Key result
Single-admission robotic hybrid CABG and transcarotid TAVI shows feasibility and functional improvement in a high-risk patient.
Why the study?
Managing severe aortic stenosis and multivessel coronary disease is challenging in patients with elevated surgical risk and hostile iliofemoral anatomy.
Case Report (n=1)
Combining robotic hybrid CABG and transcarotid TAVI is a feasible single-admission staged strategy for high-risk patients with severe aortic stenosis, multivessel coronary disease, and hostile iliofemoral anatomy.
May offer feasible single-admission hybrid option in prohibitive anatomy; leaves open prospective validation versus alternatives.
BACKGROUND: Managing severe aortic stenosis and multivessel coronary disease is challenging in patients with elevated surgical risk and hostile iliofemoral anatomy. CASE SUMMARY: A 70-year-old man with severe aortic stenosis, multivessel coronary disease, and advanced peripheral artery disease presented with decompensated heart failure. Given prohibitive transfemoral access and elevated surgical risk, a single-admission staged hybrid strategy was pursued. The patient underwent robotic hybrid coronary aortic bypass grafting (RHCABG), followed 48 hours later by transcarotid transcatheter aortic valve implantation (TAVI). Both procedures succeeded, yielding an uncomplicated recovery and marked functional improvement. DISCUSSION: This case demonstrates the feasibility of combining RHCABG with alternative-access transcatheter valve replacement for high-risk patients unsuitable for conventional surgery. TAKE-HOME MESSAGES: Combining RHCABG and transcarotid TAVI is feasible for high-risk patients. Transcarotid access is a valuable TAVI alternative given hostile iliofemoral anatomy. Single-admission staged hybrid procedures may reduce overall morbidity and recovery time.
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Aluthman et al. (2026) conducted a case report in Severe aortic stenosis and multivessel coronary disease (n=1). Robotic hybrid coronary aortic bypass grafting (RHCABG) followed by transcarotid TAVI was evaluated on Procedural success, recovery, and functional improvement. A single-admission staged hybrid strategy of robotic hybrid CABG and transcarotid TAVI was feasible and resulted in uncomplicated recovery and marked functional improvement in a high-risk patient.
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