title: [Transaortic Implantation of Aortic Valve Bioprosthesis in High-Risk Patient With Simultaneous Off-Pump Coronary Artery Bypass Grafting].
abstract: Transaortic approach represents an alternative variant of transcatheter aortic valve implantation (TAVI) which combines benefits of antegrade transapical approach and high safety profile characteristic of transfemoral approach. This method has substantial advantages over subclavian and transapical approaches in cases of pronounced myocardial hypertrophy, left ventricular dysfunction, thinning of left ventricular wall. We describe here a hybrid intervention with simultaneous coronary artery bypass grafting and TAVI in a patient from high surgical risk group with multivessel coronary artery involvement and critical aortic stenosis. The intervention was a successful alternative to open heart surgery with cardiopulmonary bypass.
authors.affiliation: Russian Cardiology Research and Production Complex, Moscow, Russia.
authors.forename: R S
authors.initials: RS
authors.lastname: Akchurin
authors.affiliation: Russian Cardiology Research and Production Complex, Moscow, Russia.
authors.forename: T J
authors.initials: TJ
authors.lastname: Imaev
authors.affiliation: Russian Cardiology Research and Production Complex, Moscow, Russia.
authors.forename: A E
authors.initials: AE
authors.lastname: Komlev
authors.affiliation: Russian Cardiology Research and Production Complex, Moscow, Russia.
authors.forename: P M
authors.initials: PM
authors.lastname: Lepilin
authors.affiliation: Russian Cardiology Research and Production Complex, Moscow, Russia.
authors.forename: A S
authors.initials: AS
authors.lastname: Kolegaev
authors.affiliation: Russian Cardiology Research and Production Complex, Moscow, Russia.
authors.forename: M E
authors.initials: ME
authors.lastname: Nikonova
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001021:Aortic Valve; D001024:Aortic Valve Stenosis / Q000150:complications / Q000601:surgery; D001705:Bioprosthesis; D001026:Coronary Artery Bypass; D006801:Humans; D008297:Male; D065467:Transcatheter Aortic Valve Replacement; D016896:Treatment Outcome
keywords: aortic stenosis; coronary artery bypass grafting (CABG); coronary heart disease (CHD); transaortic approach; transcatheter aortic valve implantation (TAVI)