title: Hybrid approach combining off-pump CABG with transapical aortic valve implantation via median sternotomy.
abstract: We report the case of a 75-year-old patient diagnosed with severe aortic stenosis and two-vessel coronary artery disease. Due to multiple comorbidities including chronic renal insufficiency, stroke and pulmonary hypertension (EuroSCORE: 34%; STS mortality risk: 14.9%), he was not a candidate for conventional aortic valve surgery. He underwent a novel hybrid treatment approach combining off-pump CABG and transapical aortic valve implantation via a median sternotomy. Extracorporeal circulation could be entirely avoided.
authors.affiliation: Sana Heart Surgery, Stuttgart, Germany. juliagoette@gmx.net
authors.forename: J M
authors.initials: JM
authors.lastname: Gotte
authors.forename: W
authors.initials: W
authors.lastname: Rupp
authors.forename: A
authors.initials: A
authors.lastname: Schild
authors.forename: A
authors.initials: A
authors.lastname: Horke
authors.forename: W
authors.initials: W
authors.lastname: Bedda
authors.forename: N
authors.initials: N
authors.lastname: Doll
mesh_terms: D000368:Aged; D001024:Aortic Valve Stenosis / Q000150:complications / Q000601:surgery*; D017023:Coronary Angiography; D047549:Coronary Artery Bypass, Off-Pump; D003324:Coronary Artery Disease / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications; D008297:Male; D051436:Renal Insufficiency, Chronic / Q000150:complications; D012307:Risk Factors; D056346:Sternotomy; D020521:Stroke / Q000150:complications; D016896:Treatment Outcome