Aortic Valve Stenosis and Left Main Coronary Disease: Hybrid Approach.

Autor: Al-Amodi HA; From the *Division of Cardiac Surgery, †Division of Anesthesia, and ‡Division of Cardiology, London Health Sciences Center, London, Ontario, Canada., Alhabib HF, St-Amand M, Iglesias I, Teefy P, Chu MW, Kiaii B
Jazyk: angličtina
Zdroj: Innovations (Philadelphia, Pa.) [Innovations (Phila)] 2015 Nov-Dec; Vol. 10 (6), pp. 435-7.
DOI: 10.1097/IMI.0000000000000217
Abstrakt: 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.
Databáze: MEDLINE