Drug-eluting stents (DES) have reduced the rate of restenosis and the need for repeated revascularization of target lesions. However, in stent restenosis is still a major issue and very late stent thrombosis seems to occur more frequently with DES. Recently, incidence of stent thrombosis as a fatal complication has increased and dual antiplatelet therapy is recommended for at least 12 months after implantation. Here we report on a case of ST-segment elevation myocardial infarction due to total occlusion caused by very late stent thrombosis and in stent restenosis simultaneously at 42 months after DES implanta-tion.

• 류수정(광주기독병원 순환기내과) | Soo Jung Rew
• 은서준(광주기독병원 순환기내과) | Seo Joon Eun
• 이의신(광주기독병원 순환기내과) | Ui Sin Lee
• 김무웅(광주기독병원 순환기내과) | Moo Woong Kim
• 강동구(광주기독병원 순환기내과) | Dong Gu Kang
• 이승욱(광주기독병원 순환기내과) | Seung Uk Lee Corresponding author
• 조상기(광주기독병원 순환기내과) | Sang Ki Cho