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Published in the European Heart Journal-Case Reports. 2020: 4(1): 1-5. CASE PRESENTATION: Very late stent thrombosis (ST) is a concern in the era of drug-eluting stents (DESs), and ST is associated with peri-DES coronary artery aneurysmal lesions or coronary evaginations. An increasing number of cases of concurrent systemic allergic reaction and ST have been reported as Kounis syndrome (KS) in the literature. The number of patients with very late ST caused by KS is small, and furtherdoi:10.26226/morressier.5ebc261fffea6f735881a224 fatcat:sdulpu2wu5dq5ntz3vurox4qki