Concomitant Transapical Transcatheter Aortic Valve Replacement and Off-Pump Coronary Artery Revascularization

Yuki Kuroda	Yoshio Arai	Keisuke Hakamada
Masafumi Kudo	Takashi Tsuji	Hiroo Teranishi
Hideki Tsubota	Michiya Hanyu

（Department of Cardiovascular Surgery, Kokura Memorial Hospital＊, Kita-Kyushu, Japan）

An 84-year-old woman with severe aortic stenosis（AS）and coronary artery disease（CAD）was admitted repeatedly with syncope and heart failure. Due to her comorbidities, concomitant transapical transcatheter aortic valve replacement（TAVR）and off-pump coronary artery bypass grafting（OPCAB）were performed. She did well postoperatively. CAD is often found concurrently in patients presenting with severe symptomatic AS. Concomitant TAVR and OPCAB is considered as a less invasive and more feasible treatment option in high-risk patients.

 

Jpn. J. Cardiovasc. Surg. 46:119-121（2017）

Keywords：aortic stenosis;transcatheter aortic valve replacement;off-pump coronary artery bypass grafting