Transapical aortic valve implantation and 'off-pump' arterial coronary bypass in a patient with a porcelain aorta.
A simple hybrid procedure, namely transapical aortic valve implantation combined with 'off-pump' coronary artery bypass using an internal thoracic artery, was performed in a patient with porcelain aorta, aortic valve stenosis and coronary artery disease. This approach does not require cardiopulmonary bypass, and avoids aortic or peripheral arterial cannulation and clamping of the aorta. This hybrid approach can be regarded as a 'new technique' being applied to an 'old idea'.
Deutsches Herzzentrum Berlin, Berlin, Germany. pasic@dhzb.de
Miralem
M
Pasic
Axel
A
Unbehaun
Semih
S
Buz
Thorsten
T
Drews
Roland
R
Hetzer
D000368:Aged; D001018:Aortic Diseases / Q000150:complications* / Q000601:surgery; D001021:Aortic Valve; D001024:Aortic Valve Stenosis / Q000150:complications* / Q000601:surgery; D001026:Coronary Artery Bypass; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D061205:Vascular Calcification / Q000150:complications*