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However, the association between CN and ST remains unclear. Moreover, while reprotrusion of CNs through the stent strut is not uncommon immediately after stenting, the risk of ST associated with this acute reprotrusion of CNs is not well recognized. We present a case of a 70\u2010year\u2010old female who developed acute ST following reprotrusion of a CN in the left main coronary artery. After the successful stenting to a large CN, a prominent acute protrusion occurred, followed by the acute occlusion of the implanted stent due to massive thrombus formation. This case highlights the importance of careful monitoring for thrombus formation even after good stent expansion, especially when large acute reprotrusion of CNs is observed.<\/jats:p>","DOI":"10.1002\/ccd.31305","type":"journal-article","created":{"date-parts":[[2024,11,20]],"date-time":"2024-11-20T11:45:42Z","timestamp":1732103142000},"page":"364-368","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Acute Stent Thrombosis Following Reprotrusion of a Calcified Nodule in the Left Main Coronary Artery"],"prefix":"10.1002","volume":"105","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-8583-9303","authenticated-orcid":false,"given":"Tsukasa","family":"Murakami","sequence":"first","affiliation":[{"name":"Department of Cardiology Japanese Red Cross Ogawa Hospital Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keisuke","family":"Kojima","sequence":"additional","affiliation":[{"name":"Department of Cardiology Japanese Red Cross Ogawa Hospital Saitama Japan"},{"name":"Division of Cardiology, Department of Medicine Nihon University School of Medicine Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroyuki","family":"Jinnouchi","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Saitama Medical Center Jichi Medical University Saitama City Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masanori","family":"Takenoya","sequence":"additional","affiliation":[{"name":"Department of Cardiology Japanese Red Cross Ogawa Hospital Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,11,20]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jscai.2023.101259"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.28896"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.5551\/jat.63667"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ-D-23-00107"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2023.03.009"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.119.007822"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ-D-21-00976"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ-D-22-00836"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.31156"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjco.2022.07.001"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2021.02.016"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41569-018-0118-5"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehad342"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2019.12.037"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-022-09585-z"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2020.09.603"},{"issue":"2","key":"e_1_2_8_18_1","article-title":"Retrospective Multicenter Analysis of Intravascular Lithotripsy Use During Calcified Left Main Coronary Artery Percutaneous Coronary Interventions","volume":"3","author":"Riley R. 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