Combined oral contraceptives (OCs) are a common method of contraception; however, they are associated with a twofold to sixfold increased risk of venous thrombosis (VT). The association between estrogen-containing OCs and VT is well established. After the first generation progestogens, new progestogens were developed. However, the risk of VT is higher for users of OCs with third generation progestogens than for those using second generation progestogens. We experienced a patient, a 25-year-old young woman with chest pain after taking third generation OCs. We performed chest computed tomography (CT) and lower extremity venogram CT. She was diagnosed with a pulmonary thromboembolism and deep vein thrombosis. She was treated with low molecular weight heparin and warfarin for six months. We report on this case with a review of the relevant literature.

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.

We report on the case of a 59-year-old man who presented with continuous chest discomfort. The patient's initial electrocardiogram (ECG) showed normal sinus rhythm. Coronary angiography showed significant stenosis in the proximal left anterior descending coronary artery (LAD), the distal left circumflex coronary artery (LCX). Therefore, we deployed a stent in the proximal LAD and the distal LCX. Two days after percutaneous coronary intervention (PCI), he complained of atypical chest pain. His ECG showed ST segment elevation in leads V1 to V3. In emergent coronary angiography, there was no stent thrombosis. ECG findings showed that the ST segment has a "saddle back" ST-T wave configuration in which the elevated ST segment descends toward the baseline, then rises again to an upright T wave, like the Brugada ECG pattern. This case report shows how dynamic ST segment elevations may look similar in cases of stent thrombosis after PCI.