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Spontaneous coronary artery dissection resulting in very late stent thrombosis
  1. Amit Malviya,
  2. Dhanjit Nath,
  3. Animesh Mishra
  1. Department of Cardiology, Northeastern Indira Gandhi Regional Institute of Health and Medical Sciences (NEIGRIHMS), Shillong, Meghalaya, India
  1. Correspondence to Dr Animesh Mishra, Department of Cardiology, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong 18, Meghalaya, India; animesh.shillong{at}

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A 58-year-old man with a history of coronary angioplasty done to right coronary artery 6 years back presented to the hospital with sudden-onset chest pain for 1 h. His ECG on admission revealed ST elevation in leads II, III and augmented vector foot (aVF). The patient was thrombolysed with streptokinase, which resulted in resolution of chest pain and ECG changes. Three hours later there was reappearance …

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