Acute coronary stent thrombosis: A case of type 3 Kounis syndrome

Publication date: Available online 23 October 2018Source: Journal of Cardiology CasesAuthor(s): Cesare Tripolino, Eliezer Joseph Tassone, Gaetano Morabito, Placido Grillo, Bindo MissiroliAbstractKounis syndrome refers to an acute coronary syndrome, consequent to an allergic reaction. It results from mast cell degranulation with subsequent release of numerous inflammatory mediators, leading to coronary vasospasm, atheromatous plaque rupture, or stent thrombosis. Here, we describe the case of a 47-year-old Caucasian man with acute stent thrombosis, as a consequence of allergic reaction to contrast media.<Learning objective: Kounis syndrome is an acute coronary syndrome, consequent to an allergic reaction. Cytokine release might precipitate coronary spasm, plaque rupture, or stent thrombo...

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