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Sindelfingen, Germany

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. Source

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