Article

Concomitant transapical transcatheter aortic valve implantation and minimally invasive direct coronary artery bypass.

From the Department of Cardiac and Vascular Surgery, Robert Bosch Hospital, Stuttgart, Germany.
Innovations Technology and Techniques in Cardiothoracic and Vascular Surgery 11/2011; 6(6):389-90. DOI:10.1097/IMI.0b013e318245bdc6 pp.389-90
Source: PubMed

ABSTRACT We represent a successful minimally invasive combined off-pump procedure consisting of a transapical aortic valve implantation and a direct coronary artery bypass grafting in a woman with a severe aortic stenosis and a critical coronary artery disease. Due to her comorbidities, she was classified as a high-risk patient qualifying for a transcatheter procedure. We performed this combined procedure in a hybrid operation room, starting with the coronary bypass to maintain a coronary blood flow during the transapical valve implantation. The operation processed without any complications and she was discharged at the seventh postoperative day into the allocating hospital.

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Keywords

combined procedure
 
coronary bypass
 
direct coronary artery bypass grafting
 
high-risk patient
 
hybrid operation room
 
off-pump procedure
 
seventh postoperative day
 
severe aortic stenosis
 
transcatheter procedure
 

Hardy Baumbach