Key result
Combined off-pump total arterial revascularization and transapical TAVI succeeds via minimally invasive anterolateral access.
Why the study?
Management of high-risk patients with symptomatic aortic valve stenosis and concomitant coronary artery disease is complicated and associated with increased perioperative risk.
Case Report (n=1)
Demonstrates the feasibility of combining off-pump total arterial coronary revascularization with transapical TAVI via a single minimally invasive access for high-risk patients.
May support hybrid arterial revascularization in select TAVI patients with CAD; hypothesis-generating and should not yet change practice.
Transcatheter aortic valve implantation (TAVI) has gained increasing popularity for high-risk patients with symptomatic aortic valve stenosis. A concomitant coronary artery disease leads to a complicated management and an increased perioperative risk. This case report describes the successful total arterial coronary revascularization of the left anterior descending and the left marginal branch of the circumflex artery utilizing the left internal mammary artery (LIMA) and left radial artery in off-pump technique in combination with the transapical transcatheter aortic valve implantation via minimally invasive anterolateral access in the fifth intercostal space.
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Ahad et al. (2013) conducted a case report in Symptomatic aortic valve stenosis with concomitant coronary artery disease (n=1). Off-pump total arterial coronary revascularization combined with transapical TAVI was evaluated. Off-pump total arterial coronary revascularization combined with transapical TAVI was successfully performed via minimally invasive anterolateral access.
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