Key result
Robotic MIDCAB with concomitant graft-assisted transapical TAVR succeeds in a high-risk patient.
Case Report (n=1)
This case demonstrates the use of robotic minimally invasive direct coronary artery bypass with concomitant graft-assisted transapical transcatheter aortic valve replacement in a patient at high risk for traditional surgical or transfemoral approaches.
Successful robotic approach feasible in select high-risk patient; leaves open need for prospective validation before broader adoption.
This is a case of a 55-year-old male with multivessel coronary artery disease and severe aortic stenosis. The patient presented with multiple recent hospitalizations for heart failure and had been turned down for heart transplantation approximately one year prior. The heart team determined that the patient was high-risk for sternotomy due to recent chest radiation and high-risk for transfemoral approach due to severe peripheral vascular disease. Ultimately, the patient underwent robotic minimally invasive direct coronary artery bypass with concomitant graft-assisted transapical transcatheter aortic valve replacement.
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Bach et al. (2026) conducted a case report in Multivessel coronary artery disease and severe aortic stenosis (n=1). Robotic minimally invasive direct coronary artery bypass with concomitant graft-assisted transapical transcatheter aortic valve replacement was evaluated. A 55-year-old high-risk male successfully underwent robotic minimally invasive direct coronary artery bypass with concomitant graft-assisted transapical transcatheter aortic valve replacement.
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