Gotte J.M.,Sana Heart Surgery |
Rupp W.,Medical Clinic II Cardiology |
Schild A.,Sana Heart Surgery |
Horke A.,Sana Heart Surgery |
And 2 more authors.
Thoracic and Cardiovascular Surgeon | Year: 2012
We report the case of a 75-year-old patient diagnosed with severe aortic stenosis and two-vessel coronary artery disease. Due to multiple comorbidities including chronic renal insufficiency, stroke and pulmonary hypertension (EuroSCORE: 34%; STS mortality risk: 14.9%), he was not a candidate for conventional aortic valve surgery. He underwent a novel hybrid treatment approach combining off-pump CABG and transapical aortic valve implantation via a median sternotomy. Extracorporeal circulation could be entirely avoided. © Georg Thieme Verlag KG Stuttgart · New York.