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 |
Externí odkaz: |
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