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
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