Title of article :
Debate of Percutaneous Coronary Intervention versus Coronary Artery Bypass Grafting in a Multimorbidity Patient with Complex Coronary Lesions
Author/Authors :
Mitsiadis, Sotirios Department of Cardiology - “Tzaneio” General Hospital of Piraeus, Piraeus, Greece , Miaris, Nikolaos Department of Cardiology - “Tzaneio” General Hospital of Piraeus, Piraeus, Greece , Dimopoulos, Antonios Department of Cardiology - “Tzaneio” General Hospital of Piraeus, Piraeus, Greece , Theodosis-Georgilas, Anastasios Department of Cardiology - “Tzaneio” General Hospital of Piraeus, Piraeus, Greece , Tsiamis, Spyridon Department of Cardiology - “Tzaneio” General Hospital of Piraeus, Piraeus, Greece , Patsourakos, Nikolaos Department of Cardiology - “Tzaneio” General Hospital of Piraeus, Piraeus, Greece , Papakonstantinou, Nikolaos Department of Cardiology - “Tzaneio” General Hospital of Piraeus, Piraeus, Greece , Pisimisis, Evangelos Department of Cardiology - “Tzaneio” General Hospital of Piraeus, Piraeus, Greece
Pages :
6
From page :
1
To page :
6
Abstract :
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.
Keywords :
Coronary Intervention , Percutaneous , Bypass Grafting , Coronary Lesions
Journal title :
Case Reports in Cardiology
Serial Year :
2020
Full Text URL :
Record number :
2613233
Link To Document :
بازگشت