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 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 language | English (US) |
---|---|
Pages (from-to) | 435-437 |
Number of pages | 3 |
Journal | Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery |
Volume | 10 |
Issue number | 6 |
DOIs | |
State | Published - 2015 |
Externally published | Yes |
Keywords
- 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