Hybrid Approach Combining Off-Pump CABG with Transapical Aortic Valve Implantation via Median Sternotomy

J. M. Gotte; W. Rupp; A. Schild; A. Horke; W. Bedda; N. Doll

doi:10.1055/s-0031-1280018

The Thoracic and Cardiovascular Surgeon, Table of Contents

Thorac Cardiovasc Surg 2012; 60(06): 425-427
DOI: 10.1055/s-0031-1280018

Case Reports

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Hybrid Approach Combining Off-Pump CABG with Transapical Aortic Valve Implantation via Median Sternotomy

Authors

J. M. Gotte

¹Sana Heart Surgery, Stuttgart, Germany
W. Rupp

²Medical Clinic II – Cardiology, Sindelfingen, Germany
A. Schild

¹Sana Heart Surgery, Stuttgart, Germany
A. Horke

¹Sana Heart Surgery, Stuttgart, Germany
W. Bedda

¹Sana Heart Surgery, Stuttgart, Germany
N. Doll

¹Sana Heart Surgery, Stuttgart, Germany

Abstract

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Abstract

We report the case of a 75-year-old patient diagnosed with severe aortic stenosis and two-vessel coronary artery disease. Due to multiple comorbidities including chronic renal insufficiency, stroke and pulmonary hypertension (EuroSCORE: 34%; STS mortality risk: 14.9%), he was not a candidate for conventional aortic valve surgery. He underwent a novel hybrid treatment approach combining off-pump CABG and transapical aortic valve implantation via a median sternotomy. Extracorporeal circulation could be entirely avoided.

Keywords

aorta/aortic - coronary artery bypass graft surgery, CABG - cardiopulmonary bypass, CPB

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References

References
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