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

Abstract

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.

Published
2020-05-25