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Right coronary artery ‘diverticulosis’ 4 years after sirolimus-eluting stent implantation associated with very late stent thrombosis
  1. Richard I S Good,
  2. Sanjog Kalra,
  3. Tony C Lee
  1. Division of Cardiology, Queen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia, Canada
  1. Correspondence to Dr Tony Lee, Division of Cardiology, Queen Elizabeth II Health Sciences Centre, Room 6896, Halifax Infirmary, 1796 Summer Street, Halifax, Nova Scotia, Canada B3H 3A7; tony.lee{at}

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A 55-year-old female patient with diabetes was admitted with an acute inferior ST-elevation myocardial infarction. Three years previously, she had undergone elective percutaneous coronary intervention to the proximal and mid-segments of her right coronary artery (RCA) (figure 1A) with two overlapping sirolimus-eluting stents (Cypher Select Plus 2.75×33 mm and 3.0×33 mm).

Figure 1

Angiography (A–D) and frequency domain optical coherence tomography (FD-OCT) (E and F) images of the right coronary artery including: (A) after sirolimus-eluting stent implantation, …

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  • Contributors SK wrote the initial draft manuscript. The manuscript was edited by RISG and TCL. The images were prepared by RISG and SK.

  • Competing interests None.

  • Provenance and peer review Not commissioned; internally peer reviewed.