Key result
Combined off-pump transapical TAVI and MIDCAB proves feasible and safe in an 82-year-old man.
Why the study?
Many patients with severe aortic stenosis have significant coexisting coronary artery disease not suitable for percutaneous intervention, requiring alternative combined treatment approaches.
Is combined off-pump transapical transcatheter aortic valve implantation and minimally invasive direct coronary artery bypass feasible and safe in a high-risk patient with severe aortic stenosis and complex coronary artery disease?
Case Report (n=1)
Is combined off-pump transapical transcatheter aortic valve implantation and minimally invasive direct coronary artery bypass feasible and safe in a high-risk patient with severe aortic stenosis and complex coronary artery disease?
Combined off-pump transapical TAVI and minimally invasive direct coronary artery bypass is technically feasible and safe for high-risk patients with severe aortic stenosis and complex LAD disease.
Transcatheter aortic valve implantation has been shown to be an effective treatment for severe aortic stenosis in high-risk surgical patients. Many of these patients have significant coexisting coronary artery disease. We report the first case of combined off-pump transapical aortic valve implantation and minimally invasive direct coronary artery bypass via a left mini-thoracotomy in an 82-year-old man with significant comorbidities. This combined procedure is technically feasible and can be performed safely in selected patients with aortic stenosis and left anterior descending artery lesion that is not suitable for percutaneous intervention.
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Cheung et al. (2010) conducted a case report in Severe aortic stenosis and coexisting coronary artery disease (n=1). Combined off-pump transapical transcatheter aortic valve implantation and minimally invasive direct coronary artery bypass was evaluated on Technical feasibility and safety. Combined off-pump transapical aortic valve implantation and minimally invasive direct coronary artery bypass was technically feasible and safe in an 82-year-old man.
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