Aortic Valve Stenosis and Left Main Coronary... : Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery (original) (raw)

Hybrid Approach

• Hussein A. Al-Amodi
• Hamad F. Alhabib
• Marc St-Amand
• Ivan Iglesias
• Patrick Teefy
• Michael W. A. Chu
• Bob Kiaii

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery

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437

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November/December 2015

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| DOI: 10.1097/IMI.0000000000000217

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.

Copyright ©2015 by the International Society for Minimally Invasive Cardiothoracic Surgery