Debate of Percutaneous Coronary Intervention versus Coronary Artery Bypass Grafting in a Multimorbidity Patient with Complex Coronary Lesions
Joint Authors
Papakonstantinou, Nikolaos
Mitsiadis, Sotirios
Miaris, Nikolaos
Dimopoulos, Antonios
Theodosis-Georgilas, Anastasios
Tsiamis, Spyridon
Patsourakos, Nikolaos
Pisimisis, Evangelos
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-05-18
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
While complete revascularization in coronary artery disease is of high priority, the method of implementation in patients with complex coronary lesions and multiple comorbidities is not directed by published guidelines.
Case Presentation.
A 53-year-old female with a chronic total occlusion of the right coronary artery and a bifurcation lesion of the left anterior descending artery and the first diagonal branch, presented with non-ST elevation myocardial infarction.
Her past medical history concerned thymectomy and prior chest radiation for thymoma, myasthenia gravis, peripheral artery disease, and cervical cancer treated with surgery and radiation.
Although SYNTAX score II favored surgical revascularization, the interventional pathway was finally successfully followed.
However, it was complicated with vessel perforation and tamponade managed with pericardiocentesis.
Conclusion.
Comorbidities are not all involved in common risk models and require individualization until more evidence comes to light.
American Psychological Association (APA)
Mitsiadis, Sotirios& Miaris, Nikolaos& Dimopoulos, Antonios& Theodosis-Georgilas, Anastasios& Tsiamis, Spyridon& Patsourakos, Nikolaos…[et al.]. 2020. Debate of Percutaneous Coronary Intervention versus Coronary Artery Bypass Grafting in a Multimorbidity Patient with Complex Coronary Lesions. Case Reports in Cardiology،Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1146225
Modern Language Association (MLA)
Mitsiadis, Sotirios…[et al.]. Debate of Percutaneous Coronary Intervention versus Coronary Artery Bypass Grafting in a Multimorbidity Patient with Complex Coronary Lesions. Case Reports in Cardiology No. 2020 (2020), pp.1-6.
https://search.emarefa.net/detail/BIM-1146225
American Medical Association (AMA)
Mitsiadis, Sotirios& Miaris, Nikolaos& Dimopoulos, Antonios& Theodosis-Georgilas, Anastasios& Tsiamis, Spyridon& Patsourakos, Nikolaos…[et al.]. Debate of Percutaneous Coronary Intervention versus Coronary Artery Bypass Grafting in a Multimorbidity Patient with Complex Coronary Lesions. Case Reports in Cardiology. 2020. Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1146225
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1146225