PDF(Pubmed)
Abstract：
A few cases have shown that bee stings can be linked to coronary stent thrombosis. However, instances of recurrent myocardial infarction resulting from bee stings among patients who have successfully undergone revascularization treatment are rare. This case report describes a man in his early 60s who experienced an acute myocardial infarction. The left anterior descending coronary artery was revascularized by a drug-eluting stent. Just 1 week later, the patient experienced a second acute myocardial infarction and it occurred immediately after a bee sting. Angiography revealed stent thrombosis so thrombus aspiration was performed. Subsequently, the blood flow in the stent was unobstructed. Follow-up coronary angiography 1 year later revealed no signs of restenosis within the stent. Hymenoptera venoms contains thrombogenic substances that might lead to acute stent thrombosis.
摘要：
少数病例表明，蜜蜂叮咬可能与冠状动脉支架血栓形成有关。然而,在成功接受血运重建治疗的患者中，因蜜蜂叮咬导致的复发性心肌梗死的病例很少见。此病例报告描述了一名60多岁的男子，他经历了急性心肌梗塞。左冠状动脉前降支通过药物洗脱支架进行血运重建。仅仅一周后，该患者经历了第二次急性心肌梗塞，并且在蜜蜂叮咬后立即发生。血管造影显示支架血栓形成，因此进行了血栓抽吸。随后，支架内的血流通畅.1年后的随访冠状动脉造影显示支架内没有再狭窄的迹象。膜翅目毒液含有可能导致急性支架血栓形成的血栓形成物质。
