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

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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