Aortic Valve Stenosis and Left Main Coronary Disease: Hybrid Approach
Al-Amodi HA, Alhabib HF, St-Amand M, Iglesias I, Teefy P, Chu MW, Kiaii B.
Innovations (Phila). 2015 Nov-Dec;10(6):435-7.
We describe a technique of combined transcatheter aortic valve replacement (TAVR), off-pump single coronary artery bypass, and percutaneous coronary intervention (PCI) in a high-risk patient presenting with unstable angina and severe heart failure. This patient had documented moderate to severe aortic stenosis, left ventricular dysfunction, and a heavily calcified ascending aorta. A robotic-assisted left internal thoracic artery harvesting was aborted owing to inability to tolerate single-lung ventilation. A median sternotomy was done, then successful off-pump single-vessel bypass, PCI, and TAVR were achieved. The patient recovered and was discharged from hospital in stable condition.
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