Key result
Hybrid TAVI, PCI, and CABG achieves 6-month clinical improvement and hemodynamic stability in a high-risk patient.
Why the study?
Hybrid procedures offer a promising approach for complex cardiac cases where open surgery carries high risk, but precise indications require further research.
Does a hybrid cardiac procedure (TAVI, PCI, CABG) improve outcomes in a high-risk patient with severe aortic stenosis, CAD, ascending aortic aneurysm, and heart failure?
Case Report (n=1)
Does a hybrid cardiac procedure (TAVI, PCI, CABG) improve outcomes in a high-risk patient with severe aortic stenosis, CAD, ascending aortic aneurysm, and heart failure?
A hybrid approach combining TAVI, PCI, and CABG can be safely performed and improve functional outcomes in high-risk patients with complex cardiac disease.
May support hybrid feasibility in select high-risk cases; hypothesis-generating and requires prospective validation before practice change.
Hybrid procedures offer a promising solution for complex cases where open surgery is high risk, relying on the collaboration of anaesthesiologists, cardiac surgeons and interventional cardiologists. We present a male patient in his 70s with severe aortic stenosis, coronary artery disease, ascending aortic aneurysm and heart failure who underwent a hybrid cardiac procedure, including transcatheter aortic valve implantation, percutaneous coronary intervention of the right coronary artery and coronary artery bypass graft surgery. Through this hybrid intervention, involving a minimally invasive transcatheter and an open surgical procedure, the patient remained haemodynamically stable with minimal blood loss. 6 months postprocedure, he showed significant improvement in daily activities, aided by consistent physical therapy and cardiac check-ups. Current literature supports the hybrid approach for optimising risk-benefit outcomes, though further research is needed to define precise indications for its use.
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Li et al. (2024) conducted a case report in Severe aortic stenosis, coronary artery disease, ascending aortic aneurysm and heart failure (n=1). Hybrid cardiac procedure (TAVI, PCI, and CABG) was evaluated on Haemodynamic stability, blood loss, and improvement in daily activities. A hybrid cardiac procedure involving TAVI, PCI, and CABG allowed a high-risk patient to remain haemodynamically stable with minimal blood loss and significant clinical improvement at 6 months.
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