title: Successful combined minimally invasive direct coronary artery bypass and transapical aortic valve implantation.
abstract: Transapical aortic valve implantation is indicated in high-risk patients with aortic stenosis and peripheral vascular disease requiring aortic valve replacement. Minimally invasive direct coronary artery bypass grafting is also a valid, minimally invasive option for myocardial revascularization in patients with critical stenosis on the anterior descending coronary artery. Both procedures are performed through a left minithoracotomy, without cardiopulmonary bypass, aortic cross-clamping, and cardioplegic arrest. We describe a successful combined transapical aortic valve implantation and minimally invasive direct coronary bypass in a high-risk patient with left anterior descending coronary artery occlusion and severe aortic valve stenosis.
authors.affiliation: Department of Cardiovascular Surgery, University Hospital of Lausanne, Lausanne, Switzerland. enricoferrari@bluewin.ch
authors.forename: Enrico
authors.initials: E
authors.lastname: Ferrari
authors.forename: Christopher
authors.initials: C
authors.lastname: Sulzer
authors.forename: Carlo
authors.initials: C
authors.lastname: Marcucci
authors.forename: Salah Dine
authors.initials: SD
authors.lastname: Qanadli
authors.forename: Aurelien
authors.initials: A
authors.lastname: Roumy
authors.forename: Lars
authors.initials: L
authors.lastname: Nicaluss
authors.forename: Ludwig Karl
authors.initials: LK
authors.lastname: von Segesser
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001021:Aortic Valve / Q000601:surgery*; D001026:Coronary Artery Bypass / Q000379:methods*; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*