Aortic valve stenosis and left main coronary disease hybrid approach

Hussein A. Al-Amodi, Hamad F. Alhabib, Marc St.-Amand, Ivan Iglesias, Patrick Teefy, Michael W.A. Chu, Bob Kiaii

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


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 roboticassisted 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.

Original languageEnglish (US)
Pages (from-to)435-437
Number of pages3
JournalInnovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
Issue number6
StatePublished - 2015
Externally publishedYes


  • Aortic valve replacement
  • CABG
  • Cardiac catheterization
  • Coronary artery bypass graft
  • Off-pump surgery
  • Percutaneous coronary intervention

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine


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