New in literature: Drs. St-Amand and Iglesias publish a case report on a high-risk patient with critical aortic stenosis and left main coronary artery disease
Innovations (Phila). 2015 Dec 14. [Epub ahead of print]
Aortic Valve Stenosis and Left Main Coronary Disease: Hybrid Approach.
Al-Amodi HA, Alhabib HF, St-Amand M, Iglesias I, Teefy P, Chu MW, Kiaii B.
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.
