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Revisão Produção Nacional Revisado por pares

BIBTEX RIS

Allergic recurrent coronary stent thrombosis: A mini-review of Kounis syndrome

2018; Elsevier BV; Volume: 19; Issue: 7 Linguagem: Inglês

10.1016/j.carrev.2018.03.001

1553-8389

Roberto Muniz Ferreira, Paolo Blanco Villela, Juliano Carvalho Gomes de Almeida, Pedro Paulo Noguères Sampaio, Felipe N. Albuquerque, Fernanda Madasi Pinheiro, William França Filho, José Ary Boechat e Salles, João Mansur Filho,

Coagulation, Bradykinin, Polyphosphates, and Angioedema

Kounis syndrome (KS) consists of an association between hypersensitivity reactions triggered by various environmental and pharmacological factors and acute coronary syndromes. Blood supply may be compromised by either vasospasm (type I), native plaque destabilization (type II) or stent thrombosis (type III). Although the prognosis is generally favorable, treatment should include aggressive anti-thrombotic and anti-allergic therapies. A case compatible with type III KS, manifested as a macular rash followed by two episodes of stent thrombosis after primary angioplasty (PCI) of the right coronary artery is presented, and complemented by a review on the topic.