Aortic Valve Stenosis and Left Main Coronary Disease: Hybrid Approach. Issue 6 (November 2015)

• Record Type: Journal Article
• Authors: Al-Amodi, Hussein A.; Alhabib, Hamad F.; St-Amand, Marc; Iglesias, Ivan; Teefy, Patrick; Chu, Michael W. A.; Kiaii, Bob
• Is Part Of: Innovations. Volume 10:Issue 6(2015:Nov./Dec.)
• Publication Date: 2015-11
• Subjects: Aortic valve replacement -- Cardiac catheterization -- Coronary artery bypass graft -- CABG -- Off-pump surgery -- Percutaneous coronary intervention; Cardiovascular system -- Surgery -- Periodicals; Heart -- Surgery -- Periodicals; Blood-vessels -- Surgery -- Periodicals; Chest -- Surgery -- Periodicals; Thoracic Surgical Procedures -- methods -- Periodicals; Vascular Surgical Procedures -- methods -- Periodicals; Thorax -- Chirurgie -- Méthodologie -- Périodiques; Vaisseaux sanguins -- Chirurgie -- Méthodologie -- Périodiques; Blood-vessels -- Surgery; Chest -- Surgery; Periodicals; 617.41
• DOI: 10.1097/IMI.0000000000000217
• Languages: English
• ISSNs: 1556-9845

Abstract

Abstract : Abstract: We describe a technique of combined transcatheter aortic valve replacement (TAVR), off-pump single coronary artery bypass, and percutaneous coronary intervention (PCI) in a high-risk patient presenting with unstable angina and severe heart failure. This patient had documented moderate to severe aortic stenosis, left ventricular dysfunction, and a heavily calcified ascending aorta. A robotic-assisted left internal thoracic artery harvesting was aborted owing to inability to tolerate single-lung ventilation. A median sternotomy was done, then successful off-pump single-vessel bypass, PCI, and TAVR were achieved. The patient recovered and was discharged from hospital in stable condition.