{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T21:25:43Z","timestamp":1783113943686,"version":"3.54.6"},"reference-count":10,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,2,9]],"date-time":"2024-02-09T00:00:00Z","timestamp":1707436800000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2024,2,1]],"date-time":"2024-02-01T00:00:00Z","timestamp":1706745600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Key Clinical Message<\/jats:title>\n                  <jats:p>Porcelain aorta, characterized by extensive calcification of the aortic wall is often associated with coronary calcification. It can pose an increased risk of thromboembolic complications during interventional and surgical procedures. We present a case of a 52\u2010year\u2010old female, a chronic smoker with dyslipidemia with complaints of exertional chest pain for past 6\u2009months. She was diagnosed as a case of non\u2010ST elevation myocardial infarction (NSTEMI) with multivessel CAD, with porcelain aorta and calcified coronaries based on abnormal ECG, elevated troponin and coronary angiography findings. Percutaneous transluminal coronary angioplasty (PTCA) was the treatment modality chosen considering the risk of thromboembolism with aortic manipulation during coronary artery bypass grafting (CABG). Repeat ECG after the procedure showed resolution of ST segment depression. Her hospital stay was uneventful. She was discharged on dual antiplatelet therapy, statin and metoprolol. One\u2010week follow\u2010up revealed normal ECG and blood reports, with further outpatient department visits scheduled every 3\u2009months. Porcelain aorta and coronary calcification is a challenging case for cardiologists. PTCA if done meticulously could be preferable to coronary\u2010artery by\u2010pass grafting (CABG) in such patients. Despite the risks like aortic rupture and thromboembolic complications, PTCA in a case of multivessel CAD with porcelain aorta and calcified coronaries could be a life\u2010saving procedure.<\/jats:p>","DOI":"10.1002\/ccr3.8514","type":"journal-article","created":{"date-parts":[[2024,2,9]],"date-time":"2024-02-09T21:29:50Z","timestamp":1707514190000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Percutaneous transluminal coronary angioplasty in a 52\u2010year\u2010old patient with porcelain aorta and calcified coronaries: A case report"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-9151-2064","authenticated-orcid":false,"given":"Reechashree","family":"Dhungana","sequence":"first","affiliation":[{"name":"Maharajgunj Medical Campus Institute of Medicine  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Padam","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Cardiology Manmohan Cardiothoracic Vascular and Transplant Center  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chandra Mani","family":"Poudel","sequence":"additional","affiliation":[{"name":"Department of Cardiology Manmohan Cardiothoracic Vascular and Transplant Center  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anup","family":"Pandey","sequence":"additional","affiliation":[{"name":"Maharajgunj Medical Campus Institute of Medicine  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raja Ram","family":"Khanal","sequence":"additional","affiliation":[{"name":"Department of Cardiology Manmohan Cardiothoracic Vascular and Transplant Center  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Smriti","family":"Shakya","sequence":"additional","affiliation":[{"name":"Department of Cardiology Manmohan Cardiothoracic Vascular and Transplant Center  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ratna Mani","family":"Gajurel","sequence":"additional","affiliation":[{"name":"Department of Cardiology Manmohan Cardiothoracic Vascular and Transplant Center  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,2,9]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.114.011867"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/PL00002027"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.107.712141"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)34874-3"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehab395"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/openhrt-2017-000703"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0227680"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/cells10051243"},{"key":"e_1_2_11_10_1","volume-title":"StatPearls","author":"Abu Rmilah 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Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.8514","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccr3.8514","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.8514","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T21:00:00Z","timestamp":1783112400000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.8514"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,2]]}},"alternative-id":["10.1002\/ccr3.8514"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.8514","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2]]},"assertion":[{"value":"2023-10-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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