Thorac Cardiovasc Surg 2012; 60(06): 425-427
DOI: 10.1055/s-0031-1280018
Case Reports
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Hybrid Approach Combining Off-Pump CABG with Transapical Aortic Valve Implantation via Median Sternotomy

J. M. Gotte
1   Sana Heart Surgery, Stuttgart, Germany
,
W. Rupp
2   Medical Clinic II – Cardiology, Sindelfingen, Germany
,
A. Schild
1   Sana Heart Surgery, Stuttgart, Germany
,
A. Horke
1   Sana Heart Surgery, Stuttgart, Germany
,
W. Bedda
1   Sana Heart Surgery, Stuttgart, Germany
,
N. Doll
1   Sana Heart Surgery, Stuttgart, Germany
› Author Affiliations
Further Information

Publication History

13 April 2011
11 May 2011

13 May 2011

Publication Date:
25 July 2011 (online)

Abstract

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.

 
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