title: Concomitant transapical transcatheter aortic valve implantation and minimally invasive direct coronary artery bypass.
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.
authors.affiliation: From the Department of Cardiac and Vascular Surgery, Robert Bosch Hospital, Stuttgart, Germany.
authors.forename: Hardy
authors.initials: H
authors.lastname: Baumbach
authors.forename: Sara
authors.initials: S
authors.lastname: Adili
authors.forename: Adrian
authors.initials: A
authors.lastname: Ursulescu
authors.forename: Ulrich F W
authors.initials: UF
authors.lastname: Franke