Roberto M. Benitez, MD; Ann B. Zimrin, MD; Libin Wang, MD; Aloke V. Finn, MD

JACC: Case Reports (Mar 2024)

Recurrent Stent Thrombosis Following Myocardial Infarction Associated With VITT-Like Antibodies

Zulqarnain Khan, MD,
Imari Patel, MD,
Tiffany Gardner, PharmD,
Xin Wei, MD,
Michael Cheng, MD,
Mark R. Vesely, MD,
Roberto M. Benitez, MD,
Ann B. Zimrin, MD,
Libin Wang, MD,
Aloke V. Finn, MD

Affiliations

Zulqarnain Khan, MD: University of Maryland School of Medicine, Department of Internal Medicine, Cardiovascular Division, Baltimore, Maryland, USA
Imari Patel, MD: University of Maryland School of Medicine, Department of Internal Medicine, Hematology/Oncology Division, Baltimore, Maryland, USA
Tiffany Gardner, PharmD: University of Maryland School of Pharmacy, Baltimore, Maryland, USA
Xin Wei, MD: University of Maryland School of Medicine, Department of Internal Medicine, Cardiovascular Division, Baltimore, Maryland, USA
Michael Cheng, MD: University of Maryland School of Medicine, Department of Internal Medicine, Cardiovascular Division, Baltimore, Maryland, USA
Mark R. Vesely, MD: University of Maryland School of Medicine, Department of Internal Medicine, Cardiovascular Division, Baltimore, Maryland, USA
Roberto M. Benitez, MD: University of Maryland School of Medicine, Department of Internal Medicine, Cardiovascular Division, Baltimore, Maryland, USA
Ann B. Zimrin, MD: University of Maryland School of Medicine, Department of Internal Medicine, Hematology/Oncology Division, Baltimore, Maryland, USA
Libin Wang, MD: University of Maryland School of Medicine, Department of Internal Medicine, Cardiovascular Division, Baltimore, Maryland, USA
Aloke V. Finn, MD: University of Maryland School of Medicine, Department of Internal Medicine, Cardiovascular Division, Baltimore, Maryland, USA; CVPath Institute Inc, Gaithersburg, Maryland, USA; Address for correspondence: Dr Aloke V. Finn, Medical Director, CVPath Institute Inc, 19 Firstfield Road, Gaithersburg, Maryland 20878, USA.

Journal volume & issue: Vol. 29, no. 5
p. 102234

Abstract

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Early stent thrombosis is a rare complication of percutaneous intervention and is associated with significant 30-day mortality. We present a novel case of multiple recurrent early stent thrombosis consistent with spontaneous vaccine-induced thrombotic thrombocytopenia. We were successfully able to manage this unusual condition through an interdisciplinary collaboration.

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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