TY - JOUR AU - Mellert, Fritz AU - Breuer, Johannes AU - Probst, Chris AU - Welz, Armin AU - Schiller, Wolfgang PY - 2011/02/23 Y2 - 2024/03/29 TI - Combined Transapical Aortic Valve Replacement and Minimally Invasive Direct Coronary Bypass Grafting—A New Concept for Selected High-Risk Patients JF - The Heart Surgery Forum JA - HSF VL - 14 IS - 1 SE - DO - 10.1532/HSF98.20101060 UR - https://journal.hsforum.com/index.php/HSF/article/view/1172 SP - E61-E63 AB - <p><b>Background:</b> Transcatheter aortic valve implantation and minimally invasive direct coronary artery bypass (MIDCAB) procedures are both off-pump treatment options for a subset of higher-risk patients. We present a new, minimally invasive surgical concept involving combining the procedures and performing them through the same thoracic access in a patient with a vascular disorder.</p><p><b>Case Report:</b> We report on a 78-year-old patient with symptomatic calcified aortic stenosis and a critical lesion of the left anterior descending coronary artery. In addition, Rendu-Osler-Weber disease was diagnosed. He was successfully treated with combined off-pump transapical, transcatheter aortic valve implantation and MIDCAB grafting. The initial postoperative recovery was good; however, the patient died 3 months postoperatively from septic complications.</p><p><b>Conclusion:</b> This combined procedure performed through the same anterolateral incision was technically feasible and may be a promising, minimally invasive approach for selected patients.</p> ER -