Combined Transaortic Valve Implantation and off-pump Coronary Artery Bypass Graft surgery in a patient with aortic stenosis, left main disease and «porcelain» aorta

Transaortic Valve Implantation and CABG in a patient with severe aortic stenosis


  • Antonios Chalapas MD, PhD, FESC THV Program Hygeia Hospital



Conventional aortic valve replacement in patients with porcelain aorta can be technically challenging and is even sometimes seen as contraindication. Trans-aortic valve implantation has been proposed as an alternative to other trancutaneous routes of implantation and is feasible when there is a small healthy area in the right anterolateral aspect of the ascending aorta. Herein we report an interesting case of combined transaortic valve implantation and off-pump coronary artery bypass grafting in a patient with severe aortic stenosis, severe ostial left main coronary artery disease and porcelain aorta.