Late stent thrombosis after wasp sting [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2012; 40(7): 620-622 | DOI: 10.5543/tkda.2012.41882

Late stent thrombosis after wasp sting

Turgay Işık1, Ibrahım Halıl Tanboga2, Erkan Ayhan1, Huseyin Uyarel1
1Department of Cardiology, Balikesir University, School of Medicine, Balıkesir, Turkey
2Department of Cardiology, Erzurum Region Education And Research Hospital, Erzurum, Turkey

Myocardial infarction (MI) following a bee sting is a highly unusual reaction. A 65-year-old man allergic to honeybee venom was admitted to the emergency department suffering from a wasp sting with urticaria. The patient had a history of bare metal stent (BMS) 9 months previously with regular drug use. He experienced chest pain after the sting and electrocardiography revealed ST-segment elevation in the chest leads. Subsequently, the patient developed ventricular tachycardia disrupting hemodynamics. Sinus rhythm was obtained by cardioversion. Coronary angiogram revealed total stent thrombosis (ST) in the midportion of the left anterior descending coronary artery. Primary coronary intervention was successfully performed. Presence of shared pathways in allergic reaction and MI pathogenesis may be responsible for de novo or ST. To our knownledge, this is the first case of total occlusive late ST in BMS following a wasp sting.

Keywords: Animals, insect bites and stings/complications, myocardial infarction/etiology, wasp

How to cite this article
Turgay Işık, Ibrahım Halıl Tanboga, Erkan Ayhan, Huseyin Uyarel. Late stent thrombosis after wasp sting. Turk Kardiyol Dern Ars. 2012; 40(7): 620-622

Corresponding Author: Turgay Işık, Türkiye
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