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Acute MI in a stented patient following snake bite-possibility of stent thrombosis - a case report

Roplekar Satish1, Roplekar Kanchan, Rajebhosale Yashawant

  • 1Director Cath Lab & Senior Interventional Cardiologist, Ruby Heart Care Centre, Tilak Nagar, Veer Sawarkar Chowk, Aurangabad 431005, Maharashtra, India.

Indian Heart Journal
|July 2, 2013
PubMed

Insights

Acute myocardial infarction after snake bite is rare. A patient experienced stent thrombosis following a snake bite, which was successfully treated with thrombolysis, showing a patent stent later.

Area of Science:

  • Cardiology
  • Toxicology
  • Internal Medicine

Background:

  • Acute myocardial infarction (AMI) post-snake bite is an uncommon clinical presentation.
  • Coronary artery stenting is a common intervention for critical stenosis.

Observation:

  • A 60-year-old male with a history of coronary artery stenting presented with symptoms suggestive of AMI after a snake bite.
  • The patient developed chest pain and ST-segment elevation, consistent with potential stent thrombosis.

Findings:

  • Successful thrombolysis was administered for the suspected stent thrombosis.
  • Follow-up coronary angiography revealed a patent stent with TIMI III flow and no evidence of thrombus, indicating resolution.

Implications:

  • This case highlights a rare but serious potential complication of snake envenomation in patients with coronary artery disease.
  • Prompt recognition and management, including thrombolysis, can lead to favorable outcomes even in complex scenarios.

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