Simultaneous subacute thrombosis in two new-generation drug-eluting stents in different vessels

We report a rare case of simultaneous subacute thrombosis in 2 new-generation drug-eluting stents (DES) in different vessels after cessation of ticagrelor therapy for 3 days. A 66 yearold man was admitted to our emergency department complaining of acute, severe chest pain. He had hypertension and diabetes mellitus for 20 years, was a smoker, and had a history of stent implantation in the left anterior descending artery (LAD) 6 years ago. His electrocardiography results (ECG) revealed inferior ST elevation. An emergent catheterization was performed, revealing a totally occluded proximal right coronary artery (RCA) and a critical thrombotic lesion on the left circumflex artery (LCX). Angioplasty was performed and 2 everolimus-eluting stents (PROMUS Element, 2.5x16 mm and 2.5x20 mm