The Heart Team for Coronary Revascularization Decisions: 2 Illustrative Cases

Thomas S Metkus; Theresa M Beckie; Mauricio G Cohen; Stephen E Fremes; Roxana Mehran; Frank W Sellke; Jennifer S Lawton; Jacqueline E Tamis Holland

doi:10.1016/j.jaccas.2021.12.005

The Heart Team for Coronary Revascularization Decisions: 2 Illustrative Cases

JACC Case Rep. 2022 Feb 2;4(3):115-120. doi: 10.1016/j.jaccas.2021.12.005.

Authors

Thomas S Metkus¹, Theresa M Beckie², Mauricio G Cohen³, Stephen E Fremes⁴, Roxana Mehran⁵, Frank W Sellke⁶, Jennifer S Lawton⁷, Jacqueline E Tamis Holland⁸

Affiliations

¹ Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
² College of Nursing, University of South Florida, Tampa, Florida, USA.
³ Cardiovascular Division, Department of Medicine, University of Miami Miller School of Medicine, Miami, Florida, USA.
⁴ Schulich Heart Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.
⁵ Icahn School of Medicine at Mount Sinai, Cardiovascular Institute, New York, New York, USA.
⁶ Division of Cardiothoracic Surgery, Brown University, Providence, Rhode Island, USA.
⁷ Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
⁸ Division of Cardiology, Mount Sinai Morningside, New York, New York, USA.

Abstract

The 2021 ACC/AHA/SCAI coronary artery disease revascularization guideline highlights the importance of the multidisciplinary heart team in making patient-centered, evidence-based clinical decisions for patients considered for coronary revascularization. We present 2 cases highlighting aspects of heart team decision making for complex patients with coronary artery disease. (Level of Difficulty: Intermediate.).

Keywords: AAA, abdominal aortic aneurysm; CABG, coronary artery bypass grafting; FDG, fluorodeoxyglucose; LVEF, left ventricular ejection fraction; PCI, percutaneous coronary intervention; PET, positron emission tomography; clinical guideline; clinical practice guidelines; coronary artery bypass surgery; coronary artery disease; heart team; left main coronary artery disease; left ventricular dysfunction; multivessel coronary artery disease; patient-centered care; percutaneous coronary intervention.

Publication types

Case Reports