Man With Left-Sided Chest Pain

A 65-year-old man presented to the emergency department with sudden-onset, left-sided chest pain that woke him up from sleep approximately 6 hours before presentation. Nine days earlier, he had had an ST-segment elevation myocardial infarction (STEMI) from a 100% restenosis of a previous proximal left anterior descending stent discovered during coronary angiography. At that time, percutaneous coronary intervention, with the placement of a drug-eluting stent to the proximal and midportions of the left anterior descending stent, was performed.

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