Am J Cardiovasc Dis 2013;3(3):175-179

Case Report
Subacute stent thrombosis and stress-induced cardiomyopathy: trigger or
consequence?

Francesco Tota, Massimo Ruggiero, Marco Sassara, Nicola Locuratolo, L Sublimi Saponetti, Giulia Frasso, Mariangela
Carbone, Pietro Scicchitano, Francesca Cortese, Pasquale Caldarola, Marco Matteo Ciccone

Division of Cardiology, San Paolo Hospital, Bari, Italy; Cardiovascular Diseases Section, Department of Emergency and
Organ Transplantation (DETO), University of Bari, Bari, Italy

Received July 8, 2013; Accepted July 31, 2013; Epub August 16, 2013; Published August 30, 2013

Abstract: Stress-induced cardiomyopathy or Takotsubo cardiomyopathy (TCM) is a unique syndrome, characterized by
transient left ventricular (LV) apical ballooning without significant coronary arteries stenosis, affecting mainly menopausal
women. We present the case of a 70 year old woman with subacute stent thrombosis (ST) at the level of the right coronary
artery and transient apical ballooning with normal flow of left and circumflex coronary arteries. TCM is frequently associated
with emotional stress, but to date no case of ST triggering TCM have been reported. (AJCD1307001).

Keywords: Stress-induced cardiomyopathy, Takotsubo cardiomyopathy, subacute stent thrombosis

Address correspondence to: Dr. Marco Matteo Ciccone, Cardiovascular Diseases Section, Department of Emergency and
Organ Transplantation (DETO), University of Bari, Piazza G. Cesare 11 -70124 Bari, Italy. Tel: +39-080-5478791; Fax:
+39-080-5478796; E-mail: marcomatteo.ciccone@uniba.it
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