We thank Drs Carmignani and Picozzi for their comment on our article1 and for providing an insight into their experience of newly diagnosed neoplastic disorders requiring surgery after coronary stenting.2 We agree that with rising rates of coronary stent implantation, the need for unexpected non-cardiac surgery during dual antiplatelet therapy following stenting will be an increasing problem in the future. The diagnosis of any concealed condition requiring non-cardiac surgery may allow operative intervention …