Transapical aortic valve implantation and minimally invasive off-pump bypass surgery.
Transcatheter aortic valve implantation (TAVI) has gained increasing popularity for high-risk patients with symptomatic aortic valve stenosis. A concomitant coronary artery disease leads to a complicated management and an increased perioperative risk. This case report describes the successful total arterial coronary revascularization of the left anterior descending and the left marginal branch of the circumflex artery utilizing the left internal mammary artery (LIMA) and left radial artery in off-pump technique in combination with the transapical transcatheter aortic valve implantation via minimally invasive anterolateral access in the fifth intercostal space.
Department of Cardiovascular Surgery, Robert Bosch Hospital, Stuttgart, Germany.
Samir
S
Ahad
Hardy
H
Baumbach
Stephan
S
Hill
Ulrich F W
UF
Franke
D000369:Aged, 80 and over; D001024:Aortic Valve Stenosis / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D006328:Cardiac Catheterization; D017023:Coronary Angiography; D047549:Coronary Artery Bypass, Off-Pump; D023921:Coronary Stenosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D013908:Thoracotomy; D016896:Treatment Outcome
Aortic valve, replacement; Coronary artery bypass graft; Heart valve, transapical; Minimally invasive surgery; Off-pump surgery