Case report shows successful hybrid management of TAVI and coronary bypass in elderly patient, suggesting a new approach for high-risk coronary artery disease cases.
Key Points
A hybrid approach combining TAVI with coronary bypass was successful despite the patient’s high surgical risk and complex anatomy.
The procedure involved LIMA-LAD grafting followed by transfemoral TAVI, using a 23 mm Evolut FX valve.
Transitory complications occurred, including hypokinesia related to the graft flow, but resolved without further intervention.
This case supports the feasibility of minimally invasive strategies in high-risk patients with prior bioprosthetic valves.