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  • Title: Aortic Valve Stenosis and Left Main Coronary Disease: Hybrid Approach.
    Author: Al-Amodi HA, Alhabib HF, St-Amand M, Iglesias I, Teefy P, Chu MW, Kiaii B.
    Journal: Innovations (Phila); 2015; 10(6):435-7. PubMed ID: 26671883.
    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 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.
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