{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T02:39:15Z","timestamp":1747190355533,"version":"3.40.5"},"reference-count":24,"publisher":"Wiley","license":[{"start":{"date-parts":[[2020,5,18]],"date-time":"2020-05-18T00:00:00Z","timestamp":1589760000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Cardiology"],"published-print":{"date-parts":[[2020,5,18]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. 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. <jats:italic>Case Presentation<\/jats:italic>. 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. <jats:italic>Conclusion<\/jats:italic>. Comorbidities are not all involved in common risk models and require individualization until more evidence comes to light.<\/jats:p>","DOI":"10.1155\/2020\/9493519","type":"journal-article","created":{"date-parts":[[2020,5,18]],"date-time":"2020-05-18T23:57:13Z","timestamp":1589846233000},"page":"1-6","source":"Crossref","is-referenced-by-count":0,"title":["Debate of Percutaneous Coronary Intervention versus Coronary Artery Bypass Grafting in a Multimorbidity Patient with Complex Coronary Lesions"],"prefix":"10.1155","volume":"2020","author":[{"given":"Sotirios","family":"Mitsiadis","sequence":"first","affiliation":[{"name":"Department of Cardiology, \u201cTzaneio\u201d General Hospital of Piraeus, Piraeus, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3917-0918","authenticated-orcid":true,"given":"Nikolaos","family":"Miaris","sequence":"additional","affiliation":[{"name":"Department of Cardiology, \u201cTzaneio\u201d General Hospital of Piraeus, Piraeus, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonios","family":"Dimopoulos","sequence":"additional","affiliation":[{"name":"Department of Cardiology, \u201cTzaneio\u201d General Hospital of Piraeus, Piraeus, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anastasios","family":"Theodosis-Georgilas","sequence":"additional","affiliation":[{"name":"Department of Cardiology, \u201cTzaneio\u201d General Hospital of Piraeus, Piraeus, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Spyridon","family":"Tsiamis","sequence":"additional","affiliation":[{"name":"Department of Cardiology, \u201cTzaneio\u201d General Hospital of Piraeus, Piraeus, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikolaos","family":"Patsourakos","sequence":"additional","affiliation":[{"name":"Department of Cardiology, \u201cTzaneio\u201d General Hospital of Piraeus, Piraeus, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikolaos","family":"Papakonstantinou","sequence":"additional","affiliation":[{"name":"Department of Cardiology, \u201cTzaneio\u201d General Hospital of Piraeus, Piraeus, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evangelos","family":"Pisimisis","sequence":"additional","affiliation":[{"name":"Department of Cardiology, \u201cTzaneio\u201d General Hospital of Piraeus, Piraeus, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.15420\/icr.2017:23:1"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1161\/circulationaha.111.084236"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1097\/HJR.0b013e3282fd5c6f"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.15420\/icr.2011.9.1.17"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1161\/01.cir.90.6.2725"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.2011.02558.x"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.113.001435"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1136\/openhrt-2017-000766"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198601023140101"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2010.07.086"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2007.12.010"},{"issue":"1","key":"12","first-page":"1001","volume":"1","year":"2016","journal-title":"Annals of Surgery and Perioperative Care"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2012.04.062"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.113.001803"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehy394"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0807611"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1803538"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2012.02.006"},{"issue":"2","key":"19","first-page":"43","volume":"30","year":"2018","journal-title":"The Journal of Invasive Cardiology"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.113.004300"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2016.07.713"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.112.000180"},{"key":"23","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.24842"},{"key":"24","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.25031"}],"container-title":["Case Reports in Cardiology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/cric\/2020\/9493519.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cric\/2020\/9493519.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cric\/2020\/9493519.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,5,18]],"date-time":"2020-05-18T23:57:14Z","timestamp":1589846234000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/cric\/2020\/9493519\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,18]]},"references-count":24,"alternative-id":["9493519","9493519"],"URL":"https:\/\/doi.org\/10.1155\/2020\/9493519","relation":{},"ISSN":["2090-6404","2090-6412"],"issn-type":[{"type":"print","value":"2090-6404"},{"type":"electronic","value":"2090-6412"}],"subject":[],"published":{"date-parts":[[2020,5,18]]}}}